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Implementation of Systems Strategies for Breast and Cervical Cancer Screening Services in Health Maintenance Organizations

Physicians Respond to Pay-for-Performance Incentives: Larger Incentives Yield Greater Participation

Physician participation rates in a pay-for-performance program are related to the amount of rewards offered.

Resource Utilization With Insulin Pump Therapy for Type 2 Diabetes Mellitus

A retrospective claims analysis of managed care enrollees with type 2 diabetes mellitus showed that insulin pump therapy reduced antidiabetic drug and healthcare resource use.

One Size Does Not Always Fit All in Value Assessment

Laying a clear path for incorporating reliable evidence on heterogeneity in value assessments could improve their applicability for healthcare decision making.

Spending Variation Among ACOs in the Medicare Shared Savings Program

Analysis of spending differences among accountable care organizations (ACOs) may help identify cost savings opportunities. We examined the magnitude and sources of spending variation among ACOs over 4 years.

The Role of Serotonin in the Pathophysiology of Irritable Bowel Syndrome

Breast-Feeding and Managed Care

Impact of a Value-Based Formulary in Three Chronic Disease Cohorts

A value-based formulary was implemented that used cost-effectiveness analysis to inform medication co-payments. Diabetes cohort expenditures decreased by $9 per member per month.

Bending the Curve Through Health Reform Implementation

Authors from The Brookings Institution update their recommendations by focusing on 3 concrete objectives to slow spending and improve quality of care within the next 5 years.

The Utility of Cost Discussions Between Patients With Cancer and Oncologists

Many patients with cancer desire cost discussions with doctors, but those discussions are rare. Nevertheless, cost discussions may lower patient costs-usually without altering treatment.

Measures of ED Utilization in a National Cohort of Children

Through analysis of multistate Medicaid data, this study identifies differences in 2 commonly used measures of emergency department (ED) utilization, ED visit count and ED reliance.

Patient Safety Intervention to Reduce Unnecessary Red Blood Cell Utilization

This study evaluated the impact of a patient safety intervention and national guideline to reduce unnecessary red blood cell transfusions in a large, urban academic medical center.

Distal Upper and Lower Limb Fractures Associated With Thiazolidinedione Use

This study demonstrates that patients with diabetes taking thiazolidinediones have higher proportions of distal upper and lower limb fractures than those not taking the drug.

Participating Faculty: Characterizing Pulmonary Hypertension-Related Hospitalization Costs Among Medicare Advantage or Commercially Insured Patients With Pulmonary Arterial Hypertension: A Retrospecti

Recommendations for the Selection, Treatment, and Management of Patients Utilizing Natalizumab Therapy for Multiple Sclerosis

Lessons Learned from Lipid-Lowering Trials That Have Included Women

Collaborative DTM Reduces Hospitalization and Healthcare Costs in Patients With Diabetes Treated With Polypharmacy

Drug 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.

Impact of Medicaid Institution for Mental Diseases Exclusion on Serious Mental Illness Outcomes

Medicaid’s Institution for Mental Diseases (IMD) rule bars federal funding for psychiatric facilities with more than 16 beds, but findings indicate that state waivers allowing treatment of serious mental illness in IMDs do not increase overall psychiatric hospitalizations.

Pragmatic Clinical Trials: US Payers' Views on Their Value

Payers like key traits of pragmatic clinical trials, but are wary of pharmaceutical companies and plan to carefully scrutinize this new, appealing type of evidence.

Outcome and Cost Analysis of Preterm Premature Rupture of Membranes in an Outpatient Setting

Current Concepts in the Management of Smoking Cessation: A Review

Prescription Opioid Abuse: Challenges and Opportunities for Payers

This article outlines strategies insurers can use to mitigate their risks related to prescription opioid abuse by members, while addressing this serious public health problem.

Physician Characteristics and the Initiation of Beta-Adrenergic Blocking Agent Therapy After Acute Myocardial Infarction in a Managed Care Population

Improving Endoscopy Completion: Effectiveness of an Interactive Voice Response System

An interactive voice response system is as effective as nurse phone calls for ensuring that patients attend appointments and are adequately prepared for endoscopy examinations.

Medical News for the Public to Use? What's on Local TV News

Cancer Care Disparities: Research Regarding Timeliness and Potential Coordination

Healthcare organizations and researchers should challenge themselves to provide increasingly timely data on cancer care disparities, until delays can be remedied as they happen.

Disease Management in Healthcare Organizations: Results of In-Depth Interviews with Disease Management Decision Makers

Communication of Launch Prices by Drug Companies, 2022-2024

Two-thirds of pharmaceutical companies did not proactively release the launch price of their medications from 2022 to 2024.

A Way Out of the Dismal Arithmetic of Hepatitis C Treatment

This special issue presents important new peer-reviewed research, covering issues ranging from access and the out-of-pocket costs of a treatment course, to the real-world consequences-both economic and clinical-of failing to treat.

Late Diagnosis of Hepatitis C Virus Infection, 2014-2016: Continuing Missed Intervention Opportunities

Late hepatitis C virus infection diagnosis points to a need for earlier screening and treatment before the onset of severe liver disease leading to high cost and diminished outcomes.