Authors

The Economic Burden of the Opioid Epidemic on States: The Case of Medicaid

Determining the Cost of Gastroesophageal Reflux Disease: A Decision Analytic Model

Amazing Grace: A Free Clinic's Transformation to the Patient-Centered Medical Home Model

Despite many barriers, Grace Medical Home, a free clinic, achieved patient-centered medical home recognition in October 2014 through a focused team-based approach.

Impact of MMRV Combination Vaccine on Childhood Vaccination Compliance

Although vaccination compliance increased slightly following use of combination MMRV instead of separate MMR and varicella vaccines, additional barriers to improved compliance warrant future evaluation.

Overdose Risk for Veterans Receiving Opioids From Multiple Sources

Among veterans in Massachusetts, receipt of opioids from multiple sources, with or without benzodiazepines, was associated with worse opioid-related outcomes.

Malpractice Prevention, Patient Safety, and Quality of Care: A Critical Linkage

True "Meaningful Use": Technology Meets Both Patient and Provider Needs

A qualitative study of patient and provider perspectives regarding the after-visit summary and the patient portal features of the electronic health record.

Early Evaluations of the Medical Home: Building on a Promising Start

Findings from a systematic evidence review of the medical home are promising, but indicate the critical need for stronger evaluations to guide policy makers.

Impact of a Medical Home Model on Costs and Utilization Among Comorbid HIV-Positive Medicaid Patients

Among HIV-positive Medicaid patients with comorbid medical and psychiatric disorders, there was increased outpatient service utilization, yet relative cost savings, for patients who were treated in patient-centered medical homes.

Reduction in Self-Monitoring of Blood Glucose in Persons with Type 2 Diabetes Results in Cost Savings and No Change in Glycemic Control

Current Management of Glaucoma and the Need for Complete Therapy

At Hearing on Recurring Cancer Drug Shortages, Rural Areas Come Into Focus

Implementation of Cancer Clinical Care Pathways

Economic Outcomes of Insurer-Led Care Management for High-Cost Medicaid Patients

This study evaluated economic outcomes of an insurer-led care management program for high-cost Medicaid patients using teams of community health care workers and nurses.

Successful Implementation of APSO Notes Across a Major Health System

In this study, the authors demonstrate widespread adoption and satisfaction with the novel APSO (Assessment, Plan, Subjective, Objective) format for progress notes at a large, integrated health delivery network.

An Overview of Viral Hepatitis

Two-Sided Risk in the Oncology Care Model

The US healthcare system remains one of the most inefficient healthcare systems in the world. The Bloomberg Health-Care Efficiency Index ranked the United States 54th among 56 countries in 2018, tied with Azerbaijan and only ahead of Bulgaria. This occurs even though the United States spends $10,244 per capita annually on healthcare, a figure representing 17% of the gross domestic product.

Racial and Ethnic Disparity in Palliative Care and Hospice Use

Race/ethnicity was not a predictor of inpatient palliative care consultation or discharge to hospice in 4 hospitals with an inpatient palliative care service.

Impact of COVID-19 on Specialty Televisits in a Large Integrated Health Care System

Specialty televisits remain common in the Veterans Health Administration following the COVID-19 pandemic, suggesting they will remain an important ongoing care modality for many patients.

Social Factors Shape Diabetes, Dementia Risk Across Populations

Two new studies reveal how social determinants shape cognitive risk in prediabetes and type 2 diabetes, complicating the path to prevention.

Is the Healthcare Workforce a Barrier to Cost Containment?

Education of Patients and Family: A JCAHO Requirement -- One Medical Center's Approach

Safety Net Representation in Federal Payment and Care Delivery Reform Initiatives

Although safety net organizations are eligible for some two-thirds of federal payment reform programs, fewer than 20% of these programs directly target the safety net.

Asthma Expenditures in the United States Comparing 2004 to 2006 and 1996 to 1998

Increased expenditures in US asthma are driven by increased medication spending that are not offset by decreases in emergency department and hospital spending.

Rates of Guideline Adherence Among US Community Oncologists Treating NSCLC

US community oncologists treating NSCLC were significantly more likely to be guideline adherent when providing first-line rather than adjuvant treatment.

Use of Alternative Pharmacotherapy in Management of Cardiovascular Diseases

Cost-Effectiveness of 70-Gene MammaPrint Signature in Node-Negative Breast Cancer

Targeting chemotherapy with 70-gene MammaPrint signature in patients 60 years or younger with node-negative breast cancer is likely to be cost-effective.

Overcoming Barriers to a Research-Ready National Commercial Claims Database

Lessons learned about data governance and distribution from a voluntary healthcare claims repository, the Health Care Cost Institute, a nonprofit research organization