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Latest:
Effect of Insurance Status on the Stage of Breast and Colorectal Cancers in a Safety-Net HospitalIn a safety-net hospital, patients with Medicaid have rates of advanced-stage cancer similar to those patients with other types of insurance; however, patients with no insurance have significantly higher rates of advanced disease.
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Discontinuation of New Hepatitis C Drugs Among Medicare PatientsReal-world discontinuation of hepatitis C drugs was low, but it was 3 times more likely than in clinical trials and varied by patient characteristics.
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Inappropriate Ordering of Lumbar Spine Magnetic Resonance Imaging: Are Providers Choosing Wisely?This article analyzes use of lumbar spine magnetic resonance imaging in a national sample of patients with low back pain.
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Impact of Education Program on Influenza Vaccination Rates in SpainA simple education program was effective in improving the influenza vaccination rate, although vaccination in the previous year was the main predictor of adherence.
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Methodological Effects on the Measurement of Repeat HospitalizationsThe rates of potentially preventable readmissions vary across measurement methodologies which explains inconsistencies in previous studies. Results suggest measurement of readmissions incentivizes inefficient behavior.
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Impact of a Program Encouraging the Use of Generic AntipsychoticsAcademic detailing coupled with a provider survey did not decrease the rate of new prescriptions for costly, on-patent second-generation antipsychotics in a VA hospital.
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Are Obese Patients Assisted in Losing Weight?In obese patients, we assessed the lack of advice to lose weight and its association with cardiovascular risk using the REGICOR chart (adaption of Framingham).
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Cost and Utilization Avoidance With Mail Prompts: A Randomized Controlled TrialBy mailing information to their members, health plans can affect rates of medical service utilization and generate cost savings.
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Non–Face-to-Face Care Management and Service Utilization in Patients With DiabetesCMS began reimbursement for non–face-to-face chronic care management in 2015, and results from Louisiana show that it increases outpatient visits but decreases inpatient and emergency department encounters.
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A Transitional Care Model for Patients With Acute Coronary SyndromeThis study suggests that the Bridging the Discharge Gap Effectively (BRIDGE) program can help decrease the number of hospital readmissions in patients with acute coronary syndrome that cause unnecessary and substantial healthcare systems costs.
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TSI Assay Utilization: Impact on Costs of Graves' Hyperthyroidism DiagnosisAn evidence-based managed care budget impact model shows that incorporating TSI testing into existing Graves%u2019 disease hyperthyroidism diagnostic algorithms reduces costs and shortens time to diagnosis.
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Value-Based Pricing: The Role of Outcomes Data in Pricing ModelsData about escalating prices for cancer drugs laid the groundwork for the panel that followed, where Michael E. Chernew, PhD, Harvard health economist and co-editor-in-chief of The American Journal of Managed Care, outlined how changing the paradigm will require a different kind of shopping.
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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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Predicting Nursing Home Placement Among Home- and Community-Based Services Program ParticipantsThe authors developed a model to identify participants in a home- and community-based services program who are at highest risk for long-term nursing home placement.
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Gender Differences in Prescribing of Zolpidem in the Veterans Health AdministrationWe found inappropriate prescribing of zolpidem, in terms of both guideline-discordant dosage and coprescribing with benzodiazepines, with female veterans affected more than male veterans.
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Hospital Cancer Pain Management by Electronic Health Record–Based Automatic ScreeningA cancer pain control program for inpatients based on electronic health record–based automatic screening provided effective pain relief and achieved high satisfaction among patients and physicians.
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Leveling the Field: Addressing Health Disparities Through Diabetes Disease ManagementA subanalysis of a successful algorithm-driven primary care–based diabetes disease management program examines the relationships among patient characteristics, labor inputs, and improvement in A1C level.
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Comparative Effectiveness Research: Challenges for Medical JournalsIn order to encourage dissemination, this commentary is freely available in PLoS Medicine, and will also be published in Medical Decision Making, Croatian Medical Journal, The Cochrane Library, Trials, and Journal of Clinical Epidemiology.
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Single- Versus Multiple-Tablet HIV Regimens: Adherence and Hospitalization RiskSingle-tablet regimens are associated with higher adherence rates, decreased hospitalizations, and a higher proportion of patients with undetectable viral load compared with multiple-tablet regimens in patients with HIV/AIDS.
