Authors

Migraine: A Problem for Employers and Managed Care Plans

A 10-Step Program to Successfully Reduce Low-Value Care

The frequency of low-value care can be reduced by a respectful, data-driven process anchored in nonjudgmental communication and explicit core values.

Community Navigators Reduce Hospital Utilization in Super-Utilizers

Super-utilizers place a significant clinical and financial burden on the healthcare system. The authors investigated the effectiveness of community navigators in reducing hospital utilization and costs.

Adaptation of an Asthma Management Program to a Small Clinic

The authors adapted a successful large-scale, specialist-run asthma management program to an existing multi-specialty clinic utilizing existing resources and achieving similar outcomes.

Pharmacoeconomic Evaluation of HMG-CoA Reductase Inhibitors in the Treatment of Hypercholestrolemia

Can Primary Care Physicians Accurately Predict the Likelihood of Hospitalization in Their Patients?

This study demonstrates that the predictive accuracy of primary care physicians’ assessment of future hospitalization risk is comparable to commonly used quantitative risk stratification instruments.

Delivering Vaccines: A Case Study of the Distribution System of Vaccines for Children

During implementation of the Vaccine Management Business Improvement Project, providers experienced longer delivery delays and a higher probability of a Vaccines for Children stockout.

A Literature Review of Heart Failure Transitional Care Interventions

Transitional care interventions are considered evidence-based, designed to ensure coordination and continuity of care when patients are transferred to different levels of care, and to prevent hospital readmissions of heart failure patients.

Attitudes and Behavioral Intentions Regarding Managed Care: A Comparison of Academic and Community Physicians

Defining Appropriate Quality Performance Metrics for Pharmacies Dispensing Oral Oncology Therapies

Examining Differential Performance of 3 Medical Home Recognition Programs

We examine utilization, quality, and expenditures among Medicare beneficiaries receiving care at federally qualified health centers and compare outcomes among those attributed to 1 of 3 recognition programs versus none.

BPH: Costs and Treatment Outcomes

Impact of Hypertension on Healthcare Costs Among Children

This study demonstrates a major influence of prehypertension and hypertension on healthcare costs in a large cohort of children, independent of body mass index.

Case Study of Linking Dental and Medical Healthcare Records

An n - 1 deterministic linkage strategy was used successfully to merge dental and medical data from a healthcare plan and a dental insurance carrier.

Primary Care Capacity as Insurance Coverage Expands: Examining the Role of Health Information Technology

Primary care physicians using more health information technology were less likely to accept new patients.

Determinants of Hospital Charges and Costs in Acute Myocardial Infarction: A Report from the Myocardial Infarction Cost Study (MICS) Group

Study Summary: Greater Occipital Nerve Block for Acute Migraine Treatment

Potential Impact of Emerging Therapies on Osteoporosis Prevention

Telephone Follow-Up on Medicare Patient Surveys Remains Critical

Including 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.

Medicare Part D Policy Update and Implications for 2010

Although the fundamental structure of Medicare Part D remained the same in 2010, the beneficiary provisions continued to improve.

A Group Randomized Trial to Improve Safe Use of Nonsteroidal Anti-inflammatory Drugs

Team-Based Approach to Care Management

Senior Vice President, Health System Alliances, CVS Health

Premium Tax Credits in the American Rescue Plan and Off-Marketplace Enrollees

We 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.

Population Health Approach for Diabetic Patients With Poor A1C Control

A population health management approach to identify, track, and intervene with diabetic patients before their blood sugar becomes poorly controlled can improve their overall health.

Impact of Therapeutic Interchange from Pravastatin to Lovastatin in a Veterans Affairs Medical Center

Economic Value of Pharmacist-Led Medication Reconciliation for Reducing Medication Errors After Hospital Discharge

The 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.

GRACE Principles: Recognizing High-Quality Observational Studies of Comparative Effectiveness

The GRACE principles lay out 3 questions to help healthcare providers, patients, and other decision makers evaluate the quality of noninterventional comparative effectiveness studies.

Patient Access to Oncology Care in ACA Exchange Plans

This 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.

Outpatient Antidepressant Utilization in a Dutch Sick Fund