Issues
January 2009 CLINICAL
- Health of Medicare Advantage Plan Enrollees at 1 Year After Hurricane Katrina
Lynda C. Burton, ScD; Elizabeth A. Skinner, MSW; Lori Uscher-Pines, PhD; Richard Lieberman, BA; Bruce Leff, MD; Rebecca Clark, BA; Qilu Yu, PhD; Klaus W. Lemke, PhD; and Jonathan P. Weiner, DrPH At 1 year after Hurricane Katrina, the health burden of enrollees increased significantly more versus a comparison group. Emergency department visits and hospitalizations remained elevated. Full Text PDF
- Effect of Patient Comorbidities on Filling of Antihypertensive Prescriptions
Tara Lagu, MD, MPH; Mark G. Weiner, MD; Susan Eachus, PhD; Simon S. K. Tang, MPH; J. Sanford Schwartz, MD; and Barbara J. Turner, MD, MSEd Patients in a Medicaid managed care plan who had cardiovascular comorbidities were not more likely to fill antihypertensive prescriptions than patients without these conditions. Full Text PDF Appendix MANAGERIAL
- Physician Perception of Reimbursement for Outpatient Procedures Among Managed Care Patients With Diabetes Mellitus
Catherine Kim, MD, MPH; Edward F. Tierney, MPH; William H. Herman, MD, MPH; Perception of reimbursement was associated with electrocardiography but not with other common outpatient procedures. Future research should investigate how associations change with perceived reimbursement amount. Full Text PDF Appendix
- Medication, Diagnostic, and Cost Information as Predictors of High-Risk Patients in Need of Care Management
Christopher B. Forrest, MD, PhD; Klaus W. Lemke, PhD; David P. Bodycombe, ScD; and Jonathan P. Weiner, DrPH Predictive models from diagnostic or medication data identify care management candidates who are more amenable to clinical interventions than groups identified using prior cost alone. Full Text PDF Appendix
- Substitutive Hospital at Home for Older Persons: Effects on Costs
Kevin D. Frick, PhD; Lynda C. Burton, ScD; Rebecca Clark, BA; Scott I. Mader, MD; W. Bruce Naughton, MD; Jeffrey B. Burl, MD; William B. Greenough, III, MD; Substitutive Hospital at Home care for 4 common conditions is associated with cost savings. Full Text PDF Appendix METHODS
- New Medication Adherence Scale Versus Pharmacy Fill Rates in Seniors With Hypertension
Marie Krousel-Wood, MD, MSPH; Tareq Islam, MPH; Larry S. Webber, PhD; Richard N. Re, MD; Donald E. Morisky, ScD; and Paul Muntner, PhD Scores on a new medication adherence scale maintained a strong graded association with antihypertensive drug pharmacy fill adherence among community-dwelling seniors in a managed care organization. Full Text PDF Appendix TRENDS FROM THE FIELD
- Availability of Data for Measuring Physician Quality Performance
Sarah Hudson Scholle, MPH, DrPH; Joachim Roski, PhD, MPH; Daniel L. Dunn, PhD; John L. Adams, PhD; Donna Pillitterre Dugan, MS; L. Gregory Pawlson, MD, MPH; and Eve A. Kerr, MD, MPH Typical health plan data provide limited information for benchmarking physician performance using even a less stringent rule for attributing patient measures to physicians. Full Text PDF Appendix LETTERS TO THE EDITORS
- Concern Still Warranted: Medication Burden and Persistence with Lipid-Lowering Drugs
Jennifer M. Polinski, MPS, MS; and Joshua J. Gagne, PharmD, MS. Reply by Teisha A. Robertson, PharmD, MBA; Catherine E. Cooke, PharmD, BCPS; Jingshu J. Wang, PhD, MPH; Fadia T. Shaya, PhD, MPS; and Helen Y. Lee, PharmD, MBA Full Text PDF Appendix
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