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Comprehensive Health Management Pharmacist-Delivered Model: Impact on Healthcare Utilization and CostsPharmacist-provided comprehensive medication management led to a significant difference in emergency department visits and a cost savings of $2.10 to $2.60 for every $1.00 spent relative to a comparator group.
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Trends in Hospital Ownership of Physician Practices and the Effect on Processes to Improve QualityReports suggest that hospitals are acquiring physician practices. Data from 3 large surveys showed increased use of care management processes when hospital acquired practices.
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Young Adult Cancer Survivors Disproportionately Affected by Treatment CostsYoung adult (YA) cancer survivors are hit the hardest in the wallet by their treatment. The average net worth of YAs who have received grants from The Samfund is a staggering —$35,000, while their counterparts in the general population is $68,000
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Statewide Data Infrastructure Supports Population Health Management: Diabetes Case StudyThe use of statewide data infrastructure is effective at identifying criteria for diabetes outreach and management at the whole-population level.
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Using Aggregated Pharmacy Claims to Identify Primary NonadherenceWe used aggregated pharmacy claims data available within the electronic health record to identify a high rate of primary nonadherence in a nonintegrated primary care network.
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Effects of a Community-Based Care Management Model for Super-UtilizersA community-based care management program for high-risk patients reduced hospital readmissions and also likely reduced admissions and Medicare parts A and B spending.
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Health Economic Analysis of Breast Cancer Index in Patients With ER+, LN- Breast CancerThis study projected that the breast cancer index assay is cost saving when used either at diagnosis or at 5 years post diagnosis.
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"No-Shows": Who Fails to Follow Up With Initial Behavioral Health Treatment?Patients who obtained authorization but did not get initial mental health treatment needed treatment as much as or more than patients who presented for care.
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Targeting a High-Risk Group for Fall Prevention: Strategies for Health PlansThis study evaluates different strategies to identify high fall risk among community-dwelling elders using a combination of easily obtainable administrative data and patient screening questions.
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Cost Per Response Analysis of Strategies for Chronic Immune ThrombocytopeniaThis decision tree model estimates the cost per response and incremental cost per additional responder for romiplostim, eltrombopag, and “watch and rescue” for immune thrombocytopenia.
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Comparing Apples With Oranges: Administrative Expenses and Finances in Medicare SystemsIn the debate of administrative expenses for public and private Medicare, we show incompatibility and extend the analysis to income, benefits, and loss ratio comparisons.
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Reasons for Emergency Department Use: Do Frequent Users Differ?Frequent emergency department (ED) users gave similar reasons for using the ED rather than a clinic compared to other patients, including concerns around convenience, access, and quality.
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Characteristics of and Trends in the Late-stage Biopharmaceutical PipelineResearch on characteristics of the biopharmaceutical pipeline and on changes since 2003 includes a description of new features and recommendations for health policy decision makers.
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Measuring Overuse With Electronic Health Records DataElectronic health records data can accurately quantify overuse of clinical services and the risk factors that may trigger low-value testing and screening.
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Health Plan Strategies for Value-Based Care: Closing Gaps in Care Means Getting Serious About PreventionPreventive services are severely underutilized and contribute substantially to care gaps and preventable deaths. Three key trends promise improvement: consumerism, big data, and technology.
