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Latest:
Cost-effectiveness of Diabetes Treatment Sequences to Inform Step Therapy PoliciesThis study assesses the cost-effectiveness of adding a sodium-glucose cotransporter 2 inhibitor versus switching to a glucagon-like peptide-1 receptor agonist in patients with diabetes on metformin and a dipeptidyl peptidase-4 inhibitor.
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Increased Likelihood of Psychiatric Readmission With Medicaid Expansion vs Legacy CoverageIndividuals who became eligible for Medicaid through Medicaid expansion have an increased likelihood of psychiatric readmission compared with their legacy-enrolled counterparts.
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Adherence, Persistence, and Switching Patterns of Dabigatran EtexilateWe present a descriptive analysis utilizing pharmacy claims from a managed care population to quantify adherence, persistence, and switching patterns for patients initiating dabigatran.
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Standardization Improves Postoperative Patient Handoff Experience for Junior CliniciansStandardization of operating room to intensive care handoff with a “time-out for sign-out” process for health care providers was beneficial for junior clinicians.
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Imagining a World Without Low-Value Services: Progress, Barriers, and the Path ForwardClinician-, patient-, and research-focused initiatives are needed to reduce the delivery of low-value care services that contribute to financial, clinical, and psychological harm for patients.
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FASStR: A Framework for Ensuring High-Quality Operational Metrics in Health CareThrough literature review and collaborative design, we propose the Focus, Activity, Statistic, Scale type, and Reference (FASStR) framework to provide a systematic approach to health care operation metric definition and use.
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The Well-Being of Long-Term Cancer SurvivorsThis study compares the well-being of long-term cancer survivors with that of US residents of similar age and demographic characteristics, patients recently diagnosed with cancer, and individuals with chronic illness.
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Initial Results of a Lung Cancer Screening Demonstration Project: A Local Program EvaluationResults, lessons, and challenges of a local lung cancer screening program within a national demonstration project.
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High-Risk Care Management Impact on Medicaid ACO Utilization and SpendingIn Massachusetts’ largest Medicaid accountable care organization (ACO), high-risk care management significantly reduced spending, emergency department visits, and hospitalizations, demonstrating that targeted strategies can manage health care costs amid budget constraints.
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The FLU-FIT Program: An Effective Colorectal Cancer Screening Program for High Volume Flu Shot ClinicsOffering home fecal immunochemical tests to eligible patients during influenza vaccination clinic increases colorectal cancer screening rates.
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A Dementia Care Management Intervention: Which Components Improve Quality?Specifically trained care managers are essential for quality gains from a dementia care management program; even higher quality accrues with coordination across community and primary care.
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A Payer–Provider Partnership for Integrated Care of Patients Receiving DialysisA report on the clinical and economic outcomes of a new payer–provider partnership serving patients with end-stage renal disease.
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More Employers Offer Preventive Drug Lists Over TimeMore large employers with high-deductible health plans with health savings accounts offer preventive drug list benefits over time.
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The Budget Impact of Cervical Cancer Screening Using HPV Primary ScreeningThis study assesses the clinical and economic implications from a payer perspective of human papillomavirus genotyping for cervical cancer screening in comparison with existing practices.
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Medical Homes Require More Than an EMR and Aligned IncentivesPrimary care teams implementing medical homes experience professional role confusion and interpersonal conflict, and require effective administrative leadership to ensure success during this transition.
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The Effect of a Cardiovascular Educational Intervention on Healthcare Utilization and CostsA low-cost cardiovascular disease screening and periodic educational intervention did not increase healthcare resource utilization and expenditures at 1 year.
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The Health Information Technology Special Issue: Evolving Tech, Fundamental MethodsA letter from the guest editor highlights how the findings in this special issue touch on timely themes in health technology research and yield real-world considerations for practice.
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Automated Patient Assessments After Outpatient Surgery Using an Interactive Voice Response SystemUsing an interactive voice response system to contact patients after outpatient surgery will likely result in improved efficiency without a decrease in assessment quality.
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Access to Chiropractic Care and the Cost of Spine Conditions Among Older AdultsAmong older adults who have a spine condition, access to chiropractic care may reduce medical spending on diagnostic services.
