The American Journal of Managed Care | December 2012

CLINICAL

Regardless of the cause of bias, more awareness and scrutiny are needed when utilizing cost-effectiveness studies for healthcare decision making.
In an integrated delivery system among patients with diabetes, there was significantly less risk factor communication reported during between-visit encounters compared with in-person visits.
A health information technology system designed to facilitate population-based breast cancer screening increased mammography rates in overdue women beyond rates achieved with office-based reminders alone.

COMMENTARY

In order to live up to their potential, ACOs should ensure that clinical staff possess the professional skills necessary to effectively coordinate care.

MANAGERIAL

A randomized control study that analyzes the impact of a postdischarge prioritization case management strategy on readmissions for select high-risk patients that are commercially insured.

WEB EXCLUSIVE

Although vaccination compliance increased slightly following use of combination MMRV instead of separate MMR and varicella vaccines, additional barriers to improved compliance warrant future evaluation.
A simple education program was effective in improving the influenza vaccination rate, although vaccination in the previous year was the main predictor of adherence.
We assessed the impact of the MDVIP personalized preventive care model on hospital utilization and found the MDVIP members' rates were substantially lower than nonmembers'.
Medication adherence is most closely associated with emotional and practical support.
This article demonstrates a threat to validity when using claims-based risk tools with chronically ill and/or underinsured populations whose underutilization masks actual risk or comorbidity.
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