Authors

Healthcare Professionals’ Perceptions of Challenges to Chronic Pain Management

Healthcare professionals report pain management barriers across system, provider, and patient levels, highlighting the need to consider chronic pain as a chronic condition that warrants coordinated approaches.

Motivating and Enabling Factors Supporting Targeted Improvements to Hospital-SNF Transitions

Skilled nursing facilities (SNFs) with a high volume of referred patients with Alzheimer disease and related dementias may work harder to manage care transitions with less availability of resources that enable high-quality handoffs.

Issues of Medical Necessity: A Medical Director's Guide to Good Faith Adjudication

Appropriate Use of Abdominal Ultrasonography in Two Hospitals

Estimated Effect of Asthma Case Management Using Propensity Score Methods

An asthma case management program increased preventive care but did not significantly decrease markers of exacerbations.

Chronic Disease Outcomes From Primary Care Population Health Program Implementation

Patients in practices with central population health coordinators had greater improvement in short-term chronic disease outcome measures compared with patients in practices without central support.

The Economics of Compliance in Managed Healthcare Settings

Does Care Consultation Affect Use of VHA Versus Non-VHA Care?

Uncoordinated multisystem use is problematic for Veterans Health Administration (VHA) patients with dementia. The Partners in Dementia Care intervention is successful in changing the pattern of VHA versus non-VHA use.

The Role of Behavioral Health Services in Accountable Care Organizations

Data suggest that behavioral health providers and services must be included as core components of accountable care organizations to achieve desired health and cost outcomes.

Is Patient HMO Insurance or Physician HMO Participation Related to Racial Disparities in Primary Care?

Guideline Concordance of New Statin Prescriptions: Who Got a Statin?

New statin prescriptions at the Veterans Health Administration were reviewed using a cross-sectional study design. Statins were frequently prescribed outside of guideline recommendations.

Payor Cost Savings with Endometrial Ablation Therapy

Factors Influencing Use of the Prostate-Specific Antigen Screening Test in Primary Care

The Relationship of System-Level Quality Improvement With Quality of Depression Care

Association of Electronic Health Records With Cost Savings in a National Sample

The authors examine the association between advanced electronic health record (EHR) use and cost in hospitals. Patients treated in hospitals with advanced EHRs cost 9.66% less.

The Well-Being of Long-Term Cancer Survivors

This study compares the well-being of long-term cancer survivors with that of US residents of similar age and demographic characteristics, patients recently diagnosed with cancer, and individuals with chronic illness.

Electronic Health Records and the Frequency of Diagnostic Test Orders

Using the most recently available national data, physicians with electronic health record (EHR) access ordered more tests than their non-EHR counterparts, thus contradicting a common rationale for EHR implementation.

The Data Revolution Comes to Healthcare

The American Journal of Managed Care was founded in 1995, during the last period of serious reexamination of how healthcare is paid for and how it's delivered. Nearly 20 years later, after the retreat of the first managed care revolution, per capita healthcare costs have more than doubled, and there is again a strong movement toward payment and delivery system reform.

Cost-Effective Hypertension Management: Comparison of Drug Therapies with an Alternative Program

Assessing Electronic Health Record Implementation Challenges Using Item Response Theory

It is unclear which barriers cause the greatest threats to the successful implementation of an electronic health record (EHR). This paper prioritizes the potential threats to EHR adoption using a novel analytic strategy: item response theory.

Why Cancer Diagnoses Rise as Deaths Fall: David A. Siegel, MD, MPH

CDC's David A. Siegel, MD, MPH, on rising cancer diagnoses, falling deaths, and where CDC's cancer control resources go next.

Health Plan Policies and Programs for Colorectal Cancer Screening: A National Profile

Prescription Opioid Registry Protocol in an Integrated Health System

A flexible population-based prescription opioid registry was established for addressing a broad range of critical public health questions relating to prescription opioid use.

Review of Outcomes Associated With Restricted Access to Atypical Antipsychotics

This literature review evaluates the impact of restricted access to atypical antipsychotic drugs in individuals with schizophrenia or bipolar disorder.

Effects of a Population-Based Diabetes Management Program in Singapore

Patients utilizing Medisave for a diabetes management program in Singapore were more compliant with care processes, but reductions in hospitalization and costs were not sustained.

Value-Based Insurance Design: Perspectives, Extending the Evidence, and Implications for the Future

Differences Between Clinical Trial Efficacy and Real-world Effectiveness