Authors
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Value-Based Purchasing Versus Consumerism: Navigating the RiptideKeeping afloat by understanding the Affordable Care Act, managed care, consumerism, and transparency from the perspective of purchasers, providers, and consumers.
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Population Health in Primary Care: Cost, Quality, and Experience ImpactAn evaluation of the use of predictive modeling for primary care resource allocation demonstrated reduced spending and improved quality and patient experience for publicly insured adults.
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Technology-Driven Intervention to Improve Hypertension Outcomes in Community Health CentersHealth information technology that is implemented as part of a multifaceted quality improvement initiative can lead to improvements in hypertension care and outcomes.
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Reasons for Emergency Department Use: Do Frequent Users Differ?Frequent emergency department (ED) users gave similar reasons for using the ED rather than a clinic compared to other patients, including concerns around convenience, access, and quality.
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Cost of Post-Traumatic Stress Disorder vs Major Depressive Disorder Among Patients Covered by Medicaid or Private InsurancePost-traumatic stress disorder was associated with 4.2% to 9.3% higher annual per-patient healthcare costs compared with MDD among patients covered by Medicaid or private insurance.
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Effect of a Patient Panel-Support Tool on Care DeliveryA panel-support tool in a managed care setting improved the percentage of care recommendations met for patients with diabetes mellitus or cardiovascular disease.
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Opioid Analgesic Treated Chronic Pain Patients at Risk for Problematic UseA large proportion of opioid analgesic treated chronic pain patients exhibited behaviors indicative of potentially problematic opioid use, which significantly affected healthcare costs.
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Impact of Incentives to Improve Care for Primary Care PatientsMultiple factors can impact the effectiveness of financial incentives intended to encourage primary care providers to improve patient experiences.
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Lessons From the Front: Designing and Implementing Clinical Pathways by and for CliniciansAs cancer care becomes more complex and more expensive, decision-support algorithms offer a mechanism to define best practice, reduce unwarranted variation, and control costs across growing networks.
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Healthcare Utilization and Cost Effects of Prior Authorization for Pregabalin in Commercial Health PlansPrior authorization for pregabalin in commercial insurance plans accomplished the objective of lower pregabalin utilization; however, there was no significant decrease in disease-related healthcare costs.
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Applicability of the Omaha System in Acute Care Nursing for Information Interoperability in the Era of Accountable CareComplex interventions from hospital settings mapped to Omaha System terms commonly used in community care; demonstrating its potential as a tool for interoperability across settings.
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A Systematic Review of Value-Based Insurance Design in Chronic DiseasesValue-based insurance design for prescription drug coverage increases drug adherence in patients with chronic disease, though their effect on clinical outcomes and health spending remain uncertain.
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Care by Cell Phone: Text Messaging for Chronic Disease ManagementCell phone“based text messaging may be used to feasibly support chronic disease management and engagement in diabetes self-care behaviors for some patients.
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Management of Procalcitonin Test Overuse in an Emergency Department Through a Computer AlgorithmProcalcitonin test demand from the emergency department is growing, necessitating the implementation of strategies to address overuse. Successful interventions must be based on information technology.
