The Commonwealth Fund issues a brief on designing a good health delivery system for complex, high-cost patients.
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Research in Health Services and Outcomes Research Methodology compares various care management delivery strategies.
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A study published in JAMA finds that a value-driven program at the University of Utah Health Care system improved quality and lowered costs.
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A study in NEJM finds that while ten-year mortality was similar for treatment or surveillance for prostate cancer, failure to treat led to more metastases and disease progression. Proponents of ending PSA screening and what they view as excessive diagnoses of prostate cancer may be happy, but for a few men, late diagnosis and/or surveillance just means worse disease and outcomes. The same approach is coming on mammograms.
http://www.nejm.org/doi/full/10.1056/NEJMoa1606220According to research published in JAMA, an integrated team-based system of primary care resulted in lower costs in some areas and better quality performance on some measures.
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Research carried by the American Journal of Managed Care suggests that interventions to improve adherence to medication regimens have a near-term payback in overall medical cost savings.
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A study in Health Services Research identifies a new strategy for finding high-risk patients.
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According to an article in Health Affairs at least one medication management program helps reduce readmissions.
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A Milliman report examines cancer care costs, finding that spending increases are largely driven by higher usage of hospital outpatient settings for chemotherapy.
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A study in Population Health Management finds that a telephone-based chronic disease management program had significant net savings.
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A report published by the National Bureau of Economic Research finds that Americans are generally in good enough health to work longer.
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