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How Health Plans Promote Health IT to Improve Behavioral Health CareCommercial health plans promote the use of health IT to support behavioral health care access and delivery.
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A Dementia Care Management Intervention: Which Components Improve Quality?Specifically trained care managers are essential for quality gains from a dementia care management program; even higher quality accrues with coordination across community and primary care.
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The 2014 Elections and the Future of MedicaidThe 2014 elections are likely to have minor, but noticeable impacts on the future of the Medicaid program, both in terms of federal conversations on entitlement reform and in state approaches to the Medicaid expansion.
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Pilot of Urgent Care Center Evaluation for Acute Coronary SyndromeA formal protocol for urgent care center evaluation of potential acute coronary syndrome safely precluded emergency department visits among 84% of those eligible.
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5-ASA to Sulfasalazine Drug Switch Program in Patients With Ulcerative ColitisA 5-aminosalicylic acid (5-ASA) drug switch program switching from 5-ASA to sulfasalazine was instituted for insured patients with ulcerative colitis. Unanticipated barriers limited the number of patients who switched, but significant cost savings were still obtained.
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Factors Influencing Primary Care Providers’ Decisions to Accept New Medicaid Patients Under Michigan’s Medicaid ExpansionIn the era after Medicaid expansion, primary care providers placed importance on practice capacity, specialist availability, and reimbursement when deciding whether to accept new Medicaid patients.
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Chronic Disease Management: Why Dementia Care Is DifferentBecause of its often slowly progressive nature, dementia is often included among chronic disease management programs. Yet, for many reasons, its management demands different approaches.
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Changes in Ambulatory Utilization After Switching From Medicaid Fee-for-Service to Managed CareTransitioning from Medicaid fee-for-service to Medicaid managed care was associated with a significant decrease in ambulatory utilization, especially among beneficiaries with 5 or more chronic conditions.
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Switching from Multiple Daily Injections to CSII Pump Therapy: Insulin Expenditures in Type 2 DiabetesThe effect of switching from multiple daily insulin injections to an insulin pump on insulin and other diabetic drug expenditures in type 2 diabetes.
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The Financial Impact of Team-Based Care on Primary CareAlthough team-based care improved cardiovascular disease risk factors, it had a negative financial impact on a primary care practice.
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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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Physician Leaders’ Perspectives About Balancing Clinical and Leadership ResponsibilitiesAlthough most physician leaders from 22 organizations saw patients and felt that it improved their leadership performance, their perceptions of the optimal balance of clinical and leadership responsibilities varied.
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ACA-Mandated Elimination of Cost Sharing for Preventive Screening Has Had Limited Early ImpactThe ACA eliminated patient cost sharing for evidence-based preventive care, yet this policy has not resulted in substantial increases in colonoscopy and mammography utilization.
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Improved Cost and Utilization Among Medicare Beneficiaries Dispositioned From the ED to Receive Home Health Care Compared With Inpatient HospitalizationA retrospective analysis of Medicare claims was used to study emergency department (ED) dispositions, specifically evaluating inpatient admissions compared with home health referrals.
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Perceptions of the Medical Home by Parents of Children With Chronic IllnessesThis article compares how parents of children seeking specialty care perceive National Committee for Quality Assurance—based patient-centered medical home elements in the primary and specialty care settings.
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Reduction of Emergency Department Use in People With DisabilitiesThis 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.
