Authors
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Response to “e-Consult Implementation Success: Lessons From 5 County-Based Delivery Systems”Partnering teams for delivery of continuity of care between primary care and community behavioral health systems can learn from e-consult implementation.
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Cost-Effectiveness of Intensive Tobacco Dependence Intervention Based on Self-Determination TheoryAn intensive tobacco dependence intervention based on selfdetermination theory that targeted all smokers was cost-effective and facilitated patient autonomy, perceived competence, and long-term tobacco abstinence.
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Shifting Cardiovascular Care to Nurses Results in Structured Chronic CareThis study sought to explore if shifting care to nurses in cardiovascular risk management in primary care is a key to more structured chronic care.
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Pediatric Integrated Delivery System's Experience With Pandemic Influenza A (H1N1)Experience of a pediatric integrated delivery system with the surge from the 2009 H1N1 pandemic is described, emphasizing scale, scope, and flexibility at multiple locations.
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Intensive Care Management of a Complex Medicaid Population: A Randomized EvaluationThe authors present findings of a randomized evaluation of Medicaid patients at an academic medical center, which found that intensive care management was associated with reduced total medical expense.
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Strategies for Identifying and Channeling Patients for Depression Care ManagementThis article examines screening strategies for possible depression in the context of a care management program for chronically ill Medicare recipients.
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Medical Utilization Surrounding Initial Opioid-Related Diagnoses by Coding MethodMedical utilization profiles of commercially insured members with opioid-related disorders differ depending on the code used to document the initial diagnosis in administrative claims.
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Treatment Modification After Initiating Second-Line Medication for Type 2 DiabetesAmong adults with type 2 diabetes who started noninsulin second-line therapy, most modified treatment within 1 year. Discontinuation was by far the most common modification.
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The Need to Level the Playing Field Between Accountable Care Organizations and Medicare AdvantageFor several reasons, including meeting the HHS Secretary’s Medicare quality and value payment goals, the ACO program needs to reformed to equate with Medicare Advantage.
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Pragmatic Clinical Trials: US Payers' Views on Their ValuePayers like key traits of pragmatic clinical trials, but are wary of pharmaceutical companies and plan to carefully scrutinize this new, appealing type of evidence.
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Impact of Formulary Restrictions on Medication Use and CostsPlacing formulary restrictions on brand name drugs shifts use toward generics, lowers the cost per prescription fill, and has minimal impact on overall adherence for antidiabetes, antihyperlipidemia, and antihypertension medications among low-income subsidy recipients in Medicare Part D plans.
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Cost of Post-Traumatic Stress Disorder vs Major Depressive Disorder Among Patients Covered by Medicaid or Private InsurancePost-traumatic stress disorder was associated with 4.2% to 9.3% higher annual per-patient healthcare costs compared with MDD among patients covered by Medicaid or private insurance.
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Preventive/Office Visit Patient Knowledge and Their Insurance Information Gathering PerceptionsPatients have an incomplete understanding of what constitutes no-cost preventive care services. Ease of obtaining information from insurance companies can significantly affect whether patients are charged correctly.
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Patient Safety-Focused Medication Therapy Management: Challenges Affecting Future ImplementationLessons learned from implementation of a pharmacist-delivered medication therapy management intervention in primary care can inform future studies and be adopted into real-world clinical settings.
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Advancing Health Equity Through Medication Formulary PolicyMedication formulary policies represent a key determinant of access to medication and can be leveraged to advance pharmacoequity and health equity writ large.
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US Prevalence of Upper Gastrointestinal Symptoms: A Systematic Literature ReviewSystematic review and meta-analysis suggest that upper gastrointestinal symptoms and disorders are common to inhabitants of the United States.
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A Physician-led Accountable Care Organization: From Award to ImplementationGaps in ACO implementation readiness are identified as appointment reminders, referral follow-ups, care management, care transition alerts, clinical quality measure knowledge, and resources.
