The American Journal of Managed Care | December 2013

CLINICAL

A positive deviance approach was used to identify best practices in embedding care management in patient-centered medical home team-based care processes.

MANAGERIAL

A cost-utility analysis of a hub-and-spoke telestroke network showed that it was economically dominant over routine care.

POLICY

This study shows that generic initiation improves adherence to antidepressant therapy among Medicare patients and mitigates the negative effects of the Part D coverage gap.

REVIEW ARTICLE

All the economic studies of genomic tests for breast cancer rely on modeling rather than randomized controlled trials or other direct trial data.

TRENDS FROM THE FIELD

Both potential benefits and unexpected consequences were found as a result of the rollout of electronic prescribing.

WEB EXCLUSIVE

A consumer-directed health plan with a health savings account was associated with reduced adherence for 4 of 5 conditions.
Barriers to less resource-intensive settings may contribute to use of the emergency department for low-severity conditions.
Health plans collect and use data on network providers' proficiency in languages other than English more commonly than race and ethnicity data on providers.
Greater dietary diversity is associated with lower emergency and hospitalization utilization and expenditures, and identifies a policy direction for nutritionally disadvantaged groups.

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