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Managed Care Quality and Disenrollment in New York SCHIPUsing data from the New York SCHIP program, this study showed that plan disenrollment was not significantly associated with managed care plan quality.
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ED-Based Care Coordination Reduces Costs for Frequent ED UsersResults of our pilot randomized controlled intervention involving emergency department (ED)-based care coordination and community health workers demonstrated a trend toward fewer ED visits, fewer hospitalizations, and lower costs among intervention patients.
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Impact of Consumer-Directed Health Plans on Low-Value HealthcareSwitching to a consumer-directed health plan is associated with reduced overall outpatient spending, but not with reduced spending on low-value healthcare services.
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Disparities in Antidepressant Adherence in Primary Care: Report From IsraelPatient characteristics such as psychiatric diagnosis were associated with variations in adherence, although physician characteristics were not.
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Bundled Payment: Practice Savior or Killer?As payment reform models continue to evolve, practitioners must determine which strategy makes the most sense for their practice. Although the idea behind bundled payments may be worth considering, there are some concerns that this system could causes disruptions in oncology practices.
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Adherence to Osteoporosis Medications After Patient and Physician Brief Education: Post Hoc Analysis of a Randomized Controlled TrialPost hoc analysis of a randomized controlled trial found that a 1-session educational intervention targeted at patients and primary care physicians did not improve osteoporosis medication adherence.
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Postdischarge Telephone Calls by Hospitalists as a Transitional Care StrategyTreating hospitalists effectively identify and efficiently address early postdischarge problems through a single, brief telephone encounter.
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Precision Oncology: Why Payers Should Initiate CGP Coverage Now!Precision oncology, or the clinically and financially efficient use of genomically matched treatments and clinical trials, is evolving as a potentially important starting point for cancer care within successful alternative payment models.
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Patient-Centered Teamwork in Care TransitionsPhysician-led patient care teams have the potential to impact care transitions to prevent fragmentation of care, and ensure seamless care delivery.
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Costs of Providing Antiplatelet Medication for Percutaneous Coronary Intervention PatientsAn insurance benefit that provides percutaneous coronary intervention patients with a discharge supply of antiplatelet medication could result in cost savings for insurers.
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Comparative Effectiveness of Early Natalizumab Treatment in JC Virus-Negative Relapsing-Remitting Multiple SclerosisWe estimated the long-term risks and benefits of disease modifying therapies. Benefits were favored by natalizumab with minimal increased risks in the negative anti-JC virus population.
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Effect of Emergency Department Crowding on Pneumonia Admission Care ComponentsMultivariate analyses associate increased emergency department volume with delayed nursing-dependent care for patients with pneumonia, despite high ratios of nurses to patients.
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Assessing the Impact of an Integrated Care System on the Healthcare Expenditures of Children With Special Healthcare NeedsThis study analyzes the effect of a managed care program on Medicaid expenditures for children with special healthcare needs using a quasi-experimental design.
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Addressing Cost Barriers to Medications: A Survey of Patients Requesting Financial AssistancePatients are receptive to diverse strategies to screen for cost barriers but want participatory decision making to address cost-efficacy tradeoffs.
