Authors

The Use of Realized Prices and Real-World Outcomes Data in Assessments of Drug Value

Diabetes Benefit Management: Evolving Strategies for Payers

Variation in US Outpatient Antibiotic Prescribing Quality Measures According to Health Plan and Geography

Antibiotic prescribing has become viewed as a patient safety and quality-of-care issue. The authors analyzed quality measures related to appropriate antibiotic prescribing and testing.

Routine Pre-cesarean Staphylococcus aureus Screening and Decolonization: A Cost-Effectiveness Analysis

Routinely screening pregnant women for Staphylococcus aureus colonization and decolonizing carriers before cesarean delivery are unlikely to be cost-effective under current epidemiologic circumstances.

Trends in Opioid and Nonsteroidal Anti-Inflammatory Use and Adverse Events

Opioid use incidence and prevalence rates decreased with implementation of an opioid safety initiative, whereas nonsteroidal anti-inflammatory drug rates remained constant. Rates of adverse events were higher among opioid users.

Service Setting Impact on Costs for Bevacizumab-Treated Oncology Patients

For patients with lung or colorectal cancer, bevacizumab treatment patterns and healthcare costs varied by the setting of treatment initiation (physician office vs hospital outpatient).

Randomized Trial of an Electronic Asthma Monitoring System Among New York City Children

Children who used an electronic monitoring system had as many emergency department visits and hospitalizations for asthma as children who used a paper diary.

Reduced Medical Spending Associated With Integrated Pharmacy Benefits

Members covered by an integrated pharmacy benefit (as opposed to a pharmacy carve-out) experienced slower growth in medical spending.

A Managed Care Organization's Use of Integrated Health Management to Improve Secondary Prevention of Coronary Artery Disease

Thiazolidinediones in the Treatment of Managed Care Patients with Type 2 Diabetes

Treatment of Osteoporosis

Correction Statements

Contributor: How to Pair Data With Clinical Care to Manage Health Care Costs

Data alone can’t cut health care costs. Pairing predictive analytics with nurse-led care management drives true patient engagement.

Searching for Clinical and Economic Value in Pancreatic Cancer

Introduction

Medicaid Managed Care: Issues for Enrollees With Serious Mental Illness

The authors studied Kansas Medicaid enrollees with serious mental illness and their experiences with integrated managed care and unmet needs.

Aligning Evidence With Access: Disability Outcomes, Data, and Payer Decision-Making

Panelists discuss how emerging biomarkers like neurofilament light protein, glial fibrillary acidic protein (GFAP), cervical cord atrophy, and phase rim lesions could enable earlier identification of patients at risk for progression, supporting more effective treatment decisions and payer coverage determinations based on longitudinal disability data rather than just relapse activity.

Cancellations in Primary Care in the Veterans Affairs Health Care System

This article examines the prevalence of unused primary care appointments in the Veterans Affairs Health Care System.

Economic and Clinical Outcomes of a Physician-led Continuous Quality Improvement Intervention in the Delivery of Percutaneous Coronary Intervention

Comparison of Healthcare Utilization Among Patients Treated With Alcoholism Medications

Treatment of alcohol dependence with medications offered advantages in reduced healthcare utilization and costs compared with usual treatment without medications.

Outpatient-Shopping Behavior and Survival Rates in Newly Diagnosed Cancer Patients

Higher incomes, higher comorbidity scores, and more advanced cancer were associated with outpatient-shopping behavior in Taiwanese patients.

Understanding Health and Healthcare Total Costs: A Novel Perspective

Obtaining Patient Feedback at Point of Service Using Electronic Kiosks

Electronic kiosks were used to survey patients on their experience with care at the time of care delivery in an urban primary care practice.

Immunization Status Among Children Newly Enrolled in a Health Plan: A New Frontier for Quality Measurement?

Hospital Responses to DSRIP Program Reforms in New Jersey

This study examines the New Jersey Delivery System Reform Incentive Payment (DSRIP) program using hospital web surveys and key informant interviews and finds progress toward data-driven population health management for low-income patients.

Economic Impact of and Treatment Options for Type 2 Diabetes

Medical Home Transformation and Breast Cancer Screening

Breast cancer screening may not improve in early medical home implementation.