There is significant heterogeneity in formulary placement and restrictions on new drug approvals in the Part D marketplace.
We found inappropriate prescribing of zolpidem, in terms of both guideline-discordant dosage and coprescribing with benzodiazepines, with female veterans affected more than male veterans.
This study examined emergency department use by Medicaid beneficiaries with disabilities in safety-net clinics that have adopted the patient-centered medical home model compared with matched comparison beneficiaries.
Reference pricing is an effective cost-containment tool widely used in other countries; it may be an attractive policy strategy for the US healthcare system.
Older adults who prefer to delegate insurance decisions tend to be female and married, to have less Medicare knowledge, and to have someone in their lives they trust to make decisions for them.
Nonadherence to essential chronic medications and mental health diagnosis were associated with higher hospitalizations and emergency department use among Medicare super-utilizers.
Most patients with chronic musculoskeletal pain use acupuncture or chiropractic care. A substantial percentage of this utilization, however, is not captured by the electronic medical record.
Nurse practitioner comanagment improved quality of care for 5 chronic conditions in an academic geriatrics practice.
Based on an analysis of Medscape Business of Medicine data, we identify 5 specific areas of friction for the success of payment reform efforts.
Large-scale transformation of the US healthcare system will require multiple interventions and tools implemented together.
An economic model based on the ECHELON-2 trial demonstrated cost-effectiveness of brentuximab vedotin with chemotherapy in frontline treatment of CD30-expressing peripheral T-cell lymphoma (PTCL).
This paper presents a policy proposal to integrate care for Medicare beneficiaries through creation of integrated care organizations and a Medicare home care benefit.
Quality measures showed large, though mixed, differences between Medicare fee-for-service and Medicare Advantage programs.
The Medicare STAR medication adherence measures exclude diabetes patients at high risk for poor cardiovascular outcomes, and underestimate the prevalence of medication nonadherence in diabetes.
Among adults with newly diagnosed cancer, rates of low-value cancer services persisted throughout the COVID-19 pandemic in areas ranging from peridiagnosis imaging to end-of-life care.
The ultimate goal of the research that will be published in the pages of AJMC and elsewhere over the next decade is to provide those on the ground involved in health reform implementation and health systems redesign with critical, timely evidence in order to make mid-term corrections in the redesign of the US health system going forward.
Use of Toyota production system methods as part of a nosocomial MRSA prevention initiative on a surgical unit improved quality of care in other areas.