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Rates of Guideline Adherence Among US Community Oncologists Treating NSCLCUS community oncologists treating NSCLC were significantly more likely to be guideline adherent when providing first-line rather than adjuvant treatment.
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Automated Patient Assessments After Outpatient Surgery Using an Interactive Voice Response SystemUsing an interactive voice response system to contact patients after outpatient surgery will likely result in improved efficiency without a decrease in assessment quality.
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Low-Value Care for Acute Sinusitis Encounters: Who's Choosing Wisely?Acute sinusitis is a common acute illness and offers an opportunity to eliminate low-value care. The authors describe current practices, comparing primary care, urgent care, and the emergency department.
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Measuring Concurrent Oral Hypoglycemic and Antidepressant Adherence and Clinical OutcomesSelf-reported adherence tended to overestimate medication adherence compared with electronic monitoring. Electronic monitoring of oral hypoglycemic agents but not self-reported adherence predicted glycemic control.
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LDL Cholesterol Response and Statin Adherence Among High-Risk Patients Initiating TreatmentNonadherence is common among high-risk patients initiating statins and is associated with suboptimal low-density lipoprotein cholesterol (LDL-C) reduction. LDL-C should be monitored to identify suboptimal response and medication nonadherence.
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Cost Sharing and Branded Antidepressant Initiation Among Patients Treated With GenericsHigher cost sharing is associated with reduced branded antidepressant initiation among patients trying generic therapy. Dynamic benefit designs could enhance access to branded medications when appropriate.
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Patients Discharged From the Emergency Department After Referral for Hospitalist AdmissionHospitalization is costly and associated with the potential for adverse medical events. Hospitalists are uniquely positioned to help avoid unnecessary emergency department admissions through consultation.
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Performance of the Adapted Diabetes Complications Severity Index Translated to ICD-10We present an International Classification of Diseases, Tenth Revision (ICD-10) translation of the adapted Diabetes Complications Severity Index and show its performance in predicting hospitalizations, mortality, and healthcare-associated costs.
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Telephone Follow-Up on Medicare Patient Surveys Remains CriticalIncluding a telephone component in Medicare Consumer Assessment of Healthcare Providers and Systems survey administration continues to be valuable because telephone responses comprise a substantial portion of responses for several underserved groups.
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Cost Burden of Hepatitis C Virus Treatment in Commercially Insured PatientsRates of hepatitis C virus (HCV) treatment in a commercially insured population doubled after availability of new direct-acting antivirals. Member out-of-pocket spending was kept low while the health plan bore 99% of spending on HCV medications.
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Health Plan—Provider Accountable Care Partnerships: How Have They Evolved?Although health plan accountable care models have evolved provider readiness, data, analytics, and the use of performance measurement are important components of plan-provider partnerships.
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Does CAC Testing Alter Downstream Treatment Patterns for Cardiovascular Disease?This article provides an assessment of the downstream impact of coronary artery calcium scanning on the subsequent treatment patterns of non—high-risk patients.
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Comparative Effectiveness Research: Challenges for Medical JournalsIn order to encourage dissemination, this commentary is freely available in PLoS Medicine, and will also be published in Medical Decision Making, Croatian Medical Journal, The Cochrane Library, Trials, and Journal of Clinical Epidemiology.
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The Value of Decreasing Health Cost VolatilityEven if they leave average cost the same, interventions that decrease cost variability have economic value.
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Relationship Between Short-Acting β-Adrenergic Agonist Use and Healthcare CostsOveruse of rescue medication among asthma patients is associated with increased exacerbations and higher total and asthma-related healthcare costs.
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Benchmarking Health-Related Quality-of-Life Data From a Clinical SettingHealth-related quality-of-life data are often collected during routine clinical care. We present a method to create nationally representative benchmarks for clinical subspecialties.
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Lessons Learned in Implementing Behavioral Screening and InterventionThis article describes lessons learned over the past 10 years while helping several dozen primary care settings implement evidence-based, cost-saving behavioral screening and intervention.
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Flunking Asthma? When HEDIS Takes the ACTAsthma control, rather than compliance with the HEDIS asthma measure, is the most useful quality indicator of asthma care.
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Comparative Efficacy of Ezetimibe/Simvastatin, Rosuvastatin, and Atorvastatin in Uncontrolled Hyperlipidemia PatientsEfficacy of switching statin therapy from generic simvastatin was examined in a VA population. Ezetimibe/simvastatin was more potent than atorvastatin or rosuvastatin in lowering LDL.
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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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Out-of-Plan Pharmacy Use: Insights Into Patient BehaviorPrescription cost and pharmacy convenience were identified as the most significant drivers of out-of-plan pharmacy use.
