Authors
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Diabetes Care Quality: Do Large Medical Groups Perform Better?Large medical groups perform better than medium- or small-sized groups on diabetes quality measures, perhaps because they have more care management processes in place.
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Adherence to Medication Under Mandatory and Voluntary Mail Benefit DesignsPharmacy benefit designs that mandate mail pharmacy use interfere with prescription drug access, particularly for individuals without previous mail pharmacy experience.
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Quality Measurement of Medication Monitoring in the Meaningful Use EraShifting from claims to integrated electronic health records to calculate quality metrics will improve reported quality attributable to data capture changes, not true quality improvements.
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EMR-Based Medication Adherence Metric Markedly Enhances Identification of Nonadherent PatientsIntegration of written-prescription data into medication adherence measures doubled the number of patients identified as nonadherent and improved prediction of follow-up LDL cholesterol.
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Management of MPN: Benchmarks For Quality CareRuben Mesa, MD, leads a discussion on key benchmarks and final thoughts about good-quality care programs for patients with MPNs, including parameters for judging efficacy and safety.
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Successful Implementation of APSO Notes Across a Major Health SystemIn this study, the authors demonstrate widespread adoption and satisfaction with the novel APSO (Assessment, Plan, Subjective, Objective) format for progress notes at a large, integrated health delivery network.
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Coverage for Hepatitis C Drugs in Medicare Part DThis study analyzes the current coverage designs for hepatitis C virus drugs by Medicare Part D plans.
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Care by Cell Phone: Text Messaging for Chronic Disease ManagementCell phone“based text messaging may be used to feasibly support chronic disease management and engagement in diabetes self-care behaviors for some patients.
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Effect of High-Deductible Insurance on Health Care Use in Bipolar DisorderHigh-deductible health plan members with bipolar disorder experienced a reduction in nonpsychiatrist mental health provider visits but no changes in other utilization.
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Activation, Physical Activity, and Outcomes Among Individuals With T2DThis study presents an integrated, exploratory assessment of physical activity, patient activation, health-related quality of life, and clinical outcomes among older adults with type 2 diabetes (T2D) using survey, wellness, and claims data.
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Medicare Shared Savings Program ACO Network Comprehensiveness and Patient Panel StabilityMedicare Shared Savings Program accountable care organization (ACO) network comprehensiveness is associated with stable patient assignment year to year. Panel stability was significantly associated with improved diabetes and hypertension control in the short term.
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Sustainable Lifelines: Supporting Integrated Behavioral Health Services for Children and Adolescents in the Accountable Care EraA reimbursement strategy for collaborative care models is presented to enhance access to integrated behavioral healthcare for children and adolescents from underserved areas.
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Survey of NCI-Designated Cancer Centers Finds Most Are Out-of-Network on ExchangesThe National Comprehensive Cancer Network (NCCN) in collaboration with Avalere Health present survey results examining the experiences National Cancer Institute (NCI)-designated cancer centers have had with the marketplaces, the implications for patients' access to cancer care, and proposed policy solutions.
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Association Between Personal Health Record Enrollment and Patient LoyaltyPatients with online access to key components of their personal health records were 2.6 times more likely than nonusers to remain health plan members.
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Patient and Plan Characteristics Affecting Abandonment of Oral Oncolytic PrescriptionsTen percent of patients abandon newly initiated oral oncolytics at the pharmacy. Patients facing higher cost sharing or increased concurrent prescription activity have a higher abandonment rate.
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Medicare Star Excludes Diabetes Patients With Poor CVD Risk Factor ControlThe Medicare STAR medication adherence measures exclude diabetes patients at high risk for poor cardiovascular outcomes, and underestimate the prevalence of medication nonadherence in diabetes.
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Creating Peer Groups for Assessing and Comparing Nursing Home PerformanceA methodologically sound, empirically based approach to creating peer groupings can and should be adapted to fit the setting of nursing homes.
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Risk Stratification for Return Emergency Department Visits Among High-Risk PatientsThe authors examined 2 high-risk classification methods to compare and contrast the patient populations, and to identify the preferred method for predicting subsequent emergency department visits.
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Impact of Clinical Complexity on the Quality of Diabetes CareWe examined the impact of clinical complexity defined by comorbidity count and illness burden on comprehensive diabetes care, including blood pressure, glycemic, and lipid management.
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Geographic Variation in Medicare and the Military Healthcare SystemGeographic variation in healthcare spending and utilization within the Military Health System is higher and significantly correlated with Medicare across hospital referral regions.
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Cost Minimization of Medicare Part D Prescription Drug Plan ExpendituresStudy results indicate that outreach interventions performed by trained student pharmacists assist Medicare beneficiaries to effectively navigate their Part D benefit, thereby reducing out-of-pocket costs.
