Authors

Electronic Consults for Improving Specialty Care Access for Veterans

The combination of electronic consultations and active triage of specialty care consults effectively reduces wait times for outpatient clinics.

Physicians' Views on Capitated Payment for Medical Care: Does Familiarity Foster Acceptance?

Appropriate and Necessary Healthcare: New Language for a New Era

Economic Model for Emergency Use Authorization of Intravenous Peramivir

The US Food and Drug Administration granted emergency use authorization of intravenous neuraminidase inhibitors for patients with 2009 influenza A (H1N1), creating a need for economic studies.

The Use of Realized Prices and Real-World Outcomes Data in Assessments of Drug Value

Cost-Effectiveness of a Patient Navigation Program to Improve Cervical Cancer Screening

This study investigates the cost-effectiveness of a community-based patient navigation program to improve cervical cancer screening.

Denosumab Associated With Marked Increases in Bone Mineral Density in Patients With Nonmetastatic Breast Cancer Receiving Aromatase Inhibitors

A Randomized, Pragmatic, Pharmacist-Led Intervention Reduced Opioids Following Orthopedic Surgery

This pharmacist-led, patient-directed intervention demonstrated a reduction in opioid dispensings in the 90 days following hip replacement but not knee replacement.

Proton Pump Inhibitor Therapy: Preliminary Results of a Therapeutic Interchange Program

Managing Specialty Care in an Era of Heightened Accountability: Emphasizing Quality and Accelerating Savings

The authors report on a conceptual "specialty ACO" design in cardiology in which cardiology-specific historic spending targets are created to capture cardiovascular disease—related reimbursement and a quality measurement system is introduced.

Health Insurance Literacy: Disparities by Race, Ethnicity, and Language Preference

Racial/ethnic minorities are disproportionately at risk for adverse health and financial consequences due to lower health insurance literacy compared with white enrollees.

"Carving Out" Conditions From Global Capitation Rates: Protecting High-Cost Patients, Physicians, and Health Plans in a Managed Care Environment

Initial Experience With a First-to-Market Member Accountability-Based Insurance Product

A new insurance product based on principles of member and purchaser accountability was adopted rapidly and resulted in several health improvements.

Variation in Markups on Outpatient Oncology Services in the United States

Charges for oncology services vary widely across hospitals and impose financial burdens. Further legislation is needed to address disparities in access to high-quality cancer care.

Prevalence and Cost of Hospitalization for Gastrointestinal Complications Related to Peptic Ulcers with Bleeding or Perforation: Comparison of Two National Databases

The Third Generation of Managed Care

Potential of Risk-Based Population Guidelines to Reduce Cardiovascular Risk in a Large Integrated Health System

The authors evaluated the clinical applicability, accuracy, and implications of using an automated risk calculator and risk-based decision tool in an integrated health system.

The Clinical Value of Commonly Used Spinal Fluid Diagnostic Studies in the Evaluation of Patients with Suspected Multiple Sclerosis

Authors’ Reply to “Comment on Generalizability of GLP-1 RA CVOTs in US T2D Population”

The authors of the manuscript “Generalizability of Glucagon-Like Peptide-1 Receptor Agonist Cardiovascular Outcome Trials Enrollment Criteria to the US Type 2 Diabetes Population” respond to a letter to the editor.

Implementation of EHR-Based Strategies to Improve Outpatient CAD Care

We examined the impact of electronic reminders followed by performance reports and financial incentives. Physicians responded more to reports and incentives than to reminders alone.

Implications of Eligibility Category Churn for Pediatric Payment in Medicaid

Analyses of Ohio Medicaid claims data from 2013 to 2015 reveal that instability among eligibility categories is common and affects average capitation but not health service use.

Distal Upper and Lower Limb Fractures Associated With Thiazolidinedione Use

This study demonstrates that patients with diabetes taking thiazolidinediones have higher proportions of distal upper and lower limb fractures than those not taking the drug.

Defending Computerized Physician Order Entry From Its Supporters

High-Risk Population Health Management -- Achieving Improved Patient Outcomes and Near-Term Financial Results

Characterizing Medical Care by Disease Phase in Metastatic Colorectal Cancer

This study characterized patterns and costs of medical care by disease phase in patients with newly diagnosed mCRC using a large US national commercially insured claims database.

Disease Management Practices of Health Plans

Adoption of Electronic Prescribing for Controlled Substances Among Providers and Pharmacies

We present the first reported national trends in the adoption of electronic prescription of controlled substances, from July 2012 to December 2013. The results show that the uptake rates of this newly allowed process are steadily increasing.

The Economics of Opioids: Abuse, REMS, and Treatment Benefits

Electronic Consults for Improving Specialty Care Access for Veterans

The combination of electronic consultations and active triage of specialty care consults effectively reduces wait times for outpatient clinics.