The number of patients with Alzheimer's disease is increasing annually. Most of these
patients are older adults with comorbid physical illnesses, which means that they are often …

Background/objectives In older persons with dementia (PWD), extensive medication use is
often unnecessary, discordant with goals of care, and possibly harmful. The objective of this …

Importance Overuse of medical care is a well-recognized problem in health care, associated
with patient harm and costs. We sought to identify and highlight original research articles …

Many veterans receive care in both community settings and the VA. Recent legislation has
increased veteran access to community providers, raising concerns about safety and …

Background Veterans who access both the Veterans Health Administration (VA) and non-VA
health care systems require effective care coordination to avoid adverse health care …

Importance Older US veterans commonly receive health care outside of the US Veterans
Health Administration (VHA) through Medicare, which may increase receipt of low-value …

Background: More than half of enrollees in the US Department of Veterans Affairs (VA) are
also covered by Medicare and can choose to receive their prescriptions from VA or from …

We measure organizational concentration—the distribution of a patient's health care across
organizations—to examine how firm boundaries affect health care efficiency. First, when …

Objectives. To estimate the prevalence and consequences of receiving prescription opioids
from both the Department of Veterans Affairs (VA) and Medicare Part D. Methods. Among US …

Background Veterans increasingly utilize both the Veteran's Health Administration (VA) and
non-VA hospitals (dual-users). Dual-users are at increased risk of fragmented care and …