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December 2008
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CURRENT ISSUE: December 2008

EDITORIAL

Are Patent Expirations the Answer to Improving Patient Adherence?
In his Editorial, Dr. Klepser considers the effectiveness and the future of value-based insurance design.
Full Text : PDF

CLINICAL

Complications of Dysglycemia and Medical Costs Associated With Nondiabetic Hyperglycemia
This study showed that complications add significantly to the cost of medical care when hyperglycemia levels were below the threshold for diabetes, and impaired glucose tolerance independently contributed to costs.
Abstract : Full Text : Appendix : PDF

Adherence to Inhaled Corticosteroid Use and Local Adverse Events in Persistent Asthma
This study evaluated the association between patientreported and medical record–abstracted local adverse events and patient-reported and claims-based adherence to inhaled corticosteroid therapy.
Abstract : Full Text : Appendix : PDF

MANAGERIAL

Lowering Copayments: Impact of Simvastatin Patent Expiration on Patient Adherence
Decreasing statin copayments because of the patent expiration of simvastatin has led to moderate increases in therapy adherence.
Abstract : Full Text : PDF

POLICY

Impact of Specialty Drugs on the Use of Other Medical Services
Biologic therapy for rheumatoid arthritis or multiple sclerosis was associated with lower use of some types of medical services within 2 to 3 years of initiation.
Abstract : Full Text : PDF

Benchmarking Physician Performance: Reliability of Individual and Composite Measures
At least 50 quality events per physician are needed to reach a minimum level of reliability for most quality measures calculated from administrative data.
Abstract : Full Text : PDF : Appendix : Appendix : Appendix : Appendix

TRENDS FROM THE FIELD

Effects of Telephone Counseling on Antipsychotic Adherence and Emergency Department Utilization
A telehealth nursing program used psychological counseling techniques to improve antipsychotic medication adherence, leading to reduced emergency department utilization in a managed Medicaid population.
Abstract : Full Text : PDF

The Patient’s Photograph in the Medical Record as a Diagnostic Tool
Two case reports are presented in which previous photographs of the patients appearing in their medical record were of considerable assistance in making the diagnosis.
Abstract : Full Text : PDF

EDUCATIONAL PROGRAMS

December 08 - Managed Care Interventions for Improving Outcomes in Acute Heart Failure Syndromes

December 08 - Decision Maker News - Importance of Early and Effective Pharmacologic Treatment in Schizophrenia

November 08 - Medication Access and Vulnerable Populations: What's Changing

July 08 - Biologics and Benefit Design