Authors
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Value-Based Contracting Innovated Medicare Advantage Healthcare Delivery and Improved SurvivalElderly Medicare Advantage members with multiple chronic conditions attained a survival benefit from more cost-effective care when a private plan developed gainshare and monetary risk-bearing arrangements with its contracted providers.
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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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Treating Medicaid Patients With Hepatitis C: Clinical and Economic ImpactHepatitis C virus treatment is often restricted in Medicaid patients. This analysis evaluates the clinical and cost impacts of treating all Medicaid patients versus the current status quo.
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Preferred Roles in Treatment Decision Making Among Patients With Cancer: A Pooled Analysis of Studies Using the Control Preferences ScaleThis pooled analysis assesses preferred roles in treatment decision making, actual roles, and preferred versus actual discordance among 6 studies of patients with cancer.
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EHR Adoption Among Ambulatory Care TeamsHealth IT—enabled information sharing promotes communication within care teams. This study examined health IT adoption rates among practices that employ nurse practitioners and physician assistants.
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Anticoagulation in Atrial Fibrillation: Impact of Mental IllnessAtrial fibrillation patients with mental health conditions are less likely to be eligible for warfarin receipt, and those who are eligible receive warfarin at lower rates.
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A Gray Area for Reimbursement: Medical Foods for Non–Inborn Errors of MetabolismMost non–inborn errors of metabolism (non-IEM) medical foods (MFs) do not meet the regulatory MF definition and lack scientific evidence for safety and efficacy. Non-IEM MFs are not yet ready for reimbursement by public insurers.
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Physician Response to Patient Request for Unnecessary CareMany primary care physicians in the United States reported providing unnecessary medical care in response to patient requests; several factors predicted this behavior.
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A Randomized, Pragmatic, Pharmacist-Led Intervention Reduced Opioids Following Orthopedic SurgeryThis pharmacist-led, patient-directed intervention demonstrated a reduction in opioid dispensings in the 90 days following hip replacement but not knee replacement.
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Treatment Barriers Among Younger and Older Socioeconomically Disadvantaged SmokersA conceptual framework was used to examine the influence of healthcare provider and psychosocial barriers on treatment utilization among younger and older socioeconomically disadvantaged smokers.
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Improving BP Control Through Electronic Communications: An Economic EvaluationHome blood pressure (BP) monitoring and use of secure webbased tools to manage care collaboratively with pharmacists is a cost-effective way to improve BP control.
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Factors Associated With Primary Hip Arthroplasty After Hip FracturePatient, clinical, and hospital factors were associated with receiving primary hip arthroplasty versus no surgery after hip fracture in the United States.
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Shifting the Dialogue From Hospital Readmissions to Unplanned CareThis commentary proposes a bundled measure of unplanned post-hospital care to better assess the true impact of readmissions reductions programs and to avoid unintended consequences.
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A Comprehensive Hospital-Based Intervention to Reduce Readmissions for Chronically Ill Patients: A Randomized Controlled TrialA hospital-based transitional care program for patients with heart failure or pulmonary disease failed to reduce 30- or 90-day readmissions or emergency department visits.
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Tiered Networks: Strategies of Engagement for Patients and PhysiciansTiering of networks cannot be viewed in isolation, but rather as a piece of a larger value agenda.
