Authors

Trends in Primary Care Encounters Across Professional Roles in PCMH

A metric of primary care delivery by non–primary care provider clinicians demonstrated increasing trends in patient encounters by nurses and social workers and was responsive to patient-centered medical home implementation.

Overview of H pylori in Peptic Ulcer Disease

Can Arterial Stiffness be Reversed? And If So, What are the Benefits?

Cyclooxygenase-2-Specific Inhibitors and Cardiorenal Function: A Randomized, Controlled Trial of Celecoxib and Rofecoxib in Older Hypertensive Osteoarthritis Patients

Overdiagnosis and Overtreatment: The Cancer Paradigm

Frequency of Negative Coronary Arteriographic Findings in Patients with Chest Pain Is Related to Community Practice Patterns

Dental Care Coverage Transitions

This study examines dental insurance transition dynamics in the context of changing employment and retirement status.

Risk Adjusting Community-acquired Pneumonia Hospital Outcomes Using Automated Databases

Using laboratory and administrative data, large managed care organizations can assign severity of illness scores to patients with pneumonia for risk adjustment and reporting.

Prior Authorization to Improve Testing of Glycosylated Hemoglobin in a Managed Care Setting

Prior authorization was successfully implemented in a managed care setting to obtain 100.0% performance of A1C testing in patients with diabetes treated with expensive drugs.

CHAPTER 5. Clinical Guideline for Pharmacological Management of Adults With Type 2 Diabetes

From the Adult Diabetes and Clinical Research Sections, Joslin Diabetes Center, Harvard Medical School. Approved May 10, 2016; updated April 24, 2018. For the Figure and Tables, download the PDF at the end of the chapter.

Low-Cost Insulin for Socially At-Risk Patients: Evidence for Effectiveness

Human synthetic insulin may offer low-cost, effective treatment for certain patients with diabetes and financial constraints.

Call Center Performance Affects Patient Perceptions of Access and Satisfaction

Greater telephone wait times, but not abandonment rates, were associated with lower patient perceptions of their ability to obtain urgent care in a timely manner.

Opportunities and Challenges in Medicaid Managed Care: The Experience in Maryland

Diabetes Care Improvement in Pharmacist- Versus Nurse-Supported Patient-Centered Medical Homes

In this longitudinal comparative effectiveness study of different chronic disease self-management support approaches within 1 system, both pharmacist- and nurse-led patient-centered medical home approaches improved diabetes care.

Medicare Savings From Conservative Management of Low Back Pain

This instrumental variables analysis estimates that Medicare would realize $362 million in annual savings if all patients with newly diagnosed low back pain were managed conservatively.

Application of Pharmacoeconomics to Formulary Decision Making in Managed Care Organizations

Follow-Up Among Women with an Abnormal Mammogram in an HMO: Is It Timely, Complete, and Efficient?

Roundtable III: Impact of Rheumatoid Arthritis on the Healthcare Industry

How Health Plans Promote Health IT to Improve Behavioral Health Care

Commercial health plans promote the use of health IT to support behavioral health care access and delivery.

Common Elements in Opioid Use Disorder Guidelines for Buprenorphine Prescribing

This article presents a synthesis of opioid use disorder guidelines and a framework to link them to claims data and recognize higher-quality practice, monitor outcomes, and individualize intervention.

Beyond Heartburn: Extraesophageal Manifestations of Gastroesophageal Reflux Disease

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.

Evaluation of an Automated System for Prior Authorization: A COX-2 Inhibitor Example

When Depression is the Diagnosis, What Happens to Patients and Are They Satisfied?

Use and Impact of an Automated Telephone Outreach System for Asthma in a Managed Care Setting

Using Administrative Data to Compare the Relative Effectiveness of Amlodipine vs Nifedipine CC

Value-Based Purchasing: The Evidence

A review of evidence about what works in 3 areas of value-based purchasing emphasized under healthcare reform: service delivery integration, payment, and value-based insurance design.

Use of Voluntary Alignment in the Next Generation ACO Model

Use of voluntary alignment attribution by Next Generation Accountable Care Organization (ACO) participants was limited. The authors highlight the reasons and describe organizational use cases via a mixed-methods approach.