Cost Savings

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  Subject Areas on Research

  • "Me-too" products--friend or foe? 
  • A Cautious Path Forward on Accountable Care Organizations 
  • A cost-minimization analysis of dexmedetomidine compared with midazolam for long-term sedation in the intensive care unit. 
  • A framework for revising preservice curriculum for nonphysician clinicians: The mozambique experience. 
  • A framework to evaluate the economic impact of pharmacogenomics. 
  • A model of educational resource use by children with cochlear implants. 
  • ACO Serious Illness Care: Survey And Case Studies Depict Current Challenges And Future Opportunities. 
  • AIDS is your business. 
  • Addition of price transparency to an education and feedback intervention reduces utilization of inpatient echocardiography by resident physicians. 
  • Addressing Surgical Instrument Oversupply: A Focused Literature Review and Case-Study in Orthopedic Hand Surgery. 
  • Adherence to ventilator-associated pneumonia bundle and incidence of ventilator-associated pneumonia in the surgical intensive care unit. 
  • Adopting a surgical safety checklist could save money and improve the quality of care in U.S. hospitals. 
  • Advancing Value-Based Models for Heart Failure: A Call to Action From the Value in Healthcare Initiative's Value-Based Models Learning Collaborative. 
  • All-Polyethylene Tibia: An Opportunity for Value-Based Care in Bundled Reimbursement Initiatives. 
  • Alternative Payment Models and Associations With Stroke Outcomes, Spending, and Service Utilization: A Systematic Review. 
  • Alvimopan Provides Additional Improvement in Outcomes and Cost Savings in Enhanced Recovery Colorectal Surgery. 
  • Analysis of an endotracheal intubation service provided by respiratory care practitioners. 
  • Analysis of the North Carolina long-term care polypharmacy initiative: a multiple-cohort approach using propensity-score matching for both evaluation and targeting. 
  • Antiplatelet drug resistance and variability in response: the role of antiplatelet therapy monitoring. 
  • Assessing the comparative value of sedatives in the intensive care unit. 
  • Assessing the potential economic value of health information technology interventions in a community-based health network. 
  • Association of ACO Shared Savings Success and Serious Illness Spending. 
  • Auxiliary variable-enriched biomarker-stratified design. 
  • Bending the curve through health reform implementation. 
  • Brand Medications and Medicare Part D: How Eye Care Providers' Prescribing Patterns Influence Costs. 
  • Clinical and economic results from a randomized trial of clinical decision support in a rural health network. 
  • Cohort Study of Albumin versus Lactated Ringer's for Postoperative Cardiac Surgery Fluid Resuscitation in the Intensive Care Unit. 
  • Cost analysis of aprotinin for coronary artery bypass patients: analysis of the randomized trials. 
  • Cost identification of abdominal aortic aneurysm imaging by using time and motion analyses. 
  • Cost implications of closure of atrial septal defect. 
  • Cost minimization analysis of a store-and-forward teledermatology consult system. 
  • Cost minimization in endoscopy center scheduling: a case-controlled study. 
  • Cost of care using prophylactic negative pressure wound vacuum on closed laparotomy incisions. 
  • Cost savings in migraine associated with less chest pain on new triptan therapy. 
  • Cost savings with implementation of PNA FISH testing for identification of Candida albicans in blood cultures. 
  • Cost-based decision analysis of postreduction imaging in the management of mandibular fractures. 
  • Cost-effectiveness of Intravitreal Ranibizumab With Verteporfin Photodynamic Therapy Compared With Ranibizumab Monotherapy for Patients With Polypoidal Choroidal Vasculopathy. 
  • Cost-effectiveness of botulinum toxin a versus anticholinergic medications for idiopathic urge incontinence. 
  • Cost-effectiveness of posaconazole versus fluconazole or itraconazole in the prevention of invasive fungal infections among neutropenic patients in the United States. 
  • Cost-effectiveness of prophylactic appendectomy: a Markov model. 
  • Costs of inpatient care among Medicare beneficiaries with heart failure, 2001 to 2004. 
  • Current Policy and Practice for Value-Based Pricing. 
  • Decreasing patient cost and travel time through pediatric rheumatology telemedicine visits. 
  • Demonstration of a sustainable community-based model of care across the palliative care continuum. 
  • Determining the Cost-Savings Threshold and Alignment Accuracy of Patient-Specific Instrumentation in Total Ankle Replacements. 
  • Developing a framework for conducting economic evaluations of community-based health information technology interventions. 
  • Dispensing home nebulizers for acute wheezing from the hospital is cost-effective. 
  • Does PCMH "Work"?--The Need to Use Implementation Science to Make Sense of Conflicting Results. 
  • Does cost savings mean cost effective? 
  • Economic analysis of a tailored behavioral intervention to improve blood pressure control for primary care patients. 
  • Economic analysis of gene expression profile data to guide adjuvant treatment in women with early-stage breast cancer. 
  • Economic effects of beta-blocker therapy in patients with heart failure. 
  • Economic evaluation of access to musculoskeletal care: the case of waiting for total knee arthroplasty. 
  • Economic implications of potential changes to regulatory and reimbursement policies for medical devices. 
  • Effect of Facility on Operative Costs of Total Ankle Arthroplasties. 
  • Effect of a stepped-care intervention approach on weight loss in adults: a randomized clinical trial. 
  • Effect of facility on the operative costs of distal radius fractures. 
  • Effect of outpatient treatment of febrile neutropenia on the risk threshold for the use of CSF in patients with cancer treated with chemotherapy. 
  • Effectiveness of a postoperative disposition protocol for sleep apnea surgery. 
  • Effects of Arthroscopy for Femoroacetabular Impingement Syndrome on Quality of Life and Economic Outcomes. 
  • Evidence-based guidelines are equivalent to a liberal computed tomography scan protocol for initial patient evaluation but are associated with decreased computed tomography scan use, cost, and radiation exposure. 
  • Excess costs associated with complications and prolonged length of stay after congenital heart surgery. 
  • Financial Margins for Prostate Cancer Surgery: Quantifying the Impact of Modifiable Cost Inputs in an Episode Based Reimbursement Model. 
  • Financial implications of a model heart failure disease management program for providers, hospital, healthcare systems, and payer perspectives. 
  • Fiscal implications of newborn screening in the diagnosis of severe combined immunodeficiency. 
  • Generic clopidogrel: time to substitute? 
  • Hand Sanitizer as an Alternative to Ultrasound Transmission Gel. 
  • Impact of Contrast Echocardiography on Outcomes in Critically Ill Patients. 
  • Impact of a chemoresponse assay on treatment costs for recurrent ovarian cancer. 
  • Implementation of Continuous Video-Electroencephalography at a Community Hospital Enhances Care and Reduces Costs. 
  • Implementation of a Radiology Utilization Dashboard Yields Significant Cost Savings in a Large Primary Care Network. 
  • Implementation of a diuretic stewardship program in a pediatric cardiovascular intensive care unit to reduce medication expenditures. 
  • Implications of cost in treatment selection for patients with coronary heart disease. 
  • Implications of early and guideline adherent physical therapy for low back pain on utilization and costs. 
  • Incorporating indirect costs into a cost-benefit analysis of laparoscopic adjustable gastric banding. 
  • Innovations In Diabetes Care Around the World: Case Studies Of Care Transformation Through Accountable Care Reforms. 
  • Integration of EEG lead placement templates into traditional technologist-based staffing models reduces costs in continuous video-EEG monitoring service. 
  • Integrative care: what the research shows. 
  • Investment in new technology research can save future health care dollars. 
  • Laboratory process improvement through point-of-care testing. 
  • Lifetime direct medical costs of childhood obesity. 
  • Long-term clinical and economic analysis of the Endeavor drug-eluting stent versus the Driver bare-metal stent: 4-year results from the ENDEAVOR II trial (Randomized Controlled Trial to Evaluate the Safety and Efficacy of the Medtronic AVE ABT-578 Eluting Driver Coronary Stent in De Novo Native Coronary Artery Lesions). 
  • Managed-Medicare health club benefit and reduced health care costs among older adults. 
  • Medicare Advantage Plans Pay Hospitals Less Than Traditional Medicare Pays. 
  • Nicotine abstinence genotyping: assessing the impact on smoking cessation clinical trials. 
  • No Changes in Patient Selection and Value-Based Metrics for Total Hip Arthroplasty After Comprehensive Care for Joint Replacement Bundle Implementation at a Single Center. 
  • Novel Approaches to Value Assessment Beyond the Cost-Effectiveness Framework. 
  • Oncology Care Model: Short- and Long-Term Considerations in the Context of Broader Payment Reform. 
  • Oncology payment reform to achieve real health care reform. 
  • Optimising outcomes: socioeconomic perspective. 
  • Outlook for Alternative Payment Models in Fee-for-Service Medicare. 
  • Patient Perspectives on the Cost of Hand Surgery. 
  • Perspectives from the Kidney Health Initiative on Advancing Technologies to Facilitate Remote Monitoring of Patient Self-Care in RRT. 
  • Potential economic benefit of cleft lip and palate repair in sub-Saharan Africa. 
  • Pre- Versus Post-Procedure Health Care Resource Utilization in Patients Undergoing Commercial Transcatheter Mitral Valve Repair. 
  • Proposed 'grant-and-access' program with price caps could stimulate development of drugs for very rare diseases. 
  • Prospective or retrospective ACO attribution matters for seriously ill patients. 
  • Quantifiable impact of the contract for health and wellness: health behaviors, health care costs, disability, and workers' compensation. 
  • Quantitative and qualitative evaluation of volume of low osmolality contrast medium needed for routine helical abdominal CT. 
  • Radiofrequency Identification Track for Tray Optimization: An Instrument Utilization Pilot Study in Surgical Oncology. 
  • Reduced length of hospital stay in colorectal surgery after implementation of an enhanced recovery protocol. 
  • Reducing Hospital Readmissions via Optimization of Emergency Department Care. 
  • Registry-based trials: a potential model for cost savings? 
  • Regulatory and cost barriers are likely to limit biosimilar development and expected savings in the near future. 
  • Reply to Letter: Alvimopan Is Associated With Improved Outcomes and Cost Savings in Enhanced Recovery Colorectal Surgery Protocols. 
  • Response to: reducing the cost of continuous EEG monitoring. 
  • Same-day discharge among patients undergoing elective PCI: Insights from the VA CART Program. 
  • Screening adults for pre-diabetes and diabetes may be cost-saving. 
  • Selective type & screen for elective colectomy based on a transfusion risk score may generate substantial cost savings. 
  • Should an academic radiation oncologist be allowed to "opt out" of medicare? 
  • Simulated Costs of the ASCO Patient-Centered Oncology Payment Model in Medicare Beneficiaries With Newly Diagnosed Advanced Ovarian Cancer. 
  • Sublingual tacrolimus for immunosuppression in lung transplantation: a potentially important therapeutic option in cystic fibrosis. 
  • Tailoring Antiplatelet Therapy Intensity to Ischemic and Bleeding Risk. 
  • Technical and economical analysis of the conversion of a full-scale scrubber to a biotrickling filter for odor control. 
  • The Effects of Short-Term Variation in Abortion Funding on Pregnancy Outcomes 
  • The Influence of Patient Choice of First Provider on Costs and Outcomes: Analysis From a Physical Therapy Patient Registry. 
  • The Michigan Surgical Home and Optimization Program is a scalable model to improve care and reduce costs. 
  • The economic impact of HPV vaccines: not just cervical cancer. 
  • The impact of Assertive Community Treatment on utilization of primary care and other outpatient health services: the North Carolina experience. 
  • The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings. 
  • The successful implementation of pharmaceutical practice guidelines. Analysis of associated outcomes and cost savings. SWiPE Group. Systematic Withdrawal of Perioperative Expenses. 
  • Thyroid function testing in outpatients: are both sensitive thyrotropin (sTSH) and free thyroxine (FT4) necessary? 
  • Underresourced hospital infection control and prevention programs: penny wise, pound foolish? 
  • Understanding and Managing Direct Operating Room Supply Costs in Cardiac Surgery. 
  • Use of erythropoietin in cancer patients: assessment of oncologists' practice patterns in the United States and other countries. 
  • Using a Budget Impact Model Framework to Evaluate Antidiabetic Formulary Changes and Utilization Management Tools. 
  • Value in Healthcare Initiative: Summary and Key Recommendations. 
  • Value-based insurance design: quality improvement but no cost savings. 
  • Waste in the US Health Care System-Insights for Vision Health. 
  • What Strategies Do Physicians and Patients Discuss to Reduce Out-of-Pocket Costs? Analysis of Cost-Saving Strategies in 1,755 Outpatient Clinic Visits. 
  • What is the marginal benefit of payment-induced family care? Impact on Medicaid spending and health of care recipients. 
  • What works. Surgeons generate "clean bills" from the point of care. 
  • What's Harder: Seeing a Doctor or Reducing Readmissions? 
  • Why Do Accountable Care Organizations Leave The Medicare Shared Savings Program? 
  • Will Changes to Medicare Payment Rates Alter Hospice's Cost-Saving Ability? 
  • Will the global economic downturn affect prostate cancer care? Pelvic lymphadenectomy as an example. 
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  Keywords of People

  • Myers, Evan Robert, Walter L. Thomas Distinguished Professor of Obstetrics and Gynecology in the School of Medicine, Duke Cancer Institute
  • O'Connor, Christopher Michael, Adjunct Professor in the Department of Medicine, Medicine, Clinical Pharmacology
  • Reed, Shelby Derene, Professor in Population Health Sciences, Duke Science & Society