Authors
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Telephone Follow-Up on Medicare Patient Surveys Remains CriticalIncluding a telephone component in Medicare Consumer Assessment of Healthcare Providers and Systems survey administration continues to be valuable because telephone responses comprise a substantial portion of responses for several underserved groups.
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Medicare Part D Policy Update and Implications for 2010Although the fundamental structure of Medicare Part D remained the same in 2010, the beneficiary provisions continued to improve.
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Team-Based Approach to Care ManagementSenior Vice President, Health System Alliances, CVS Health
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Premium Tax Credits in the American Rescue Plan and Off-Marketplace EnrolleesWe estimate that the median 2021 premium tax credit for off-marketplace enrollees in California would be $311 if they switched to marketplace plans, with wide variation by age and plan size.
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Population Health Approach for Diabetic Patients With Poor A1C ControlA population health management approach to identify, track, and intervene with diabetic patients before their blood sugar becomes poorly controlled can improve their overall health.
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Economic Value of Pharmacist-Led Medication Reconciliation for Reducing Medication Errors After Hospital DischargeThe results of this simulation model suggest that implementing a pharmacist-led medication reconciliation intervention at hospital discharge could be cost-saving compared with usual care.
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GRACE Principles: Recognizing High-Quality Observational Studies of Comparative EffectivenessThe GRACE principles lay out 3 questions to help healthcare providers, patients, and other decision makers evaluate the quality of noninterventional comparative effectiveness studies.
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Patient Access to Oncology Care in ACA Exchange PlansThis article describes provider networks and benefit design-including deductibles, cost-sharing, and maximum out-of-pocket limits-for oncology care in 2015 health insurance exchanges.
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Impact of Statin Guidelines on Statin Utilization and Costs in an Employer-Based Primary Care ClinicAdherence to clinical guidelines in practice is often suboptimal and controversial. This study compares actual statin utilization and cost with full adoption of major clinical guidelines in a real-world population.
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Cost Sharing and Branded Antidepressant Initiation Among Patients Treated With GenericsHigher cost sharing is associated with reduced branded antidepressant initiation among patients trying generic therapy. Dynamic benefit designs could enhance access to branded medications when appropriate.
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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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Empirical Analysis of Domestic Medical Travel for Elective Cardiovascular ProceduresPromoting domestic medical travel to high-quality providers could improve clinical outcomes and reduce long-term healthcare costs.
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Improving Patient Self-Management of Multiple Sclerosis Through a Disease Therapy Management ProgramThis study evaluated the effect of a multiple sclerosis disease therapy management program on medication adherence, therapy persistence, relapses, work productivity, and quality of life.
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Disparities in Diabetes and Hypertension Care for Individuals With Serious Mental IllnessThis study highlights disparities in care for diabetes and hypertension for individuals with serious mental illness compared with the general Medicaid and Medicare populations.
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Collaborative DTM Reduces Hospitalization and Healthcare Costs in Patients With Diabetes Treated With PolypharmacyDrug therapy management implementation in 2 health plans resulted in significant cost savings and modest to significant reductions in emergency department visits and inpatient admissions among patients with diabetes.
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The Clinical Core of the JNC 8 Hypertension GuidelinesThe latest Joint National Committee guidelines are based on 27 large clinical trials concerning hypertension management. These trials are often discussed in isolation, but their data have never been aggregated into a single source.
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The Value of Value-Based Insurance Design: Savings From Eliminating Drug Co-PaymentsGeisinger Health System’s $0 co-pay drug program for its chronically ill employee population is associated with positive cost savings and a 5-year return-on-investment of approximately 1.8.
