Authors

Knowledge of Cost Sharing and Decisions to Seek Care

Educating employees about their cost-sharing responsibilities could lead to more efficient use of the healthcare system.

Evaluation of Value-Based Insurance Design With a Large Retail Employer

Retrospective analysis of value-based insurance design (VBID) showed the potential for VBID to improve adherence and reduce utilization and costs with active disease management counseling.

Nudging Physicians and Patients With Autopend Clinical Decision Support to Improve Diabetes Management

Incorporating an autopend functionality into clinical decision support improved glycated hemoglobin laboratory test completion by between 21.1% and 33.9% for reminder messages read within 57 days.

Lynch Syndrome Screening Implementation: Business Analysis by a Healthcare System

This study synthesized published evidence on Lynch syndrome screening and expanded that evidence to match the decision needs of internal decision makers.

ACOs: What Every Care Coordinator Needs in Their Tool Box

This article examines the features a care coordinator should look for in care coordination tools to ensure they meet the needs of patients, the care team, and the care coordinator.

Sustainable Lifelines: Supporting Integrated Behavioral Health Services for Children and Adolescents in the Accountable Care Era

A reimbursement strategy for collaborative care models is presented to enhance access to integrated behavioral healthcare for children and adolescents from underserved areas.

Overview of Venous Thromboembolism

Drivers of Excess Costs of Opioid Abuse Among a Commercially Insured Population

The healthcare burden of opioid abuse is substantial; abusers often have complex healthcare needs and may require care beyond that which is required to treat abuse.

Knowledge, Attitudes, and Preferences Regarding Advance Directives Among Patients of a Managed Care Organization

Adults 20 years or older were surveyed regarding advance directives (ADs); one third had completed an AD. Subjects were comfortable with provider initiation of the topic.

Neonatology Pricing and Network Participation Under State Balance Billing Regulations

This national study of neonatology services found no clear evidence that state surprise billing regulations influenced prices or provider network participation for the commercially insured.

A Path to Improve Colorectal Cancer Screening Outcomes: Faculty Roundtable Evaluation of Cost-Effectiveness and Utility

Compliance, Persistence, and Switching Patterns for ACE Inhibitors and ARBs

This drug-utilization study in a prescription database of more than 50,000 patients analyzed compliance, persistence, and switching behavior for ACE inhibitors and ARBs.

Promoting Electronic Health Record Adoption Among Small Independent Primary Care Practices

Substantial outreach efforts are needed in addition to offering subsidies or incentives in engaging primary care providers to adopt electronic health records.

An Empirical Analysis of Hospital ED Pricing Power

We find that under current regulatory and market conditions, demand for hospital-based emergency services is highly inelastic with respect to price, giving hospitals substantial pricing power over out-of-network emergency services.

The Economic Burden of Congestive Heart Failure in a Managed Care Population

The Diagnostic and Treatment Approach to Two Common Conditions by the Physician Members of a Community Health Maintenance Organization

Variation in Markups on Outpatient Oncology Services in the United States

Charges for oncology services vary widely across hospitals and impose financial burdens. Further legislation is needed to address disparities in access to high-quality cancer care.

New Medication Adherence Scale Versus Pharmacy Fill Rates in Seniors With Hypertension

Scores on a new medication adherence scale maintained a strong graded association with antihypertensive drug pharmacy fill adherence among community-dwelling seniors in a managed care organization.

The National Clinics Research Consortium's (NCRC) Use of Administrative Databases for Collaborative Study: The Case of Prostatectomy

Abstract Recap: Real-World Treatment Patterns Among Patients With Moderate to Severe Plaque Psoriasis by Metabolic Syndrome Status

Polypharmacy Management in Medicare Managed Care: Changes in Prescribing by Primary Care Physicians Resulting from a Program Promoting Medication Reviews

Medication Adherence and Use of Generic Drug Therapies

Generic prescribing was associated with improved medication adherence in 2 of 5 study conditions, but $0 copayments were associated with improved adherence across all conditions.

Observations Regarding the Average Sales Price Reimbursement Methodology

Building Trust Can Improve American Healthcare

The promise of high-quality, affordable care aligning with the individual needs of patients remains elusive. Increasingly, the missing ingredient seems obvious: trust.

The Effect of Implementing a Care Coordination Program on Team Dynamics and the Patient Experience

A primary care redesign program embedding care coordinators into practices slightly improves the patient experience and does not disrupt team dynamics.

Will Preoperative Smoking Cessation Programs Generate Long-Term Cessation? A Systematic Review and Meta-Analysis

This review demonstrates the long-term (≥12 months) efficacy of preoperative smoking cessation programs, providing further support for incorporation of smoking cessation programs into presurgical clinics.

Optimal Cancer Care Across the Spectrum of Life and Disease

The Guest Editors set the context for this special collection of oncology-focused articles.

COPD-Related Healthcare Utilization and Costs After Discharge From a Hospitalization or Emergency Department Visit on a Regimen of Fluticasone Propionate-Salmeterol Combination Versus Other Maintenanc

Initiation of fluticasone propionate–salmeterol after a COPD-related hospitalization or ED visit decreased the risk of a recurrent event and reduced COPD-related medical costs.

The Economic Burden of Congestive Heart Failure in a Managed Care Population