Authors

Integrated Care for Chronic Conditions: A Randomized Care Management Trial

The authors sought to understand the differential impact of payer-led community-based care management approaches on stakeholder-oriented outcomes for publicly insured adults with multiple chronic conditions.

Preferred Roles in Treatment Decision Making Among Patients With Cancer: A Pooled Analysis of Studies Using the Control Preferences Scale

This pooled analysis assesses preferred roles in treatment decision making, actual roles, and preferred versus actual discordance among 6 studies of patients with cancer.

Predicting Hospitalizations From Electronic Health Record Data

The authors aimed to develop a rigorous technique for predicting hospitalizations using data that are already available to most health systems.

Sedating Effects of AM/PM Antihistamine Dosing with Evening Chlorpheniramine and Morning Terfenadine

Association Between Different Types of Social Support and Medication Adherence

Medication adherence is most closely associated with emotional and practical support.

Comprehensive Health Management Pharmacist-Delivered Model: Impact on Healthcare Utilization and Costs

Pharmacist-provided comprehensive medication management led to a significant difference in emergency department visits and a cost savings of $2.10 to $2.60 for every $1.00 spent relative to a comparator group.

Measuring Concurrent Oral Hypoglycemic and Antidepressant Adherence and Clinical Outcomes

Self-reported adherence tended to overestimate medication adherence compared with electronic monitoring. Electronic monitoring of oral hypoglycemic agents but not self-reported adherence predicted glycemic control.

Patients Discharged From the Emergency Department After Referral for Hospitalist Admission

Hospitalization is costly and associated with the potential for adverse medical events. Hospitalists are uniquely positioned to help avoid unnecessary emergency department admissions through consultation.

Safety and Efficacy of Metformin in a Restricted Formulary

Cost Burden of Hepatitis C Virus Treatment in Commercially Insured Patients

Rates of hepatitis C virus (HCV) treatment in a commercially insured population doubled after availability of new direct-acting antivirals. Member out-of-pocket spending was kept low while the health plan bore 99% of spending on HCV medications.

The Value of Decreasing Health Cost Volatility

Even if they leave average cost the same, interventions that decrease cost variability have economic value.

ED-Based Care Coordination Reduces Costs for Frequent ED Users

Results of our pilot randomized controlled intervention involving emergency department (ED)-based care coordination and community health workers demonstrated a trend toward fewer ED visits, fewer hospitalizations, and lower costs among intervention patients.

The Value of Ambulatory Care Measures: A Review of Clinical and Financial Impact from an Employer/Payer Perspective

This review suggests that only a few primary care quality measures, which usually are not found in claims data, have significant clinical and financial impact.

The Relationship of System-Level Quality Improvement With Quality of Depression Care

The Rate, Pattern, and Cost of Use of Antiparkinsonian Agents Among Patients Treated for Schizophrenia in a Managed Care Setting

Hospital Responses to DSRIP Program Reforms in New Jersey

This study examines the New Jersey Delivery System Reform Incentive Payment (DSRIP) program using hospital web surveys and key informant interviews and finds progress toward data-driven population health management for low-income patients.

Cost Per Response Analysis of Strategies for Chronic Immune Thrombocytopenia

This decision tree model estimates the cost per response and incremental cost per additional responder for romiplostim, eltrombopag, and “watch and rescue” for immune thrombocytopenia.

Estimating the Staffing Infrastructure for a Patient-Centered Medical Home

This study suggests that implementing a patient-centered medical home requires additional staff with specific expertise based on the needs of the practice and its population.

Assessment of Quality-of-Life Outcomes in Schizophrenic Patients

Device Evaluation and Coverage Policy in Workers' Compensation: Examples from Washington State

Mental Health in ACOs: Missed Opportunities and Low-Hanging Fruit

This paper describes the rationale and benefits of incorporating mental health into accountable care organizations using the Chronic Care Model.

Understanding Total Cost of Care in Advanced Non-Small Cell Lung Cancer Pre- and Postapproval of Immuno-Oncology Therapies

Factors Associated With Primary Care Physician Turnover in the VA

This longitudinal observational study found higher team satisfaction with workload to be significantly associated with lower primary care physician turnover.

The Economics of Resistant Pathogens and Antibiotic Innovation

Transparency in Coverage Data to Expose Ghost Rates and Hold Payers Accountable: David Muhlestein, PhD

David Muhlestein, PhD, breaks down ghost rates, data gaps, and why stronger oversight is needed to make Transparency in Coverage files usable for patients.

From the Editorial Board: Robert W. Dubois, MD, PhD

Hospital Responses to DSRIP Program Reforms in New Jersey

This study examines the New Jersey Delivery System Reform Incentive Payment (DSRIP) program using hospital web surveys and key informant interviews and finds progress toward data-driven population health management for low-income patients.