Authors
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Ambulatory Care–Sensitive Emergency Visits Among Patients With Medical Home AccessPatients often self-refer to the emergency department (ED) for management of an ambulatory care–sensitive condition, and the ED may be the most appropriate care location.
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Self-monitoring of Blood Glucose Levels in Patients With Type 2 Diabetes Mellitus Not Taking Insulin: A Meta-analysisA meta-analysis of 9 RCTs found little benefit in self-monitoring of blood glucose levels on A1C outcomes in patients with diabetes mellitus not taking insulin.
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Ninety-Day Readmission Risks, Rates, and Costs After Common Vascular SurgeriesCommon vascular surgery procedures are associated with frequent and high-cost readmissions. Open wounds with infection, functional dependence, lengthy procedures, and transfusion are associated with 90-day readmission after vascular surgery.
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Consumer-Directed Health Plans: Do Doctors and Nurses Buy In?Although clinical knowledge positions physicians and nurses well as consumer-directed health plan enrollees, they appeared less likely to choose these plans than nonmedical faculty and staff.
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A Health Plan's Investigation of Healthy Days and Chronic ConditionsLinking administrative claims to health-related quality of life measured in Healthy Days provides a new vision into the health of populations.
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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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Medicare Part D Coverage Gap and Diabetes BeneficiariesWhen diabetic patients in 2 Medicare Advantage Part D plans reached the 2006 coverage gap, overall drug costs dropped as out-of-pocket costs increased.
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Value-Based Payment in Implementing Evidence-Based Care: The Mental Health Integration Program in Washington StateValue-based payment improved fidelity to key elements of the Collaborative Care Model—an evidence-based mental health intervention—and improved patient depression outcomes in Washington state.
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Alignment of Breast Cancer Screening Guidelines, Accountability Metrics, and Practice PatternsThis study measured breast cancer screening practice patterns in relation to evidence-based guidelines and accountability metrics, and found closer alignment is needed for providing patient-centered care.
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Do You Speak My Language? When Patient Care Meets Cost-EffectivenessHealth system innovations are sometimes justified in economic language, but clinicians speak the language of patient care. Advancing reform requires translators who speak both languages.
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Comparing Apples With Oranges: Administrative Expenses and Finances in Medicare SystemsIn the debate of administrative expenses for public and private Medicare, we show incompatibility and extend the analysis to income, benefits, and loss ratio comparisons.
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Cost-Effectiveness of Collaborative Care for Depression and PTSD in Military PersonnelCentrally assisted collaborative telecare is a cost-effective strategy relative to usual care for treating posttraumatic stress disorder and depression in the Military Health System.
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EHRs in Primary Care Practices: Benefits, Challenges, and Successful StrategiesSmall primary care practices reap some organizational and quality of care improvements from electronic health records; however, challenges persist in achieving meaningful use standards.
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Is There a Relationship Between Early Statin Compliance and a Reduction in Healthcare Utilization?Statin therapy compliance of 80% or higher during the first 2 years of treatment is associated with reduced healthcare resource utilization in the following year.
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Is Patient Satisfaction Influenced by the Intensity of Medical Resource Use by Their Physicians?Patient satisfaction does not seem to be influenced by the intensity of medical resource use by their physicians.
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ACO Contracting With Private and Public Payers: A Baseline Comparative AnalysisThe authors find 51% of accountable care organizations have private payer contracts, which are more likely than public contracts to include downside risk and upfront payments.
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Case-Mix Adjustment for Diabetes Indicators: A Systematic ReviewA systematic review of the impact and rationale for the selection of adjustment factors (case-mix factors) used to describe performance in diabetes care.
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Representativeness of Dipeptidyl-Peptidase-4 Inhibitor Cardiovascular Outcomes TrialsGiven the growing prevalence of type 2 diabetes (T2D) and its contribution to cardiovascular disease, cardiovascular outcomes trials should aim to be more representative of the average patient with T2D.
