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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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Computed Tomography Scan Use Variation: Patient, Hospital, and Geographic FactorsWe observed small-area variation in computed tomography scan use for inpatients in New York State, even after controlling for relevant patient and hospital characteristics.
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Early Changes in VA Medical Home Components and UtilizationSignificant changes were found in patients' utilization of healthcare related to early implementation of medical home components in VA primary care clinics.
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Healthy State: Practicing What They Preach in LouisianaAn IVBM event cohosted by The American Journal of Managed Care focused on Healthy State, a multiyear, multistakeholder commitment to moving Louisiana ahead in America’s Health Rankings.
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Second-line and Third-line Chemotherapy for Lung Cancer: Use and CostUsing health insurance claims, we identified common first-, second-, and third-line chemotherapy regimens for patients with lung cancer and associated utilization and costs of care.
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The Price of Progress: Understanding Innovation and Affordability of Prescription DrugsEconomic incentives and patent protections drive development of innovative medications. Drug prices are determined by consumer demand, not production costs. Therefore, governmental regulation risks future investment in research and development.
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CHAPTER 3. Guideline for Detection and Management of Diabetes in PregnancyFrom the Adult Diabetes and Clinical Research sections, Joslin Diabetes Center, Harvard Medical School, Boston, Massachusetts
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The Cost of Adherence Mismeasurement in Serious Mental Illness: A Claims-Based AnalysisThis study demonstrates that common pharmacy claims-based measures underestimate the effect of actual adherence on inpatient costs among patients with serious mental illness.
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Organizational Structure for Chronic Heart Failure and Chronic Obstructive Pulmonary DiseaseIn a nationwide cross-sectional comparison of organizational structure for chronic disease management, less attention was given to chronic obstructive pulmonary disease than chronic heart failure.
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Prospective or Retrospective ACO Attribution Matters for Seriously Ill PatientsThis study compared beneficiary characteristics and Medicare per capita expenditures among seriously ill Medicare accountable care organization (ACO) populations defined using prospective and retrospective claims-based attribution methods.
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Medicare Advantage Control of Postacute Costs: Perspectives From StakeholdersThis qualitative study examines the methods that Medicare Advantage plans use to control or reduce postacute spending and their associated unintended consequences.
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Survival and Cost-Effectiveness of Hospice Care for Metastatic Melanoma PatientsHospice care is associated with improved median survival time for the patients diagnosed with metastatic melanoma, accompanied by decreased end-of-life costs.
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Is There a Survival Benefit Within a German Primary Care-Based Disease Management Program?Patients with type 2 diabetes in a German disease management program had a lower mortality rate after 3 years than those not in the program.
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The Challenge of Palliative Care for Adolescents and Young AdultsEnd-of-life care for adolescents and young adults requires an approach that addresses the unique developmental and spiritual issues seen in that population.
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Risk Contracting and Operational Capabilities in Large Medical Groups During National Healthcare ReformMany large, well-integrated medical groups with infrastructure to manage care effectively continue to receive a majority of revenue from fee-for-service and pay physicians based on productivity.
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Changes in Hospital Admissions for Urgent Conditions During COVID-19 PandemicAdmission rates during the coronavirus disease 2019 (COVID-19) pandemic were lower than in 2019 for acute medical conditions, suggesting that patients may be deferring necessary medical care.
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Evaluation of the Quality Blue Primary Care Program on Health OutcomesImplementation of the Quality Blue Primary Care program in Louisiana was associated with a shift in primary care delivery and reductions in overall cost.
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Stakeholder Insights on rtCGM in T2D Population Health ManagementLeading payer and health system stakeholders reviewed literature and shared insights on the value of real-time continuous glucose monitoring (rtCGM) in type 2 diabetes (T2D) population health.
