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Medicare Advantage–Pharmacy Partnership Improves Influenza and Pneumococcal Vaccination RatesPatients whose pharmacy receives notification of their immunization gap have twice the odds of receiving immunizations compared with those whose pharmacy does not receive the notification.
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Drivers of Excess Costs of Opioid Abuse Among a Commercially Insured PopulationThe healthcare burden of opioid abuse is substantial; abusers often have complex healthcare needs and may require care beyond that which is required to treat abuse.
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Prescription Opioid Abuse: Challenges and Opportunities for PayersThis article outlines strategies insurers can use to mitigate their risks related to prescription opioid abuse by members, while addressing this serious public health problem.
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Increasing Copayments and Adherence to Diabetes, Hypertension, and Hyperlipidemic MedicationsA copayment increase from $2 to $7 adversely affected veterans' adherence to statins, antihypertensives, and oral hypoglycemic agents.
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Mental Health and Diabetes Control Among Vulnerable Primary Care PatientsOnly 19% of patients in this sample had good diabetes control based on their tested glycated hemoglobin levels. Patients diagnosed with mental health conditions in this study were more likely to have good diabetes control.
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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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Association of Care Management Intensity With Healthcare Utilization in an All-Condition Care Management ProgramHigher intensity of care management in an all-condition program addressing care coordination and care barriers was associated with increased healthcare utilization among Medicaid and Medicare patients.
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The Path to Value Through the Use of Holistic CareAn analysis of the healthcare industry shift from fee-for-service to value-based reimbursement and how this change creates a more holistic approach to patient care.
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Antihypertensive Medication Adherence and Subsequent Healthcare Utilization and CostsRetrospective analysis of antihypertensive medication adherence and subsequent total healthcare costs demonstrated a significant, continuous, and inversely proportional effect of adherence on total healthcare costs.
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Association Between Use of Clinician Performance Information and Patient ExperienceHigh patient experience scores were associated with the collection and use of any clinician performance information, especially with whether the practice shared this information internally to compare.
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Prognostic Factors of Mortality Among Patients With Severe HyperglycemiaSepsis, renal impairment with electrolyte imbalance, and low blood pressure were independent prognostic factors of mortality among patients with severe hyperglycemia in the emergency department.
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Long-term Cost Effects of Collaborative Care for Late-life DepressionOlder adults with depression and comorbidities who participated in a 12-month collaborative care program had lower total healthcare costs over 4 years than those in care as usual.
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Innovation in Plain SightInnovations are powering the evolution of patient-centered care, and health plans are at the center of this innovation story.
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Healthcare Continuity From Hospital to Territory in Lombardy: TELEMACO ProjectThe TELEMACO project successfully used telemedicine to establish a healthcare continuity from hospital to territory in remote areas of the Lombardy region of Italy.
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Quality Care Opportunities: Refining Physician Performance Measurement in Ambulatory CareThe quality care opportunities model can lead to increased utility and validity of current measurement tools and more accurate assessment of physician performance.
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Transition-to-Dialysis Planning, Health Care Use, and Mortality in End-Stage Renal DiseaseA planned transition to dialysis was associated with improved outcomes and lower mortality. These findings may inform care coordination policies for end-stage renal disease.
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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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Collaborative Care Plans Reduce Subspecialty Consults: The Experience From a Safety Net HospitalCollaborative care plans combined with provider education resulted in significant reductions in referrals to specialists without an apparent increase in the rate of emergency department visits or hospital admissions.
