The American Journal of Managed Care | February 2017

CLINICAL

A retrospective claims analysis showed that synchronized refill schedules were associated with better medication adherence among Medicare Advantage patients taking multiple maintenance medications.

FROM THE EDITORS

Finding ways to improve outcomes and reduce the cost of care is imperative for patients with chronic conditions. A combination of health information technology use, patient and provider engagement, and attention to the clinical services can promote success in this area.

MANAGERIAL

Hypoglycemia after basal insulin initiation is associated with high clinical and economic burden that precedes insulin initiation and persists during 1 to 2 years of follow-up.

POLICY

Hepatitis C virus treatment is often restricted in Medicaid patients. This analysis evaluates the clinical and cost impacts of treating all Medicaid patients versus the current status quo.

TRENDS FROM THE FIELD

A health plan–sponsored care management program that included a coaching for activation intervention was associated with reduced emergency department visits and hospital admissions, and better clinical outcomes.

WEB EXCLUSIVE

Among Michigan primary care practices, sustained participation in a pay-for-value program appears to contribute to improved utilization outcomes for high-need patients.
Elderly Medicare Advantage members with multiple chronic conditions attained a survival benefit from more cost-effective care when a private plan developed gainshare and monetary risk-bearing arrangements with its contracted providers.
A retrospective look at the impact of a community asthma education program reveals significant improvements in asthma management and knowledge and decreased healthcare utilization.
This article compares how parents of children seeking specialty care perceive National Committee for Quality Assurance–based patient-centered medical home elements in the primary and specialty care settings.
This study describes the patient characteristics and healthcare utilization of a chronic pain population within an integrated healthcare system in northern California.
Patients with diabetes who participate in a pay-for-performance program had higher continuity of care index (COCI) scores, and those with high COCI scores had higher survival rates.

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