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Measuring Financial Toxicity in Cancer PatientsWith the rising costs of cancer care, evidence-based tools can help physicians screen patients for financial toxicity.
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Adalimumab Persistence for Inflammatory Bowel Disease in Veteran and Insured CohortsVeterans with inflammatory bowel disease taking adalimumab appear to be more likely to remain on the drug 1 year after initiation than patients who are privately insured.
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Disease-Modifying Antirheumatic Drug Initiation Among Patients Newly Diagnosed With Rheumatoid ArthritisOnly slightly more than half of patients with newly diagnosed rheumatoid arthritis initiated therapy within 1 year.
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The Data Revolution Comes to HealthcareThe American Journal of Managed Care was founded in 1995, during the last period of serious reexamination of how healthcare is paid for and how it's delivered. Nearly 20 years later, after the retreat of the first managed care revolution, per capita healthcare costs have more than doubled, and there is again a strong movement toward payment and delivery system reform.
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A Deep Learning Model for Pediatric Patient Risk StratificationArtificial intelligence based on medical claims data outperforms traditional models in stratifying patient risk.
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Variation in Markups on Outpatient Oncology Services in the United StatesCharges for oncology services vary widely across hospitals and impose financial burdens. Further legislation is needed to address disparities in access to high-quality cancer care.
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Consumer Attitudes Toward Personal Health Records in a Beacon CommunityEven in communities with health information technology initiatives, consumer use of personal health records may be limited by the
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Health Care Resource Utilization Among Patients With T2D and Cardiovascular-, Heart Failure–, or Renal-Related HospitalizationsAmong patients with type 2 diabetes (T2D), concurrent cardiovascular-, heart failure–, or renal-related hospitalization presents significant disease burden leading to poor quality of life.
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Strategies for Implementing Best Practices in Independent Physician AssociationsThe objective of this research was to identify strategies that significantly lower unnecessary inpatient utilization among Medicare beneficiaries with chronic disease.
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Patients With Diabetes in Pay-for-Performance Programs Have Better Physician Continuity of Care and SurvivalPatients with diabetes who participate in a pay-for-performance program had higher continuity of care index (COCI) scores, and those with high COCI scores had higher survival rates.
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Trends in Retail Clinic Use Among the Commercially InsuredRetail clinic use increased dramatically over 3 years, especially among young, healthy, higher income enrollees living close to retail clinics.
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Racial/Ethnic Disparities in Cost-Related Barriers to Care Among Near-Poor Beneficiaries in Medicare Advantage vs Traditional MedicareAmong near-poor Black and Hispanic individuals, Medicare Advantage was associated with increased vision care and some, although not uniform, reductions in access disparities vs traditional Medicare.
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Measuring Migraine-Related Quality of Care Across 10 Health PlansStandardized measurement of migraine, an underdiagnosed and perhaps underrecognized condition, is necessary for health plans to understand utilization of costly diagnostic and treatment services.
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Cost-Effectiveness of a Statewide Falls Prevention Program in Pennsylvania: Healthy Steps for Older Adults“Healthy Steps for Older Adults,” the Pennsylvania Department of Aging’s falls prevention program, resulted in savings of $718 to $840 per person.
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Insurance Switching and Mismatch Between the Costs and Benefits of New TechnologiesTransformative therapies with high up-front costs will exacerbate the need to address gaps between payers when costs and benefits occur at different times.
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Benzodiazepine and Unhealthy Alcohol Use Among Adult OutpatientsAmong outpatients who were screened for alcohol use, those with unhealthy alcohol use, women, and those who were older, white, and of lower socioeconomic status were more likely to use benzodiazepines.
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Cost Burden of Treatment Resistance in Patients With DepressionWhen a clinical staging algorithm for treatment-resistant depression was applied to administrative claims data, higher scores predicted higher future medical costs.
