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Physician Clinical Knowledge, Practice Infrastructure, and Quality of CarePatient-centered practice infrastructure was associated with better care quality only among physicians who scored well on their Maintenance of Certification exam.
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A Better Way: Leveraging a Proven and Utilized System for Improving Current Medication Reconciliation ProcessesIn this reply to the commentary, “A Call for a Statewide Medication Reconciliation Program,” published in the October 2016 issue of The American Journal of Managed Care®, authors discuss a proven and scalable solution to improve medication reconciliation that is already available to, and used by, clinicians.
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Access to Chiropractic Care and the Cost of Spine Conditions Among Older AdultsAmong older adults who have a spine condition, access to chiropractic care may reduce medical spending on diagnostic services.
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Evaluation of a Packaging Approach to Improve Cholesterol Medication AdherenceA 7.6% improvement in 12-month cholesterol refill was observed among US military veterans randomized to an adherence blister packaging intervention versus an education-only intervention.
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The Influence of Provider Characteristics and Market Forces on Response to Financial IncentivesWe determine a specialist physician phenotype responsive to financial incentives that may be leveraged to identify physicians and markets well-suited for participation in alternative payment models.
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Medication Adherence for 90-Day Quantities of Medication Dispensed Through Retail and Mail Order PharmaciesPatients' adherence to maintenance medications at retail pharmacy is slightly higher than those at mail order, presenting opportunities for pharmacists to provide quality care.
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Managed Care Patients' Preferences, Physician Recommendations, and Colon Cancer ScreeningCRC screening rates in a large managed care organization were low. Among those screened, use was associated more with physicians' recommendations than with patient preferences.
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Patient-Centered Medical Home Demonstration: A Prospective, Quasi-Experimental, Before and After EvaluationA 12-month evaluation of a patient-centered medical home demonstration indicated improvement in quality of care without an increase in overall costs.
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Risk Adjusting Medicare Advantage Star Ratings for Socioeconomic StatusThe National Committee for Quality Assurance urges socioeconomic risk adjustment to payments, not quality measures.
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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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Developing an Oncology Clinical Pathways Program - the UPMC Case StudyAn overview of the oncology clinical pathways development program at the UPMC CancerCenter and how it led to the creation of Via Oncology, a clinical pathways vendor.
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Preventing Patient Absenteeism: Validation of a Predictive Overbooking ModelElectronic health record data can be used to predict patient absenteeism accurately. Predictive overbooking of missed appointments can significantly increase service utilization.
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Effectiveness of Care Coordination and Health Counseling in Advancing IllnessThis prospective trial suggests that specialized care coordination and health counseling for patients coping with advanced stages of 4 life-limiting illnesses can be beneficial.
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How Pooling Fragmented Healthcare Encounter Data Affects Hospital ProfilingIncomplete records of patient history can bias hospital profiling. Completing health records for Medicare-covered patients in VA hospitals resulted in modest changes in hospital performance.
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Economic Burden of Osteoporotic Fractures in US Managed Care EnrolleesOsteoporotic fractures are associated with a significant economic burden, including costs of rehabilitation services and a high total all-cause cost of care.
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Factors Associated With Primary Care Physician Turnover in the VAThis longitudinal observational study found higher team satisfaction with workload to be significantly associated with lower primary care physician turnover.
