Authors

Introducing Managed Care to the Medical School Curriculum: Effect on Student Attitudes

Gender Differences in Prescribing of Zolpidem in the Veterans Health Administration

We found inappropriate prescribing of zolpidem, in terms of both guideline-discordant dosage and coprescribing with benzodiazepines, with female veterans affected more than male veterans.

Medication Adherence Changes Following Value-Based Insurance Design

Value-based insurance design copayment reductions sustained medication adherence 2 years into policy implementation and were most effective in patients with poor adherence before policy implementation.

Effect of a Managed Care Disease Management Program on Diabetes Care

Processes and outcomes of diabetes care improved substantially over 6 years in a managed care health plan with a comprehensive diabetes disease management program.

Economic and Clinical Impact of Routine Weekend Catheterization Services

Weekend cardiac catheterization availability for inpatients reduced length of stay and maintained quality of care (no excess hazard for weekend cases), but costs were similar.

Reference-Based Pricing: An Evidence-Based Solution for Lab Services Shopping

Reference-based pricing combined with employer education and an online shopping tool significantly improved members' utilization of lab services at or below the reference price

Pharmacist Collaborative Management of Poorly Controlled Diabetes Mellitus: A Randomized Controlled Trial

Pharmacist management of poorly controlled diabetes mellitus in this randomized trial resulted in more patients decreasing their glycosylated hemoglobin level by at least 1.0%.

Cost Differential by Site of Service for Cancer Patients Receiving Chemotherapy

The cost of care for patients receiving chemotherapy in community oncology clinics is lower than for comparable patients receiving chemotherapy in the hospital outpatient setting.

Impact of a Physician-Led Point of Care Medication Delivery System on Medication Adherence

A point of care medication delivery system improves medication adherence to cardiovascular medications without increasing costs.

Moving From A to Z: Successful Implementation of a Statin Switch Program by a Large Physician Group

This report shows that a successful, cost-effective statin switch program can be implemented by a large physician group via a centralized, collaborative process.

Part D Coverage Gap and Adherence to Diabetes Medications

The coverage gap in the Medicare Part D program has a significant negative impact on adherence to diabetes medications.

Gender Differences in Newly Separated Veterans’ Use of Healthcare

A survey of veterans leaving the military in 2016 found that women may be underserved by the Veterans Health Administration and may need housing assistance.

Managed Care Considerations in the Management of Hepatitis C Virus Infection

Leading the Way Against the Leading Preventable Cause of Death

Module 5: What's Next?

Antibiotic Prescribing for Respiratory Infections at Retail Clinics, Physician Practices, and Emergency Departments

There are concerns that retail clinics provide inferior quality of care. The authors found no difference in quality among retail clinics, physician offices, and emergency departments.

The Effect of Implementing a Care Coordination Program on Team Dynamics and the Patient Experience

A primary care redesign program embedding care coordinators into practices slightly improves the patient experience and does not disrupt team dynamics.

Recruiting Health Plan Members Receiving Pharmacotherapy Into Smoking Cessation Counseling

Treating and Managing Head Lice: The School Nurse Perspective

Determinants of Hospital Charges and Costs in Acute Myocardial Infarction: A Report from the Myocardial Infarction Cost Study (MICS) Group

Postdischarge Telephone Calls by Hospitalists as a Transitional Care Strategy

Treating hospitalists effectively identify and efficiently address early postdischarge problems through a single, brief telephone encounter.

Fall History Is an Independent Predictor of Adverse Health Outcomes and Utilization in the Elderly

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.

Accountable Care Organizations and Patient-Centered Medical Homes: Health Expenditures and Health Services

This study compares health care costs and health services utilization patterns of patients receiving care in accountable care organization (ACO), patient-centered medical home (PCMH), hybrid (ACO + PCMH), and standard (neither ACO/PCMH) facilities.

Total Cost Comparison of 2 Biopsy Methods for Nonpalpable Breast Lesions

An Efficient Approach to Expand Equitable Access to Antiobesity Medications: Deprescribing After Weight Loss Plateau

The authors advocate for a consideration of 2 distinct phases of obesity management (ie, active weight loss and maintenance of weight loss) to allow substantially more people access to antiobesity medications.