The American Journal of Managed Care | June 2017

CLINICAL

Evaluation of healthcare utilization and costs over 3 years for adults with insulin-requiring diabetes who transition from multiple daily insulin injections to insulin infusion pumps.
Minimally invasive radical prostatectomy was more commonly performed in civilian hospitals compared with military hospitals among TRICARE beneficiaries, with comparable postoperative outcomes.

MANAGERIAL

Patients who enrolled in a trial to lower low-density lipoprotein cholesterol spoke positively of the multifaceted intervention: pillbox monitoring and financial incentives were socially acceptable.

POLICY

Compared with lower-cost plans, Medicare Advantage enrollees pay more for their plans the longer they remain enrolled.

TRENDS FROM THE FIELD

The mean online patient rating for Veterans Affairs hospitals was higher (3.70 ± 1.3 out of 5) than the rating for affiliated hospitals (3.19 ± 1.3; P = .003).

WEB EXCLUSIVE

This study identifies practices and perceptions around public reporting of “roll-up” measures that combine indicators of multiple, often disparate, dimensions of healthcare quality.
The offer of free medications to low-income Medicare beneficiaries with diabetes enrolled in Part D plans has no impact on generic prescribing rates.
The authors interviewed patients with access to a price transparency website. Despite a positive opinion of price shopping in theory, respondents reported barriers to doing so in reality.
Patient and treatment heterogeneity were characterized within a sample of nonadherent buprenorphine members; an improved understanding of these factors may optimize patient–treatment matching and intervention efforts.
The authors compare methods of retrospectively attributing patients to provider systems by the fraction of patients attributed and the stability of attribution over time.

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