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Impact of Therapeutic Switching in Long-Term CareSwitching medications for nonmedical (formulary) reasons in long-term care settings may increase Medicare Part D resident adverse effects and raise facility downstream costs.
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ED-Based Care Coordination Reduces Costs for Frequent ED UsersResults of our pilot randomized controlled intervention involving emergency department (ED)-based care coordination and community health workers demonstrated a trend toward fewer ED visits, fewer hospitalizations, and lower costs among intervention patients.
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Dental Care Coverage TransitionsThis study examines dental insurance transition dynamics in the context of changing employment and retirement status.
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Bridges to Excellence—Recognizing High-Quality Care: Analysis of Physician Quality and Resource UsePhysicians recognized as high quality by Bridges to Excellence performed better than their peers on claimsbased quality measures and, in some cases, on resource use measures.
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Quality of Anticoagulation Control Among Patients With Atrial FibrillationPatients with atrial fibrillation receiving routine medical care within a large managed care organization were found to have suboptimal anticoagulation control.
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Cost Comparison of Peritoneal Dialysis Versus Hemodialysis in End-Stage Renal DiseasePatients with end-stage renal disease who began peritoneal dialysis had lower 1-year hospitalization rates and lower total healthcare costs than those who began therapy with hemodialysis.
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Creating Peer Groups for Assessing and Comparing Nursing Home PerformanceA methodologically sound, empirically based approach to creating peer groupings can and should be adapted to fit the setting of nursing homes.
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Using the Lessons of Behavioral Economics to Design More Effective Pay-for-Performance ProgramsThe authors describe several simple changes that health plans can make in the design of pay-for-performance programs that may improve their effectiveness.
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Medicare Inpatient and Postdischarge Outcomes of Elective Percutaneous Coronary InterventionsAn understanding of risk-adjusted outcomes for percutaneous coronary interventions for both inpatient and 90-day postdischarge events is necessary for the redesign of care outcomes.
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Geographic Variation in Surgical Outcomes and Cost Between the United States and JapanCompared with Japan, the United States has substantially less geographic variation in surgical outcomes, but it has higher variation in cost.
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Delivery System Performance as Financial Risk VariesOne delivery system’s healthcare utilization in its Medicare Advantage product was notably less than in its Pioneer accountable care organization or in a traditional Medicare comparison group.
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Value-Based Contracting Innovated Medicare Advantage Healthcare Delivery and Improved SurvivalElderly Medicare Advantage members with multiple chronic conditions attained a survival benefit from more cost-effective care when a private plan developed gainshare and monetary risk-bearing arrangements with its contracted providers.
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Implementing an Oncology Precision Medicine Clinic in a Large Community Health SystemPrecision medicine is increasingly being utilized in oncology. Aurora Health Care has implemented Syapse software to integrate molecular data into the electronic health record to accommodate precision medicine findings.
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Cost of Care for Malignant and Benign Renal MassesMethods for better identifying malignant versus benign disease before nephrectomy could provide significant benefits to patients and payers.
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Cost of Pharmacotherapy for Opioid Use Disorders Following Inpatient DetoxificationThe mean 24-week cost per participant was $5416 for extended-release injectable naltrexone (57% detoxification, 37% medication, 6% provider/patient) and $4148 for buprenorphine-naloxone (64% detoxification, 12% medication, 24% provider/patient).
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Evaluation of the Quality Blue Primary Care Program on Health OutcomesImplementation of the Quality Blue Primary Care program in Louisiana was associated with a shift in primary care delivery and reductions in overall cost.
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Dual-Eligible Beneficiaries and Inadequate Access to Primary Care ProvidersStates with the most restrictive scope-of-practice laws have an inadequate supply of primary care clinicians to serve a high concentration of dual-eligible beneficiaries.
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No Time to Waste: Decreasing Patient Wait Times for Chemotherapy Administration Using Automated Prioritization in an Oncology Pharmacy SystemUsing a prioritization algorithm in an oncology pharmacy system at the Johns Hopkins University, patient wait times for chemotherapy administration were significantly decreased.
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Lessons From the Front: Designing and Implementing Clinical Pathways by and for CliniciansAs cancer care becomes more complex and more expensive, decision-support algorithms offer a mechanism to define best practice, reduce unwarranted variation, and control costs across growing networks.
