Screening for Health Literacy, Social Determinants, and Discrimination in Health Plans
This study provides insight on the experiences of patients of a national health plan with 2 structural determinants of health—health care discrimination and health literacy—and how those interact with social determinants of health and patient demographics.
Physician Satisfaction With Health Plans: Results From a National Survey
Several physician and payer characteristics are associated with physician satisfaction with health plans. There is opportunity to improve physician satisfaction with payers, specifically in pharmacy.
Number of Manufacturers and Generic Drug Pricing From 2005 to 2017
Regardless of the number of manufacturers, generic drug prices presented double-digit average increases from 2012 to 2015.
Relationships Between Provider-Led Health Plans and Quality, Utilization, and Satisfaction
The results of the study demonstrate the potential of provider-led health plans to deliver high-quality care and patient satisfaction. The relationships between these plans and outcomes differed by plan size, nonprofit status, and region.
Delivering on the Value Proposition of Precision Medicine: The View From Healthcare Payers
Genomics-based precision medicine has the potential to transform healthcare delivery. However, effective collaborations among scientists, clinicians, and payers are needed to accelerate the translation of precision medicine to clinical practice and ensure its sustainability.
Pricing of Monoclonal Antibody Therapies: Higher If Used for Cancer?
The annual price of monoclonal antibody therapies used in oncology and hematology is about $100,000 higher than those used in other disease states.
Economic Value of Pharmacist-Led Medication Reconciliation for Reducing Medication Errors After Hospital Discharge
The results of this simulation model suggest that implementing a pharmacist-led medication reconciliation intervention at hospital discharge could be cost-saving compared with usual care.
Association Among Change in Medical Costs, Level of Comorbidity, and Change in Adherence Behavior
The authors found that comorbidity burden and the direction of behavioral change influence the relationship between adherence and medical spend. This could affect the cost-benefit considerations of medication adherence programs.
Community Pharmacy Automatic Refill Program Improves Adherence to Maintenance Therapy and Reduces Wasted Medication
Evaluation of a national retail pharmacy automatic refill program for patients on medication for chronic disease demonstrated significantly improved patient adherence and reduced medication oversupply.
Medication Adherence and Healthcare Disparities: Impact of Statin Co-Payment Reduction
This study examined patterns of medication adherence after a reduction in medication co-payment amount among privately insured patients living in racially diverse neighborhoods.
Predicting Adherence Trajectory Using Initial Patterns of Medication Filling
Initial medication filling during the first 2 to 4 months following initiation of a statin strongly predicted adherence patterns during the following year.
Observation Encounters and Subsequent Nursing Facility Stays
Only 1.2% of community-dwelling Medicare beneficiaries who received hospital-based observation services in 2010 were discharged to an SNF not covered by Medicare.
The Role of Retail Pharmacies in CVD Prevention After the Release of the ATP IV Guidelines
The release of the ATP-4 guidelines meaningfully changes the way the authors manage cholesterol and prevent cardiovascular disease. The broad footprint of retail pharmacies, with their ability to assess risk, prescribe, and manage adherence, allow them to be unique partners in cholesterol management and cardiovascular disease prevention.
Quality of Care at Retail Clinics for 3 Common Conditions
Quality of care for 3 conditions, based on widely accepted objective measures, was superior in MinuteClinics compared with ambulatory care facilities or emergency departments.
Impact of Electronic Prescribing on Medication Use in Ambulatory Care
Both potential benefits and unexpected consequences were found as a result of the rollout of electronic prescribing.
A Systematic Review of Reference Pricing: Implications for US Prescription Drug Spending
Reference pricing is an effective cost-containment tool widely used in other countries; it may be an attractive policy strategy for the US healthcare system.
Modes of Delivery for Interventions to Improve Cardiovascular Medication Adherence
In this review of randomized controlled trials designed to improve adherence to cardiovascular medications, electronic interventions and in-person, pharmacy-based interventions showed the highest success rates.
Measuring Concurrent Adherence to Multiple Related Medications
This study compares the performance of several definitions of concurrent adherence to related medications.
A Blueprint for Pharmacy Benefit Managers to Increase Value
Pharmacy benefit managers can increase value through promoting use of cost-effective medications, timely initiation of essential therapy, and adherence to that therapy.
Physicians' Perceptions of Relevant Prescription Drug Costs: Do Costs to the Individual Patient or to the Population Matter Most?
Do the Incentives in 3-Tier Pharmaceutical Benefit Plans Operate as Intended? Results From a Physician Leadership Survey
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