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Latest:
Healthcare Professionals’ Perceptions of Challenges to Chronic Pain ManagementHealthcare professionals report pain management barriers across system, provider, and patient levels, highlighting the need to consider chronic pain as a chronic condition that warrants coordinated approaches.
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Empirical Analysis of Domestic Medical Travel for Elective Cardiovascular ProceduresPromoting domestic medical travel to high-quality providers could improve clinical outcomes and reduce long-term healthcare costs.
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Relationship Between Short-Acting β-Adrenergic Agonist Use and Healthcare CostsOveruse of rescue medication among asthma patients is associated with increased exacerbations and higher total and asthma-related healthcare costs.
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Does Care Consultation Affect Use of VHA Versus Non-VHA Care?Uncoordinated multisystem use is problematic for Veterans Health Administration (VHA) patients with dementia. The Partners in Dementia Care intervention is successful in changing the pattern of VHA versus non-VHA use.
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Lessons From the Front: Designing and Implementing Clinical Pathways by and for CliniciansAs cancer care becomes more complex and more expensive, decision-support algorithms offer a mechanism to define best practice, reduce unwarranted variation, and control costs across growing networks.
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Initiation of Triple Therapy Maintenance Treatment Among Patients With COPDClaims data analysis showed that 60% of patients with chronic obstructive pulmonary disease (COPD) receiving triple therapy had no evidence of exacerbation or only 1 exacerbation not resulting in hospitalization.
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Are Chronically Ill Patients High Users of Homecare Services in Canada?Assessments of self-care capacity and other measures were the most precise ways to identify individuals who could be classified as chronically ill, in their status as the highest users, both individually and collectively, of homecare services.
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The Cost of Learning: Participating in APMs Despite Projected Financial LossesThis article explores Northwestern Medicine’s decision to participate in a Medicare alternative payment model (APM) despite projected losses.
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Does Medicare Managed Care Reduce Racial/Ethnic Disparities in Diabetes Preventive Care and Healthcare Expenditures?The authors aimed to examine whether participation in Medicare managed care, compared with fee-for-service, has any effects on racial/ethnic disparities in diabetes care and healthcare expenditures among older adults.
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The Introduction of Generic Risperidone in Medicare Part DThis study examines the plan characteristics associated with generic risperidone use and spending and adherence outcomes associated with use among Medicare Advantage Part D beneficiaries.
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In-Office Dispensing of Oral Oncolytics: A Continuity of Care and Cost Mitigation Model for Cancer PatientsThis case study from the National Community Oncology Dispensing Association (NCODA) focuses on a new dispensary in a moderately sized oncology community practice that prescribes to NCODA’s Quality Standards and outlines the processes developed to assist Medicare patients in accessing their oral cancer medications.
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Does Distance Modify the Effect of Self-Testing in Oral Anticoagulation?Self-testing of anticoagulation improves outcomes, but is expensive. One might assume it is more helpful for patients living farther from care, but the authors disprove this assumption.
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Reimbursement for Genetic Variant Reinterpretation: Five Questions Payers Should AskPeriodic reinterpretation of genetic sequencing results presents a challenge for developing transparent and systematic coverage and reimbursement policies.
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Optimizing Number and Timing of Appointment Reminders: A Randomized TrialTwo text message or phone reminders were more effective in reducing missed primary care appointments than a single reminder, particularly in patients at high risk of missing appointments.
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Progress of Diabetes Severity Associated With Severe Hypoglycemia in TaiwanRapid progression of diabetes complications was associated with higher risk of severe hypoglycemia.
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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.
