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Assessing the Impact of an Integrated Care System on the Healthcare Expenditures of Children With Special Healthcare Needs

This study analyzes the effect of a managed care program on Medicaid expenditures for children with special healthcare needs using a quasi-experimental design.

Healthcare Disparities and Models for Change

Addressing Cost Barriers to Medications: A Survey of Patients Requesting Financial Assistance

Patients are receptive to diverse strategies to screen for cost barriers but want participatory decision making to address cost-efficacy tradeoffs.

Childhood Immunizations: Beyond HEDIS

A Transitional Care Model for Patients With Acute Coronary Syndrome

This study suggests that the Bridging the Discharge Gap Effectively (BRIDGE) program can help decrease the number of hospital readmissions in patients with acute coronary syndrome that cause unnecessary and substantial healthcare systems costs.

The Importance of Recognizing Patients' Time as a Cost of Self-Management

Role of Pharmaceuticals in Value-Based Healthcare: A Framework for Success

A framework for the role of pharmaceuticals in value-based healthcare, practical examples from organizations that have made the transition, and implementation considerations.

Persistence With Biologic Therapies in the Medicare Coverage Gap

For patients who reached the Medicare Part D coverage gap, discontinuation was more likely for patients taking osteoporosis medication.

Understanding the Social Risk Factor Adjustment’s Effect on Star Ratings

This article examines how CMS’ adjustment for social risk factors affects the Medicare Advantage Star Ratings and the type of contracts affected by the adjustment.

Chronic Obstructive Pulmonary Disease: The Impact Occurs Earlier Than We Think

Understanding Price Growth in the Market for Targeted Oncology Therapies

The prices of targeted oncology therapies have grown substantially, but revenues have not. This is due in part to large declines in per-drug patient counts.

Smoking Status Identification: Two Managed Care Organizations' Experiences With a Pilot Project to Implement Identification Systems in Independent Practice Associations

Costs of Asthma Among US Working Adults

Among a working population, patients with asthma experienced significantly higher direct medical costs and modestly higher work loss than patients without asthma.

Cost-Benefit of Appointment-Based Medication Synchronization in Community Pharmacies

This study conducted a cost-benefit analysis of appointment-based medication synchronization for improving adherence in patients on chronic medications for hypertension, hyperlipidemia, and diabetes.

CAH Staff Perceptions of a Clinical Information System Implementation

This study examines staff perceptions of patient care quality and the processes before and after implementation of a comprehensive clinical information system in 7 critical access hospitals.

The Value of Ambulatory Care Measures: A Review of Clinical and Financial Impact from an Employer/Payer Perspective

This review suggests that only a few primary care quality measures, which usually are not found in claims data, have significant clinical and financial impact.

Major Depressive Disorder: Psychosocial Impairment and Key Considerations in Functional Improvement

Primary Nonadherence to Statin Therapy: Patients' Perceptions

This study explores self-reported reasons for primary nonadherence among patients newly prescribed statin medication in an integrated health delivery system.

Identifying High-risk Asthma With Utilization Data: A Revised HEDIS Definition

A revised HEDIS definition of high-risk asthma more precisely identifies patients with functional impairment and higher healthcare utilization who might benefit from case management.

Evaluating and Improving the Delivery of Heart Care: The University of Michigan Experience

A Pharmacy-Based Approach to Cholesterol Management

Which Patients Are Persistently High-Risk for Hospitalization?

Most patients in a large integrated healthcare system who were high-risk for hospitalization were at substantially lower risk within 2 years.

Home Healthcare Orders: An Assessment of Service Satisfaction by Internists, Surgeons, and Medical Subspecialists

Learning About 30-Day Readmissions From Patients With Repeated Hospitalizations

Most 30-day readmissions are experienced by patients who have multiple hospital stays. Efforts to reduce readmissions must look beyond a single 30-day period.

Early Changes in VA Medical Home Components and Utilization

Significant changes were found in patients' utilization of healthcare related to early implementation of medical home components in VA primary care clinics.