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The input variables are an estimate of the number of commercially insured patients with a chronic condition and their distribution in a practice.
We used a systematic review of the literature to identify the percent of events stemming from care failures that might be avoided for the chronic conditions studied to determine whether PAC rates could be compressed to yield savings for payers and margin opportunities for providers under the Prometheus Payment model.
recently reported that for patients with chronic illnesses, CHF, and bacterial pneumonia were the two most common causes of potentially preventable hospitalizations and accounted for half of the avoidable hospitalization costs (Jiang et al.
There is ample evidence that the quality of care for patients with chronic conditions is poor.
117 million if regions with high PAC rates could decrease their rates to the second decile level for each chronic condition.
at 532 ("On its face the present case does not fall within [Robinson's] holding, since appellant was convicted, not for being a chronic alcoholic, but for being in public while drunk on a particular occasion.
For the volitional reading to carry the day, the Powell plurality's holding--that a chronic alcoholic may be convicted of public intoxication--must be limited to the facts of Powell's case, while Robinson must be extended to include Justice White's dictum that "[if] it cannot be a crime to have an irresistible compulsion to use narcotics, I do not see how it can constitutionally be a crime to yield to such a compulsion.
In a dissenting opinion in Kellogg, Justice McDonald pointed out that the facts of Kellogg were virtually identical to White's hypothetical scenario of the drunk with no home:</p> <pre> Justice White's concurring opinion in Powell strongly suggests that he would have joined the four dissenting justices had the record in that case shown the defendant was a chronic alcoholic who was not homeless by choice and therefore could not have done his drinking in private or avoid being in public while intoxicated.
at 534 ("Even if we limit our consideration to chronic alcoholics, it would seem impossible to confine the principle within the arbitrary bounds which the dissent seems to envision.