The American Journal of Managed Care | July 2014

CLINICAL

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.

COMMENTARY

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.

LETTERS TO THE EDITORS

A recent AJMC study contained overstatements and small but importantly placed errors that have the potential to cause unwarranted on-the-ground cost problems.

MANAGERIAL

Algorithmically generated booking recommendations based on customizable physician assumptions and predictive modeling modestly increased productivity without overburdening physicians in a randomized controlled trial.
Medicare-Advantage Prescription drug plans (MA-PDs) and standalone PDPs appear to respond to different incentives for plan design.

POLICY

This study examined the impact of prior authorization formularies on the likelihood that patients with schizophrenia will be arrested and incarcerated.

WEB EXCLUSIVE

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.
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.
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.
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.
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.
Feature
$vacMongoViewPlus$