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Impact of Statin Guidelines on Statin Utilization and Costs in an Employer-Based Primary Care Clinic

Adherence to clinical guidelines in practice is often suboptimal and controversial. This study compares actual statin utilization and cost with full adoption of major clinical guidelines in a real-world population.

Food Insecurity, Healthcare Utilization, and High Cost: A Longitudinal Cohort Study

In a longitudinal study, the authors find that food insecurity is associated with greater emergency department visits, inpatient admissions, and length of stay. Check out our website’s new table/figure pop-up feature! Click on the name of a table or figure in the text to see it in your browser.

Are Benefits From Diabetes Self-Management Education Sustained?

Conventional individualized diabetes self-management education resulted in sustained improvement in self-efficacy and diabetes distress. Short-term improvements in A1C, nutrition, and physical activity were not sustained.

Risk Factor Management and the Interventionalist: Treating the Patient, Not Just the Lesion

Claims Identification of Patients With Severe Cancer-Related Symptoms

The authors established a claims-based mechanism for identifying patients with lung cancer with more severe patient-reported cancer-related symptoms who could benefit from engagement with health care programs.

Costs of Venous Thromboembolism Associated With Hospitalization for Medical Illness

Venous thromboembolism during or after recent hospitalization for medical illness contributes a substantial economic burden to society across all hospital and ambulatory care delivered.

Medical Cost Burdens Among Nonelderly Adults With Asthma

People with asthma face substantial out-of-pocket costs-even when they take medications to manage their illness. However, many choose to continue treatment despite these costs.

Pilot-Testing a New Program for Providing Personalized and Patient-Centered Preventive Care

Program that enhances personalized and patient-centered preventive care at a busy inner-city primary care clinic may be associated with improved health outcomes.

Patient Health Management: A Promising Paradigm in Canadian Healthcare

Opening and Continuing the Discussion on Influenza Vaccination Timing

A patient-centered medical home with intensive case management and a payer partner can significantly improve hospital utilization and may decrease total medical costs for a Medicare population.

Cartoid Endarterectomy: Improved Clinical Outcome and Reduced Length of Hospitalization

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

Is Occupational Type Related to Obesity Risk?

Sociodemographic characteristics of blue-collar workers may be attributed to the higher rates of obesity and chronic disease seen among them compared with white-collar workers.

The Veterans Health Administration: Quality, Value, Accountability, and Information as Transforming Strategies for Patient-Centered Care

Diabetes Care Quality: Do Large Medical Groups Perform Better?

Large medical groups perform better than medium- or small-sized groups on diabetes quality measures, perhaps because they have more care management processes in place.

Cost-effectiveness of Extended Adjuvant Letrozole Therapy After 5 Years of Adjuvant Tamoxifen Therapy in Postmenopausal Women With Early-stage Breast Cancer

Adherence to Medication Under Mandatory and Voluntary Mail Benefit Designs

Pharmacy benefit designs that mandate mail pharmacy use interfere with prescription drug access, particularly for individuals without previous mail pharmacy experience.

Development of a Heart Failure Center: A Medical Center and Cardiology Practice Join Forces to Improve Care and Reduce Costs

Quality Measurement of Medication Monitoring in the Meaningful Use Era

Shifting from claims to integrated electronic health records to calculate quality metrics will improve reported quality attributable to data capture changes, not true quality improvements.

An Economic Evaluation of Levofloxacin Versus Cefuroxime Axetil in the Outpatient Treatment of Adults with Community-Acquired Pneumonia

EMR-Based Medication Adherence Metric Markedly Enhances Identification of Nonadherent Patients

Integration of written-prescription data into medication adherence measures doubled the number of patients identified as nonadherent and improved prediction of follow-up LDL cholesterol.

Successful Implementation of APSO Notes Across a Major Health System

In this study, the authors demonstrate widespread adoption and satisfaction with the novel APSO (Assessment, Plan, Subjective, Objective) format for progress notes at a large, integrated health delivery network.

Coverage for Hepatitis C Drugs in Medicare Part D

This study analyzes the current coverage designs for hepatitis C virus drugs by Medicare Part D plans.

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.

Increasing Pneumococcal Vaccination in Managed Care Through Telephone Outreach

More Employers Offer Preventive Drug Lists Over Time

More large employers with high-deductible health plans with health savings accounts offer preventive drug list benefits over time.

Reducing Cesarean Delivery Rates in Managed Care Organizations

Activation, Physical Activity, and Outcomes Among Individuals With T2D

This study presents an integrated, exploratory assessment of physical activity, patient activation, health-related quality of life, and clinical outcomes among older adults with type 2 diabetes (T2D) using survey, wellness, and claims data.

Medicare Shared Savings Program ACO Network Comprehensiveness and Patient Panel Stability

Medicare Shared Savings Program accountable care organization (ACO) network comprehensiveness is associated with stable patient assignment year to year. Panel stability was significantly associated with improved diabetes and hypertension control in the short term.