Authors

Impact of Incentives to Improve Care for Primary Care Patients

Multiple factors can impact the effectiveness of financial incentives intended to encourage primary care providers to improve patient experiences.

Treatment of Hypertension in a Managed Care Setting

Lessons From the Front: Designing and Implementing Clinical Pathways by and for Clinicians

As 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.

Healthcare Utilization and Cost Effects of Prior Authorization for Pregabalin in Commercial Health Plans

Prior 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.

Applicability of the Omaha System in Acute Care Nursing for Information Interoperability in the Era of Accountable Care

Complex interventions from hospital settings mapped to Omaha System terms commonly used in community care; demonstrating its potential as a tool for interoperability across settings.

A Systematic Review of Value-Based Insurance Design in Chronic Diseases

Value-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.

Care by Cell Phone: Text Messaging for Chronic Disease Management

Cell phone“based text messaging may be used to feasibly support chronic disease management and engagement in diabetes self-care behaviors for some patients.

Management of Procalcitonin Test Overuse in an Emergency Department Through a Computer Algorithm

Procalcitonin test demand from the emergency department is growing, necessitating the implementation of strategies to address overuse. Successful interventions must be based on information technology.

Cholesterol Management of Patients With Diabetes in a Primary Care Practice–Based Research Network

Opportunities to Improve the Value of Outpatient Surgical Care

Outpatient surgeries in the United States account for roughly 7% of annual healthcare expenditures. To exploit substantial opportunities to improve the value of outpatient surgical care, the authors composed an evidence-based care delivery composite for national discussion and pilot testing.

Trending Health Information Technology Adoption Among New York Nursing Homes

This study examines adoption of electronic health records and participation in health information exchange by New York state nursing homes over time.

Resource Utilization and Work or School Loss Reported by Patients with Diabetes: Experience in Diabetes Training Programs

High-Cost, High-Need Patients: The Impact of Reported Penicillin Allergy

A reported penicillin allergy was common and was associated with suboptimal antibiotic choices and increased healthcare utilization in high-cost, high-need patients.

Reducing Costs and Improving Outcomes of Percutaneous Coronary Interventions

Review of Veterans Health Administration Telemedicine Interventions

A review of exemplary VHA-sponsored telemedicine interventions indicates that telemedicine can efficiently address patient healthcare needs.

Consumers' Use of the Internet for Health Insurance

Approvals, Policy Changes Raise Profile of Biosimilars in Canada

At least 8 biosimilars were approved in Canada over the past 12 months, as policy makers made a strong push for biosimilar acceptance, which led to a change in prescribing patterns.

Designing an Illustrated Patient Satisfaction Instrument for Low-literacy Populations

Overcoming Barriers to the Early Detection and Treatment of Chronic Kidney Disease and Improving Outcomes for End-Stage Renal Disease

Exploring Self-Care and Wellness: A Model for Pharmacist Compensation by Managed Care Organizations

Challenges of Managed Care Organizations in Treating Respiratory Tract Infections in an Age of Antibiotic Resistance

Leveling the Field: Addressing Health Disparities Through Diabetes Disease Management

A subanalysis of a successful algorithm-driven primary care–based diabetes disease management program examines the relationships among patient characteristics, labor inputs, and improvement in A1C level.

The development and Implementation of Normal Vaginal Delivery Clinical Pathways in a Large Multihospital Health System

Reaching Consensus on Managing the Patient at Risk for NSAID Toxicity

Passive Social Health Surveillance and Inpatient Readmissions

By collecting self-identified social needs and linking them to claims data, this study analysis reveals that social needs are associated with inpatient readmissions.

A National Inpatient Cost Estimate of Percutaneous Endoscopic Gastrostomy (PEG)-Associated Aspiration Pneumonia

Financial Risk, Plans Types, and Authorizations for Managed Alcohol Treatment Services

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

Placement of Selected New FDA-Approved Drugs in Medicare Part D Formularies, 2009-2013

There is significant heterogeneity in formulary placement and restrictions on new drug approvals in the Part D marketplace.

Medicare Accountable Care Spending Patterns: Shifting Expenditures Associated With Savings

From 2013 to 2016, successful Medicare Shared Savings Program accountable care organizations reduced spending by shifting expenditures from the inpatient and postacute care setting to the physician office setting.