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Latest:
Value of Improved Lipid Control in Patients at High Risk for Adverse Cardiac EventsReducing lipid levels in high-risk patients can significantly reduce disease burden and, depending on final negotiated prices, PCSK9 inhibitors can make an economic contribution to this goal.
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"Meaningful" Clinical Quality Measures for Primary Care PhysiciansRecommendations from primary care Meaningful Use "exemplars" are that clinical quality measures likely to improve outcomes should be evidence-based, high priority, actionable, and minimize burden.
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Provider Type and Management of Common Visits in Primary CareIn primary care, nurse practitioners and physician assistants do not necessarily order more ancillary services, or more costly services among alternatives, than physicians.
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Claims-Based Risk Model for First Severe COPD ExacerbationA health insurance claims-based risk assessment tool to predict patients’ first severe chronic obstructive pulmonary disease exacerbation has been developed and validated.
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Cost-effectiveness of Telephonic Disease Management in Heart FailureThis study shows that telephonic disease management was not cost-effective in a broadly representative sample of community-dwelling patients.
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Geographic Variation in Surgical Outcomes and Cost Between the United States and JapanCompared with Japan, the United States has substantially less geographic variation in surgical outcomes, but it has higher variation in cost.
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Health IT-Assisted Population-Based Preventive Cancer Screening: A Cost AnalysisAn automated cancer screening outreach tool implemented in a mature health information technology environment can achieve cost savings through reduced clinician time devoted to screening efforts.
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Most Chronic Pain Patients Use Alternative Therapies, but Many Don't Tell Their DoctorsA study by Kaiser Permanente published today in The American Journal of Managed Care confirms that patients with chronic pain are seeking complementary treatments, and that if physicians must ask if they want to know about them.
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Payer Coverage for Patients Enrolled Onto Clinical Trials: Making the Process Easy and Transparent for EveryoneIt is not just 1 physician who cares for a patient enrolled onto a clinical trial but rather a complex system of several physician teams, sometimes with very different opinions, who must work together for therapy to be successful and for the patient to have faith in his treating team.
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The Role of Internal Medicine Subspecialists in Patient Care ManagementMost internal medicine subspecialists report the majority of their clinical time is spent in principal care or longitudinal consultative care patient management roles.
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Preventing Myocardial Infarction and Stroke With a Simplified Bundle of Cardioprotective MedicationsBundled cardioprotective medications with simplified delivery reduced the risk of hospitalization for myocardial infarction or stroke among patients at high risk.
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Preliminary Treatment Considerations Among Men With Newly Diagnosed Prostate CancerIn a survey of local-stage prostate cancer patients, preference for prostatectomy was influenced by perceptions of its efficacy and personal burden versus nonsurgical options.
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Structural Capabilities in Small and Medium-Sized Patient-Centered Medical HomesThirty medical home pilot primary care practices had high structural capabilities at baseline and performance improved substantially after 24 months in practices starting with lower capabilities.
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Generalized Cost-Effectiveness Analysis to Assess Treatment Value in Hepatitis CThis article estimates the comprehensive value of direct-acting antivirals for the treatment of hepatitis C virus using a generalized cost-effectiveness analysis.
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Pharmacotherapy After Myocardial Infarction: Disease Management Versus Usual CareThis retrospective study found no benefit of a disease management program compared with usual care on utilization of secondary prevention pharmacotherapies in postmyocardial infarction patients.
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Effectiveness of Enhanced Primary Care on Preventive Health ServicesThis natural experiment compared rates of indicated preventive care for low-income Hispanic patients enrolled in an enhanced primary care program with those of patients receiving usual care.
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Preferred Roles in Treatment Decision Making Among Patients With Cancer: A Pooled Analysis of Studies Using the Control Preferences ScaleThis pooled analysis assesses preferred roles in treatment decision making, actual roles, and preferred versus actual discordance among 6 studies of patients with cancer.
