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Association of Part D Coverage Gap With COPD Medication AdherenceUsing longitudinal Medicare claims data, this study quantified the association of the Medicare Part D coverage gap with medication adherence among beneficiaries with chronic obstructive pulmonary disease.
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Does a Personalized Approach Improve Patient Satisfaction in Thoracic Oncology?Evaluation of cancer patients’ quality of life at admission enabled improvement of their satisfaction with received care at discharge.
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A Cost-Effectiveness Analysis of Cardiology eConsults for Medicaid PatientsA randomized trial of eConsults for cardiology referrals from primary care resulted in significant reductions in total cost of care compared with traditional face-to-face consultations.
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Medicaid Prior Authorization and Opioid Medication Abuse and OverdoseEnrollees in Medicaid plans employing prior authorization policies for opioid medications may have lower rates of opioid medication abuse and overdose.
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"Under the Radar": Nurse Practitioner Prescribers and Pharmaceutical Industry PromotionsNurse practitioner prescribers exhibited a high rate of contact with pharmaceutical industry promotional activities.
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Forward-Thinking Insurers Adopt Genomics, Medicare Makes Perilous, Costly Leap BackwardAuthors from My Gene Counsel discuss gaps in CMS reimbursement policy for genetic testing and counseling, in light of advances in guidelines from groups that include the National Comprehensive Cancer Network.
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Value-Based Arrangements May Be More Prevalent Than AssumedWe surveyed biopharmaceutical manufacturers and payers to understand the prevalence and characteristics of value-based payment arrangements, as well as their implementation obstacles and success factors.
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Emergency Department Use: A Reflection of Poor Primary Care Access?An original emergency department patient survey, insurance claims data, and administrative records are used to examine the characteristics of nonurgent users.
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Sofosbuvir Initial Therapy Abandonment and Manufacturer Coupons in a Commercially Insured PopulationMember cost negatively affects initial medication adherence and manufacturer coupons can decrease member share by up to 98%.
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Unintended Consequences of a Quality Measure for Acute BronchitisA quality measure reduced antibiotic use for patients with acute bronchitis but led to use of an alternative diagnosis, offsetting most of the observed improvement.
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Potential Health Literacy Resources for Health Plans: A Narrative ReviewSeveral evidence-based health literacy resources may be beneficial in health plan settings to improve organizational health literacy, personal health literacy, and health equity.
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Enhanced Care Coordination Improves HIV Viral Load Suppression RatesEnhanced care coordination in New York City that leveraged surveillance data with a health plan’s Medicaid managed care roster improved its HIV viral load suppression rate.
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Healthcare Utilization and Costs in Persons With Insomnia in a Managed Care PopulationPatients with an insomnia diagnosis have higher healthcare utilization and costs than a matched control group, both before and after the diagnosis.
