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Reframing the Unaffordability Debate: Patient Responsibility for Physician CareDespite concerns about rising patient costs for expensive care, we find that many patients face only moderately rising costs for physician care.
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Healthcare Costs and Nonadherence Among Chronic Opioid UsersHealthcare costs are elevated for patients on chronic opioid therapy; nonadherence to the opioid regimen, based on urine drug monitoring results, further increases costs.
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Co-payment Policies and Breast and Cervical Cancer Screening in MedicaidCo-payments for preventive services can discourage breast and cervical cancer screening among Medicaid enrollees, particularly breast cancer screening, which is more costly and time-consuming.
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Hospital Admissions and MS: Temporal Trends and Patient CharacteristicsAn examination of hospitalization patterns in patients with multiple sclerosis with a focus on the association with time and patient characteristics.
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Identification of Patients Likely to Benefit From Care Management ProgramsThree approaches to prospective patient identification for care management programs were compared: predictive modeling, selection by primary care physician, and a combination of both.
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Electronic Health Risk Assessment Adoption in an Integrated Healthcare SystemSignificant additional outreach and engagement strategies and incentives are likely required to increase adoption and ongoing use of health risk assessment tools among target populations.
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A Novel Nursing-Driven Standardized Diabetes Education Process in Primary CareA new nursing-driven diabetes education process established within a patient-centered primary care model significantly improved diabetes control for veterans at the Albany Stratton VA Medical Center.
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Prevalence of Osteoporosis in Men in a VA Rehabilitation CenterMen in a VA rehabilitation unit who had osteoporosis were older and thinner, but otherwise similar (metabolic and functional status) to control subjects.
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Impact of 2 Employer-Sponsored Population Health Management Programs on Medical Care Cost and UtilizationIntegrated health management programs combining disease prevention and disease management services, although popular with employers, may not save money, at least in their first year.
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Fracture Risk Tool Validation in an Integrated Healthcare Delivery SystemThe FORE Fracture Risk Calculator provided rapid assessment of population hip fracture risk with some underestimation compared with observed hip fracture probabilities.
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Modeling the Impacts of Restrictive Formularies on Patients With HIVConstraining access to HIV regimens can have significant implications for patients. This study examined the economic and health impacts of restrictive HIV formulary designs.
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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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Analytic Models to Identify Patients at Risk for Prescription Opioid AbuseThis study evaluates the feasibility of using claims data to evaluate risk factors for prescription opioid abuse among patients in a privately insured population.
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Attributes Common to Programs That Successfully Treat High-Need, High-Cost IndividualsMany programs attempting to effectively treat high-need, high-cost individuals have not been able to lower spending, improve outcomes, or increase satisfaction. This paper suggests 8 attributes that many successful programs share.
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Tracking Spending Among Commercially Insured Beneficiaries Using a Distributed Data ModelThe authors demonstrate the utility of distributed data models for reporting of local trends and variation in utilization, pricing, and spending for commercially insured beneficiaries.
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Clinical Consequences of Disseminating the Rosiglitazone FDA Safety WarningNotifying patients and providers about the rosiglitazone cardiovascular safety alert led to sweeping changes in drug therapy that were initiated by both physicians and patients.
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Primary Care Appointment Availability and Nonphysician Providers One Year After Medicaid ExpansionAfter Medicaid expansion in Michigan, appointment availability for new Medicaid patients stably increased-this is perhaps attributable to increasing proportions of appointments scheduled with nonphysician providers.
