Authors

Obesity is a serious chronic disease and risk factor for a broad range of outcomes. This study identifies opportunities for improving quality in obesity care.

Cecilia Fricke, BSN, RN

Latest Article

Having Someone Who Cares: Patient Perspectives of Care Management Programs

This article presents a single-organization qualitative case description of the perspectives of patients with high-need, high-cost illnesses who participated in care management programs.

Emma Steppe, MPH

Latest Article

Interest in and Concerns About Telehealth Among Adults Aged 50 to 80 Years

Christine Thorne, MD, MPH

In this survey of adults aged 50 to 80 years, sociodemographic factors, as well as experience with video chat, were associated with interest in and concerns about telehealth video visits.

Latest Article

Implementing Clinical Informatics Tools for Primary Care–Based Diabetic Retinopathy Screening

The authors describe a primary care–based diabetic retinopathy screening program incorporating telemedicine, strong health information technology engagement, and development of clinical informatics tools.

Erika Smith, PharmD

Latest Article

Scaling Care Coordination Through Digital Engagement: Stepped-Wedge Trial Assessing Readmissions

This evaluation looks at a postdischarge digital engagement (PDDE) program using causal inference methods to examine the impact of PDDE on readmission.

Fabrizio Toscano, MD

Latest Article

Physician Prices and Low-Value Services: Evidence From General Internal Medicine

Michael A. Diefenbach, PhD

This study found extensive variation in general internal medicine physician prices and that high-priced physicians provided fewer low-value services but had higher spending on these services.

Latest Article

Physician Preferences for an Electronic Lung Cancer Screening Decision Aid

This qualitative study on primary care physicians yielded suggestions that can inform the design of an effective lung cancer screening decision aid tool and implementation into the electronic health record.

Alissa Shaul, MPH

Latest Article

Cost-Effectiveness of a Multicancer Early Detection Test in the US

Multicancer early detection testing results in extended life-years and reduced cancer treatment costs through earlier diagnosis, leading to a cost-effective option in cancer screening.

David E. Velasquez, BS

Latest Article

Hospital at Home: Paying for What It’s Worth

A framework centered around cost, quality, and equity is essential to define the value of hospital-at-home programs.

Neeraj N. Iyer, PhD

Latest Article

Glucose-Lowering Treatment Patterns in Patients With Diabetic Kidney Disease

Real-world treatment of diabetic kidney disease in the United States, based on national-level health care claims and electronic health records data, is inconsistent with the current guidelines.

Sara Gable, PhD

Latest Article

Provider Capacity During Medicaid Expansion and a Public Health Emergency

Maricruz Rivera-Hernandez, PhD

This survey study finds that most Missouri Medicaid providers had capacity for new patients, even during a period of unprecedented Medicaid enrollment growth.

Latest Article

Mortality Gap Between Puerto Rico and the US Mainland Among Medicare Advantage Enrollees

a month ago

Among Medicare Advantage enrollees, the mortality of Hispanic enrollees in Puerto Rico was significantly higher than that of Hispanic enrollees in the US during 2010-2022.

Robert Kaplan, PhD

Sophia Ng, PhD

Latest Article

TCD Screening and Spending Among Children With Sickle Cell Anemia

Keneshia Bryant-Moore, PhD, APRN

A substantial proportion of families of privately insured children with sickle cell anemia pay more than $100 for essential stroke screenings, a high-value service.

Samantha Holvey, MHL

Latest Article

AI in Health Care: Closing the Revenue Cycle Gap

7 months ago

This commentary explores the current state, challenges, and potential of artificial intelligence (AI) in health care revenue cycle management, emphasizing collaboration, data standardization, and targeted implementation to enhance adoption.

Latest Article

Predictive Models for Low Birth Weight: A Comparative Analysis of Algorithmic Fairness–Improving Approaches

6 months ago

This study compared 6 algorithmic fairness–improving approaches for low-birth-weight predictive models and found that they improved accuracy but decreased sensitivity for Black populations.

Alberto J. Montero, MD, MBA

Latest Article

Comparing Breast Cancer Treatment Outcomes Between Fee-for-Service and Medicare Advantage

7 months ago

This study examined postdiagnosis breast cancer treatment outcomes for Medicare Advantage vs fee-for-service (FFS) Medicare in Ohio and found no significant differences overall but disparities for Black patients with FFS Medicare.

John P. Bentley, PhD

Latest Article

Continuity of Opioid Prescribing Among Older Adults on Long-term Opioids

Eric P. Borrelli, PhD, PharmD, MBA

Among older adults with chronic noncancer pain on long-term opioid therapy, greater continuity of opioid prescribing was significantly associated with fewer opioid-related adverse outcomes.

Latest Article

Should Payers Incentivize Pharmacies to Blister-Package Chronic Medications?

5 months ago

Payers should consider providing higher reimbursement rates and/or preferred pharmacy networking status for pharmacies that provide chronic medications in blister packs for patients.

Nina Jain, MD

Latest Article

At-Home Hemoglobin A1c Testing During COVID-19 Improved Glycemic Control

Robert E. McKenna, DMSc, MPH, PA-C

Providing at-home hemoglobin A1c test kits increases testing rates and facilitates hemoglobin A1c reduction over time among members of a large commercial health plan with diabetes.

Farhan Huq, MD, MS

Latest Article

Association of Dermatology Wait Times With Insurance Coverage in Michigan

5 years ago

Disparities in dermatologic care for patients with Medicaid exist, and delays in medical dermatologic care among Medicaid patients must be addressed.

Benjamin Brown, BS

Latest Article

Medical Policy Determinations for Pharmacogenetic Tests Among US Health Plans

9 months ago

This analysis demonstrated significant variability in medical policy determinations and evidence cited for clinically relevant pharmacogenetic tests among major US health insurers and laboratory benefit managers.

Latest Article

Office Procedures for Older Adults by Physician Associates and Nurse Practitioners

The authors probed Medicare Part B data to explore outpatient clinical procedures performed by physician associates and nurse practitioners and report the trends from 2014 through 2021.

Youngmin Kwon, BA

Latest Article

Comparison of Primary Payer in Cancer Registry and Discharge Data

Enrollment in managed care among Medicaid enrollees presents challenges to classifying Medicaid coverage in cancer registries.

Bill Kramer, MBA

Bill Kramer, MBA, is the executive director for National Health Policy at Pacific Business Group on Health.

Latest Article

Contributor: 3 Reasons Employers Should Be Concerned About ACA Repeal

5 years ago

Bill Kramer, MBA, is the executive director for National Health Policy at Pacific Business Group on Health.

Daniel J. George, MD

Latest Article

Systemic Treatments for Advanced Prostate Cancer: Relationship Between Health Insurance Plan and Treatment Costs

The authors examine how insurer and patient out-of-pocket payments for advanced prostate cancer differ by drug and health plan type and describe the relationship between these payments and utilization.

Scott A. Flanders, MD

Latest Article

Diagnosis Patterns and Stress Testing Trends After Implementing High-Sensitivity Troponin Assay

This study found that switching from a conventional troponin assay to a high-sensitivity troponin assay resulted in changes to diagnosis patterns and stress testing trends.

Weizhong Han, MD

Latest Article

Current Status and Influencing Factors of Nursing Interruption Events

Chris Miller-Rosales, PhD, MSPH

This study investigated the current status of nursing interruption events and analyzed the time costs, priority of events, and factors influencing interruptions.

Latest Article

Multilevel Influences on Patient Engagement and Chronic Care Management