Authors

Health Care Utilization and Cost of Diagnostic Testing for Respiratory Infections

Syndromic reverse transcriptase–polymerase chain reaction tests for respiratory infections were associated with lower health care resource utilization and costs, implicating potential for improved value in patient care.

Early Changes in VA Medical Home Components and Utilization

Significant changes were found in patients' utilization of healthcare related to early implementation of medical home components in VA primary care clinics.

340B Drug Payment Cuts Headline CMS Proposal to Lower Medicare Costs

A proposed 2027 CMS rule would cut 340B Drug Pricing Program payments to curb Medicare drug costs and shift savings to patients.

Measures of ED Utilization in a National Cohort of Children

Through analysis of multistate Medicaid data, this study identifies differences in 2 commonly used measures of emergency department (ED) utilization, ED visit count and ED reliance.

Using a Multidisciplinary Automated Discharge Summary Process To Improve Information Management Across the System

Impact of a Targeted Asthma Intervention Program on Treatment Costs in Patients with Asthma

Participating Faculty: Characterizing Pulmonary Hypertension-Related Hospitalization Costs Among Medicare Advantage or Commercially Insured Patients With Pulmonary Arterial Hypertension: A Retrospecti

Prescription Opioid Abuse: Challenges and Opportunities for Payers

This article outlines strategies insurers can use to mitigate their risks related to prescription opioid abuse by members, while addressing this serious public health problem.

Ninety-Day Readmission Risks, Rates, and Costs After Common Vascular Surgeries

Common vascular surgery procedures are associated with frequent and high-cost readmissions. Open wounds with infection, functional dependence, lengthy procedures, and transfusion are associated with 90-day readmission after vascular surgery.

Shades of Opinion: What Is Prudent?

Reducing Barriers to Medication Access and Adherence for ACA and Medicaid Participants: A Peer-to-Peer, Community-Based Approach

How peer-to-peer, community support programs can educate and empower patients to become more adherent to treatments, which will improve outcomes and reduce healthcare costs.

Correspondence regarding, "Differences in Costs of Treatment for Foot Problems Between Podiatrists and Orthopedic Surgeons"

Provider Type and Management of Common Visits in Primary Care

In primary care, nurse practitioners and physician assistants do not necessarily order more ancillary services, or more costly services among alternatives, than physicians.

Implementing Multistate Behavioral Health Pay-for-Performance Initiatives in Medicaid Managed Care

The authors describe a pay-for-performance initiative targeting behavioral health providers, which was introduced by a large Medicaid managed care organization across multiple states.

Prescription Opioid Abuse: Challenges and Opportunities for Payers

This article outlines strategies insurers can use to mitigate their risks related to prescription opioid abuse by members, while addressing this serious public health problem.

Reasons Provided by Prescribers When Overriding Drug-Drug Interaction Alerts

Effect of Management Strategies and Clinical Status on Costs of Care for Advanced HIV

Antiretroviral drugs have replaced hospitalization and other services as the most costly component of HIV care, except in patients with especially advanced HIV.

Real-World Assessment of Concomitant Opioid Utilization and Associated Trends in Patients With Migraine

Postmarketing Analysis of Lovastatin Use in the VA Northern California System of Clinics: A Retrospective, Computer-Based Study

Determinants of Antidepressant Treatment Outcome

A Multiattribute Decision Model for Bipolar Disorder: Identification of Preferred Mood-Stabilizing Medications

This research develops a multiattribute decision model to aid in the selection of preferred mood-stabilizing agents for the treatment of bipolar disorder.

Influence of Health Care Systems on Mortality in Adult Patients With Cancer

Vertically integrated health care delivery systems may be well positioned to help reduce overall mortality and specifically mitigate racial/ethnic disparity gaps in cancer care outcomes.

Population-Based Persistency Rates for Topical Glaucoma Medications Measured with Pharmacy Claims Data

Patient Complexity Characteristics in the Hospital Setting

This multicenter study identifies patient complexity in the hospital setting as frequent and helps to better understand what makes a patient complex.

Increasing Pharmaceutical Copayments: Impact on Asthma Medication Utilization and Outcomes

Even small changes in average copayment for long-term controller asthma medications can result in significant reductions in medication use and increases in healthcare services.

Use of Postacute Care After Discharge in Urban and Rural Hospitals

Rural patients receive less postacute care after hospital discharge than urban patients, especially after elective joint replacement-a condition selected for bundled payments.

Emergency Department Visit Classification Using the NYU Algorithm

This article assesses a classification tool for categorizing emergency department visits as emergent and nonemergent.