Authors

The authors describe a pay-for-performance initiative targeting behavioral health providers, which was introduced by a large Medicaid managed care organization across multiple states.

Micaela Laber, MPH, MBA

Latest Article

Humira: The First $20 Billion Drug

The authors review a House Oversight Committee investigation report on AbbVie’s practices pertaining to adalimumab (Humira) to shed light on broader pharmaceutical market dynamics hindering a competitive market.

Stacy Courtnay

Stacy Courtnay is the community network chair for the Arthritis Foundation in Atlanta, GA.

Latest Article

In Evaluating Rheumatoid Arthritis Treatments, Involving Patients Is Key

Anna U. Morgan, MD, MSc, MSHP

Stacy Courtnay is the community network chair for the Arthritis Foundation in Atlanta highlights a report that discusses how understanding patient experiences in RA can shift questions researchers ask.

Latest Article

Patient Perspectives on Technology-Based Approaches to Social Needs Screening

Patients are essential stakeholders in designing systems to capture social needs. The authors present key findings from patient interviews regarding social needs screening through technology-based modalities.

Anna Chen, PharmD, MS

Latest Article

Budget Impact Analysis of Biosimilar Natalizumab in the US

a year ago

Projected savings from biosimilar natalizumab were $452,611 over 3 years, driven by decreased drug acquisition costs and a utilization shift from reference to biosimilar natalizumab.

Jen Clair, MS

Latest Article

Primary Care Visit Cadence and Hospital Admissions in High-Risk Patients

Laura S. Shields-Zeeman, PhD, MS

Patients with congestive heart failure and/or chronic obstructive pulmonary disease who had more quarterly primary care visits had lower rates of hospitalizations during the COVID-19 pandemic.

Latest Article

How Medicare Advantage Plans Use Data for Supplemental Benefits Decision-Making

This article presents findings from interviews conducted with executives from 29 Medicare Advantage plans regarding plan decision-making processes related to new social risk factor–related benefits.

John P. Butler

Chair of Kidney Care Partners; President and CEO Akebia Therapeutics.

Latest Article

Medicare Payment Rule Threatens Access to Life-Sustaining Kidney Care

The authors call on Congress to reform Medicare reimbursement for dialysis, saying the recent rule puts clinics at risk of closure.

Jonathan I. Gates, MD

Latest Article

Social Determinants of Health: Are Colonoscopies Always Fit for Duty?

Elizabeth Reisinger Walker, PhD, MPH, MAT

Social determinants of health are associated with colonoscopy noncompletion in a Medicaid patient population at the Providence Community Health Centers.

Nilu Goonetilleke, PhD

https://www.med.unc.edu/medicine/infdis/people/nilu-goonetilleke-phd/

Latest Article

HIVconsvX Vaccine Shows Safety, Immune Response in People on ART

8 months ago

This research on a T-cell–targeting vaccine in HIV has implications for future study design to incorporate consideration of age and years on antiretroviral therapy (ART) to evaluate the level of immune reconstitution.

Latest Article

Therapists’ Perspectives on Access to Telemental Health Among Medicaid-Enrolled Youth

This qualitative study elucidates therapists’ perspectives on barriers to and facilitators of access to telemental health among Medicaid-enrolled youth served by a large safety-net organization.

Jennifer Williams, MD

Latest Article

Impact of Payment Models on Medical Specialist Physician Practice Patterns

This article explores the impact of payment models (fee for service vs salary based) on practice patterns, including wait times and care for patients with chronic diseases.

Elizabeth Cohn, PhD, RN

Latest Article

Community Health Workers’ Critical Role in Trust Building Between the Medical System and Communities of Color

The authors interrogate elements of routine medical practice in New York City to argue for reforms of hospital culture through relational trust-building capabilities of community health workers.

Deborah S. Wasilchak, MA

Latest Article

Increased Likelihood of Psychiatric Readmission With Medicaid Expansion vs Legacy Coverage

Individuals who became eligible for Medicaid through Medicaid expansion have an increased likelihood of psychiatric readmission compared with their legacy-enrolled counterparts.

Alit Stark-Inbar, PhD

Latest Article

Coverage With Evidence Development Study Shows Benefits in Patients With Migraine Treated With Remote Electrical Neuromodulation

7 months ago

A coverage with evidence development (CED) study demonstrated significant and clinically meaningful benefits in patients with migraine treated with remote electrical neuromodulation (REN). Health plans should support clinicians’ REN prescriptions by ensuring adequate coverage.

Patricia Horgas, MSN

Latest Article

Service Line Care Delivery Model for COVID-19 Patient-Centric Care

Natalie Mortensen, MSN, RN, NI-BC

The authors provide steps hospitals can take to align their care delivery model to effectively meet the demands of a public health crisis such as the current pandemic.

Latest Article

Scaling Care Coordination Through Digital Engagement: Stepped-Wedge Trial Assessing Readmissions

This evaluation looks at a postdischarge digital engagement (PDDE) program using causal inference methods to examine the impact of PDDE on readmission.

Karen Kelly-Blake, PhD

Latest Article

Type 2 Diabetes Patient Activation and mHealth Interventions Decreased Cardiovascular Disease Risk

Mobile health (mHealth) and a patient activation program could serve as a model for improving health outcomes for patients in outpatient clinical settings by decreasing atherosclerotic cardiovascular disease risk score.

Eric Johnson, PhD

Latest Article

Advanced Care at Home at Scale in an Integrated Health Care System

M. Thomas Bateman Jr, PharmD, BCACP

Advanced care at home (otherwise known as hospital at home) can be scaled and provide care for a sizable portion of a hospital’s inpatient census, creating hospital capacity in an integrated delivery system.

Latest Article

Pharmacist-Led Review of Empagliflozin and Ertugliflozin Following Formulary Update

Sara B. McMenamin, PhD, MPH

Management of empagliflozin and ertugliflozin may be suboptimal following an insurance carrier’s formulary updates. Pharmacists may improve the management.

Jessica Marzulli, MA

Latest Article

High-Intensity Home-Based Rehabilitation in a Medicare Accountable Care Organization

10 months ago

High-intensity home-based rehabilitation (HIHR) may substitute for facility-based postacute rehabilitation. Patients in HIHR had better functional outcomes at lower costs than patients in facility-based care.

Latest Article

Responsibility for Treating Tobacco Dependence in Health Clinics Serving Medicaid Enrollees

This article describes the implementation of Medicaid smoking cessation guidance in a large, urban federally qualified health center to examine how state-level provisions translated into clinic-level policies.

Luc Overholt, MD

Latest Article

Patient and Supporter Factors Affecting Engagement With Diabetes Telehealth

Julie P. W. Bynum, MD, MPH

Family support with medication management and recent urgent self-management concerns are 2 novel factors, among others, that predict completion of diabetes telehealth calls.

Susan Dentzer, MS

Latest Article

Health Outcomes Under Full-Risk Medicare Advantage vs Traditional Medicare

6 months ago

Physician groups under 2-sided risk–based Medicare Advantage provide care associated with higher quality and efficiency compared with care by these same groups under fee-for-service Medicare.

Latest Article

Accountable Care Organizations and Use of Surgery Among Patients With Alzheimer Disease and Related Dementias