Authors
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Assessing Opportunities to Advance Quality Measures in Adult ObesityObesity is a serious chronic disease and risk factor for a broad range of outcomes. This study identifies opportunities for improving quality in obesity care.
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Case Study: How Does an ACO Generate Savings Three Years in a Row?Increasing accountable care organization savings is dependent on maximizing quality scores and increasing the number of beneficiaries while maintaining a low per-capita spend through efficiencies of care.
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Evaluation of Care Management Intensity and Bariatric Surgical Weight LossThis study examines the effect of pre- and postoperative care management intensity on weight loss outcomes after bariatric surgery in 9 US centers.
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Colorectal Cancer Screening Use Among Insured Primary Care PatientsColorectal cancer screening use was similar in 2 divergent primary care populations. Colonoscopy was the most frequently used modality; FOBT was used inconsistently.
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Integrating Behavioral Health Under an ACO Global Budget: Barriers and Progress in OregonFinancial barriers to behavioral health integration in Oregon Medicaid accountable care organizations (ACOs) limit opportunities to expand integrated care, but state and organizational opportunities exist.
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Identifying Subgroups of Complex Patients With Cluster AnalysisCluster analysis can aid in identifying subgroups of patients with similar patterns of comorbid conditions for targeted care management.
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EMR-Based Medication Adherence Metric Markedly Enhances Identification of Nonadherent PatientsIntegration of written-prescription data into medication adherence measures doubled the number of patients identified as nonadherent and improved prediction of follow-up LDL cholesterol.
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Part D Coverage Gap and Adherence to Diabetes MedicationsThe coverage gap in the Medicare Part D program has a significant negative impact on adherence to diabetes medications.
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Medicare Advantage Plan Representatives’ Perspectives on Pay for SuccessThis study examined how Medicare Advantage plan representatives perceive the alternative financing model Pay for Success and its potential to address members’ social risk factors.
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Asthma-specific Quality of Life and Subsequent Asthma Emergency Hospital CareAsthma-specific quality of life and a history of acute episodes can be used together to identify risks of subsequent acute exacerbations.
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Continuously Updated Forecasting of SARS-CoV-2 in a Regional Health SystemThis study presents a methodology for forecasting demand of COVID-19 on health resources in an integrated health system.
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Improving Adherence to Cardiovascular Disease Medications With Information TechnologyImproving adherence to long-term medication therapy remains a challenge. Health information technology interventions that leverage electronic medical records are promising, low-cost approaches for increasing adherence.
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Value-Based Arrangements May Be More Prevalent Than AssumedWe surveyed biopharmaceutical manufacturers and payers to understand the prevalence and characteristics of value-based payment arrangements, as well as their implementation obstacles and success factors.
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Pattern of Statin Use Among 10 Cohorts of New Users From 1995 to 2004: A Register-Based Nationwide StudyOne-year persistence among new users of statins in Finland improved from 1995 to 1998, after which no substantial changes were observed up to 2004.
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Racial Variation in the Cost-effectiveness of Chemotherapy for Prostate CancerThe likelihood of chemotherapy being cost-effective for patients with metastatic prostate cancer differs across racial subgroups. This uncertainty presents challenges for managed-care decision makers.
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LDL Cholesterol Response and Statin Adherence Among High-Risk Patients Initiating TreatmentNonadherence is common among high-risk patients initiating statins and is associated with suboptimal low-density lipoprotein cholesterol (LDL-C) reduction. LDL-C should be monitored to identify suboptimal response and medication nonadherence.
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Medicare Shared Savings Program: Public Reporting and Shared Savings DistributionsAnalysis of publicly reported organizational characteristics, shared savings distribution plans, and early financial success of accountable care organizations in the Medicare Shared Savings Program.
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A Predictive Model of Hospitalization Risk Among Disabled Medicaid EnrolleesPredictive modeling can be used to identify disabled Medicaid beneficiaries at high risk of future hospitalizations who could benefit from appropriate interventions.
