Multivariate analyses associate increased emergency department volume with delayed nursing-dependent care for patients with pneumonia, despite high ratios of nurses to patients.
This study analyzes the effect of a managed care program on Medicaid expenditures for children with special healthcare needs using a quasi-experimental design.
Patients are receptive to diverse strategies to screen for cost barriers but want participatory decision making to address cost-efficacy tradeoffs.
This study suggests that the Bridging the Discharge Gap Effectively (BRIDGE) program can help decrease the number of hospital readmissions in patients with acute coronary syndrome that cause unnecessary and substantial healthcare systems costs.
A framework for the role of pharmaceuticals in value-based healthcare, practical examples from organizations that have made the transition, and implementation considerations.
For patients who reached the Medicare Part D coverage gap, discontinuation was more likely for patients taking osteoporosis medication.
This article examines how CMS’ adjustment for social risk factors affects the Medicare Advantage Star Ratings and the type of contracts affected by the adjustment.
The prices of targeted oncology therapies have grown substantially, but revenues have not. This is due in part to large declines in per-drug patient counts.
Among a working population, patients with asthma experienced significantly higher direct medical costs and modestly higher work loss than patients without asthma.
This study conducted a cost-benefit analysis of appointment-based medication synchronization for improving adherence in patients on chronic medications for hypertension, hyperlipidemia, and diabetes.
This study examines staff perceptions of patient care quality and the processes before and after implementation of a comprehensive clinical information system in 7 critical access hospitals.
This review suggests that only a few primary care quality measures, which usually are not found in claims data, have significant clinical and financial impact.
This study explores self-reported reasons for primary nonadherence among patients newly prescribed statin medication in an integrated health delivery system.
A revised HEDIS definition of high-risk asthma more precisely identifies patients with functional impairment and higher healthcare utilization who might benefit from case management.