The American Journal of Managed Care > July 2014

The American Journal of Managed Care – July 2014

July 21, 2014 – Sarah Hawley, PhD, MPH; Sarah Lillie, PhD; Greg Cooper, MD; and Jennifer Elston Lafata, PhD
CRC screening rates in a large managed care organization were low. Among those screened, use was associated more with physicians' recommendations than with patient preferences.
July 21, 2014 – Jennifer S. Graff, PharmD; Thaddeus Grasela, PharmD, PhD; David O. Meltzer, MD, PhD; and Robert W. Dubois, MD, PhD
A framework for researchers, providers, payers, or public health bodies identifies when it is most critical to distinguish between "average" population and individual patient response.
July 21, 2014 – Dwight Barry, PhD; Lindsey R. Hass; MPH, Paul Y. Takahashi, MD; Nilay D. Shah, PhD; Robert J. Stroebel, MD; Matthew E. Bernard, MD; Dawn M. Finnie, MPA; and James M. Naessens, ScD
A recent AJMC study contained overstatements and small but importantly placed errors that have the potential to cause unwarranted on-the-ground cost problems.
July 21, 2014 – Patrick R. Cronin, MA; and Alexa Boer Kimball, MD, MPH
Algorithmically generated booking recommendations based on customizable physician assumptions and predictive modeling modestly increased productivity without overburdening physicians in a randomized controlled trial.
July 21, 2014 – Haiden A. Huskamp, PhD; Nancy L. Keating, MD, MPH; Jesse B. Dalton, MA; Michael E. Chernew, PhD; and Joseph P. Newhouse, PhD
Medicare-Advantage Prescription drug plans (MA-PDs) and standalone PDPs appear to respond to different incentives for plan design.
July 21, 2014 – Dana Goldman, PhD; John Fastenau, MPH, RPh; Riad Dirani, PhD; Eric Helland, PhD; Geoff Joyce, PhD; Ryan Conrad, PhD; and Darius Lakdawalla, PhD
This study examined the impact of prior authorization formularies on the likelihood that patients with schizophrenia will be arrested and incarcerated.
July 24, 2014 – Shehnaz Alidina, MPH; Eric C. Schneider, MD, MSc; Sara J. Singer, MBA, PhD; and Meredith B. Rosenthal, PhD
Thirty medical home pilot primary care practices had high structural capabilities at baseline and performance improved substantially after 24 months in practices starting with lower capabilities.
July 24, 2014 – Salomeh Keyhani; Eric Cheng; Susan Ofner; Linda Williams, and Dawn Bravata
For patients with symptomatic severe (>70%) carotid stenosis carotid endarterectomy is highly effective at reducing the risk of subsequent stroke; however few eligible Veterans appear to be receiving this procedure.
July 30, 2014 – Dori E. Rosenberg, PhD, MPH; Lou Grothaus, MA; and David Arterburn, MD, MPH
Authors compared users and non-users of older adult physical activity programs (EnhanceFitness and Silver Sneakers) within a healthcare system on health conditions, utilization, and costs.
August 05, 2014 – Yang Liu, MD; Renee H. Lawrence, PhD; Yngve Falck-Ytter, MD; Brook Watts, MD; and Amy A. Hirsch, PharmD
Management of hepatitis C screening results can be optimized to ensure that patients receive high-quality care, reducing morbidity and costs related to the virus.
August 06, 2014 – Elvira Nouwens, MSc; Jan van Lieshout, MD, PhD; Pieter van den Hombergh, MD, PhD; Miranda Laurant, PhD; and Michel Wensing, PhD
This study sought to explore if shifting care to nurses in cardiovascular risk management in primary care is a key to more structured chronic care.
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