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Clinical Pathways: A Critical Component of Success in Episodes of Care

Best Practices to Reduce the Risk of Drug-Drug Interactions: Opportunities for Managed Care

Improving Care for Nursing Home-Acquired Pneumonia in a Managed Care Environment

Early Experiences With the Acute Community Care Program in Eastern Massachusetts

The Acute Community Care Program uses paramedics to provide in-home urgent care after regular business hours, aiming to prevent unnecessary emergency department visits. Check out our website’s new table/figure pop-up feature! Click on the name of a table or figure in the text to see it in your browser.

US Employee Wellness Programs and Access to Obesity Treatment in Employer-Sponsored Health Insurance

Employer policies for access to maximum benefits do not always match those for access to obesity therapy.

Individual Treatment Effects: Implications for Research, Clinical Practice, and Policy

A framework for researchers, providers, payers, or public health bodies identifies when it is most critical to distinguish between "average" population and individual patient response.

Correspondence regarding, "Using a Claims Data-based Sentinel System to Improve Compliance with Clinical Guidelines: Results of a Randomized Prospective Study"

Effect of Inadequate Response to Treatment in Patients With Depression

Patients with inadequate response to depression treatment used increased resources, were less likely to be employed, and had more presenteeism than those with treatment response.

Face Time Versus Test Ordering: Is There a Trade-off?

Real-time location systems can capture face time and trade-offs between face time and diagnostic testing so that clinicians' responses to time pressures can be measured.

Impact of Atypical Antipsychotic Use Among Adolescents With Attention-Deficit/Hyperactivity Disorder

A retrospective study of the treatment patterns and economic outcomes associated with off-label atypical antipsychotic use in the treatment of adolescents with attention-deficit/hyperactivity disorder.

Targeted Intervention Programs: Creating a Customized Practice Model to Improve the Treatment of Allergic Rhinitis in a Managed Care Population

Using "Roll-up" Measures in Healthcare Quality Reports: Perspectives of Report Sponsors and National Alliances

This study identifies practices and perceptions around public reporting of “roll-upâ€

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.

Trends in Palliative Care Utilization in Patients With Multiple Sclerosis

Drug Therapy Options for Patients with Irritable Bowel Syndrome

Well-Child Care Visits and Risk of Ambulatory Care-Sensitive Hospitalizations

Timely well-child care visits may play a role in decreasing unnecessary hospitalizations in children in integrated healthcare delivery systems.

Older Adult Consumers' Attitudes and Preferences on Electronic Patient-Physician Messaging

A randomized controlled trial was conducted to assess whether adding a peer testimonial to a mailing increases conversion rates from brand name prescription medications to lower-cost equivalents.

Real-World Digitally Based Diabetes Management Program Implementation by a Large Employer

This study offers new insights to self-insured employers and health plans related to investment in digitally based disease management programs and enrollee engagement.

Estimating Prevalence and Detection Cost: Prerequisites for Disease State Management of Attention Deficit Hyperactivity Disorder

Health Equity in the Era of Large Language Models

This article presents challenges and solutions regarding health care–focused large language models (LLMs) and summarizes key recommendations from major regulatory and governance bodies for LLM development, implementation, and maintenance.

Advancing Performance Measurement in Oncology

The American Society of Clinical Oncology Quality Oncology Practice Initiative has grown to include 973 practices as of 2010. Practices demonstrated rates of end-of-life care and other measures of quality.

Identification of and Intervention to Address Therapeutic Gaps in Care

A program identifying and resolving care gaps involving community pharmacists resulted in increased adherence and omission gaps closure and fewer adherence gap reopenings.

Accountable Care Organizations: How to Dress for Success

Accountable care organizations will be more successful in taking on accountability for patient outcomes when market and firm organization get a balanced treatment.

The Impact of Electronic Health Records and Teamwork on Diabetes Care Quality

Patients with diabetes that are cared for by primary care teams with higher cohesion experienced greater EHR-related outcome improvements, compared with patients cared for by lower cohesion teams.

Distributive Justice in American Healthcare: Institutions, Power, and the Equitable Care of Patients

Practical Perspectives on the Management of Overweight and Obesity

High-Deductible Health Plans and Costs and Utilization of Maternity Care

High-deductible benefit design was associated with increased out-of-pocket costs for maternity care, but had no adverse impacts on receipt of recommended prenatal and postpartum care.

Measuring Concurrent Adherence to Multiple Related Medications

This study compares the performance of several definitions of concurrent adherence to related medications.

Physicians' Perceptions of Managed Care

Chronic Pain as a Driver of Cost in ACO Arrangements

A discussion of chronic pain prevalence, care obstacles, and potential opportunities for care improvement within the accountable care organization context at University of California, San Francisco Health.