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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.
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The Role of Health Systems in Reducing Tobacco DependenceAddressing tobacco use is an important health system role. This process evaluation discusses facilitators and barriers to implementing systems changes to improve tobacco treatment delivery.
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Is the Medicare Bundled Payments for Care Improvement Initiative Designed to Succeed?Providers' perspectives point to key considerations for policy makers as they seek to broaden participation in the Bundled Payments for Care Improvement Initiative.
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Challenges With Judging and Interpreting a Drug’s Launch PriceThis commentary explains why comparing a launch price with a value-based price from a cost-effectiveness analysis requires further examination.
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Older Adults’ Perspectives on Emergency Department Costs During COVID-19Most older US adults have concerns about emergency department visit affordability. Lower income, being uninsured, poor or fair physical/mental health, and younger age were associated with increased concerns.
