AJMC
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.
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.
Medicare-Advantage Prescription drug plans (MA-PDs) and standalone PDPs appear to respond to different incentives for plan design.
Algorithmically generated booking recommendations based on customizable physician assumptions and predictive modeling modestly increased productivity without overburdening physicians in a randomized controlled trial.
A recent AJMC study contained overstatements and small but importantly placed errors that have the potential to cause unwarranted on-the-ground cost problems.
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.
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.

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