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Effectiveness and Cost of Influenza Vaccine Reminders for Adults With Asthma or Chronic Obstructive Pulmonary Disease

Interactive voice response reminders had neither a positive nor a negative effect on promoting influenza vaccination over reminders via postcards, but are a potentially less expensive option.

Binary Measures for Associating Medication Adherence and Healthcare Spending

The use of an 80% threshold or other binary cut point may be insufficient for characterizing the relationship between medication adherence and Medicare spending.

The Emerging Role of gammaCore in the Management of Cluster Headache: Expert Panel Recommendations

Bipolar Disorder"Costs and Comorbidity

Medicare Advantage–Pharmacy Partnership Improves Influenza and Pneumococcal Vaccination Rates

Patients whose pharmacy receives notification of their immunization gap have twice the odds of receiving immunizations compared with those whose pharmacy does not receive the notification.

Changes in Related Drug Class Utilization after Market Withdrawal of Cisapride

Cost Efficiency of Canagliflozin Versus Sitagliptin for Type 2 Diabetes Mellitus

Participating Faculty: Diabetes-Related Quality Measure Attainment: Canagliflozin Versus Sitagliptin Based on a Pooled Analysis of 2 Clinical Trials

Predicting Patient-Reported Asthma Outcomes for Adults in Managed Care

Carve Outs and Related Models of Contracting for Specialty Care: Framework and Highlights of a Workshop

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.

Defining and Diagnosing Irritable Bowel Syndrome

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.

Case 1: Diagnosing and Treating Hepatitis C Virus Infection (CE)

Increasing Copayments and Adherence to Diabetes, Hypertension, and Hyperlipidemic Medications

A copayment increase from $2 to $7 adversely affected veterans' adherence to statins, antihypertensives, and oral hypoglycemic agents.

Mental Health and Diabetes Control Among Vulnerable Primary Care Patients

Only 19% of patients in this sample had good diabetes control based on their tested glycated hemoglobin levels. Patients diagnosed with mental health conditions in this study were more likely to have good diabetes control.

Strategies for Implementing Best Practices in Independent Physician Associations

The objective of this research was to identify strategies that significantly lower unnecessary inpatient utilization among Medicare beneficiaries with chronic disease.

Association of Care Management Intensity With Healthcare Utilization in an All-Condition Care Management Program

Higher intensity of care management in an all-condition program addressing care coordination and care barriers was associated with increased healthcare utilization among Medicaid and Medicare patients.

The Path to Value Through the Use of Holistic Care

An analysis of the healthcare industry shift from fee-for-service to value-based reimbursement and how this change creates a more holistic approach to patient care.

Antihypertensive Medication Adherence and Subsequent Healthcare Utilization and Costs

Retrospective analysis of antihypertensive medication adherence and subsequent total healthcare costs demonstrated a significant, continuous, and inversely proportional effect of adherence on total healthcare costs.

Association Between Use of Clinician Performance Information and Patient Experience

High patient experience scores were associated with the collection and use of any clinician performance information, especially with whether the practice shared this information internally to compare.

Critical Overview of Antihypertensive Therapies: What is Preventing Us from Getting There?

Prognostic Factors of Mortality Among Patients With Severe Hyperglycemia

Sepsis, renal impairment with electrolyte imbalance, and low blood pressure were independent prognostic factors of mortality among patients with severe hyperglycemia in the emergency department.

Long-term Cost Effects of Collaborative Care for Late-life Depression

Older adults with depression and comorbidities who participated in a 12-month collaborative care program had lower total healthcare costs over 4 years than those in care as usual.

Innovation in Plain Sight

Innovations are powering the evolution of patient-centered care, and health plans are at the center of this innovation story.

Healthcare Continuity From Hospital to Territory in Lombardy: TELEMACO Project

The TELEMACO project successfully used telemedicine to establish a healthcare continuity from hospital to territory in remote areas of the Lombardy region of Italy.

Management of Osteoarthritis in the Managed Care Setting

Quality Care Opportunities: Refining Physician Performance Measurement in Ambulatory Care

The quality care opportunities model can lead to increased utility and validity of current measurement tools and more accurate assessment of physician performance.

Transition-to-Dialysis Planning, Health Care Use, and Mortality in End-Stage Renal Disease

A planned transition to dialysis was associated with improved outcomes and lower mortality. These findings may inform care coordination policies for end-stage renal disease.