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Authors

Vikram Tiwari, PhD
Latest Article

Operating Room Efficiency of Orthopedic Surgery During the COVID-19 Era

The authors analyzed the impacts of COVID-19 on orthopedic operating room efficiency via comparison of 14,856 surgeries performed before, during, and after the pandemic.

Judy E. Kim, MD, FARVO, FASRS
Paul Casey, MD, MBA
Latest Article

Factors Associated With Unplanned Admissions Among Patients With Chronic Conditions

This study identified risk factors for unplanned admissions among patients with multiple chronic conditions to inform focused interventions.

Elizabeth J. Wang, MS
Latest Article

Health Care Utilization and Cost of Diagnostic Testing for Respiratory Infections

Syndromic reverse transcriptase–polymerase chain reaction tests for respiratory infections were associated with lower health care resource utilization and costs, implicating potential for improved value in patient care.

Henry Masters III, MD
Latest Article

Outcomes of Antiviral Treatment for Influenza in Type 2 Diabetes

Antiviral treatment was associated with lower health care resource utilization and costs in patients with type 2 diabetes and a diagnosis of influenza.

Wesley Durkalski, MBA
Latest Article

A Cue-to-Action Pilot Project to Increase Screening Mammography

A targeted cue-to-action campaign of outreach, education, and incentive can improve uptake of screening mammography.

Anita Szerszen, MD
Latest Article

Medical Home Visit Programs During COVID-19 State of Emergency

This report highlights the unique challenges faced by home health programs in addition to discussing how technology and policy changes have helped the elderly homebound during the coronavirus disease 2019 (COVID-19) pandemic.

Todd Shryock

Todd Shryock is managing editor of Medical Economics®.

Latest Article

Senate Introduces Bill to Extend 5% Incentives for APMs

The bipartisan bill would help lower Medicare costs and improve quality of care, according to the National Association of ACOs.

Annette D. Boyer, RPh
Latest Article

Medicare Advantage–Pharmacy Partnership Improves Influenza and Pneumococcal Vaccination Rates

Patients whose pharmacy receives notification of their immunization gap have twice the odds of receiving immunizations compared with those whose pharmacy does not receive the notification.

Kali Thomas, PhD
Latest Article

Post-SNF Outcomes and Cost Comparison: Medicare Advantage vs Traditional Medicare

Patients enrolled in Medicare Advantage had better outcomes and lower cost following skilled nursing facility (SNF) discharge than patients enrolled in traditional fee-for-service Medicare.

John Yeatts, MD
Latest Article

Improving Glycemic Control in Diabetes Through Virtual Interdisciplinary Rounds

Patients with diabetes whose providers received advice from remote, virtual interdisciplinary rounds had a greater 1-year reduction in hemoglobin A1c than comparable patients.

Xiaodan Liang, MS
Latest Article

Trends in Market Share Among Hospitals Participating in ACOs and Nonparticipants

Accountable care organization (ACO) participation was associated with an increase in hospitals’ mean market share and with additional market share gains in more concentrated markets.

Joseph F. Merola, MD, MMSc
Latest Article

Perspectives on Nonmedical Switching and the COVID-19 Pandemic: A Narrative Review

This review describes the impact of nonmedical switching of biologic therapies on US patients and providers, with a focus on switching to in-class alternatives.

Sean Cavanaugh, MPH

Sean Cavanaugh is Aledade’s Chief Policy Officer and Chief Commercial Officer. Sean has previously served as the Deputy Administrator and Director of the Center for Medicare at the Centers for Medicare & Medicaid Services.

Latest Article

Contributor: CMS Can Seize Opportunities to Fix the Rural Glitch, Risk Adjustment Caps in MSSP

The Medicare Shared Savings Program (MSSP) has seen its growth slow, but CMS has an opportunity to act on proposals that would address benchmarking and more fairly allocate savings to accountable care organizations in the program.

Phil Majewski, MD, MPH
Latest Article

Appropriate ED Utilization Leading to Better Care Coordination

Addressing avoidable emergency department (ED) utilization takes interventions in partnership with providers.

Shurui Zhang, MS
Latest Article

Factors That Increase Utilization Management Risk: A Proof of Concept

A score was developed to measure patient risk from payer utilization management policies and its relationship to real-world US commercial payer utilization management policies.

James S. Kalus, PharmD
Latest Article

Pharmacist Hypertension Management Using an Electronic Health Record–Based Approach

The authors studied the impact of a pharmacist intervention on blood pressure control compared with usual care.

Steven D. Miller, MD, MBE
Latest Article

Implementation and Cost Validation of a Real-time Benefit Tool

This study evaluates impact of a real-time benefit tool on medication access and physician and pharmacy workflows at a large academic medical center.

Mike Hennessy Jr

Mike Hennessy Jr is chairman and CEO of MJH Life Sciences®, the parent company of The American Journal of Managed Care®, Managed Healthcare Executive®, Pharmacy Times®, Drug Topics®, and more health care education and news brands.

Latest Article

The Strategic Necessity of Pharma-MedTech Convergence in an Era of Precision Medicine

Better integration of pharma and medical technology is necessary to enhance patient outcomes and drive value-based care.

Michelle Frits, BA
Latest Article

A Machine Learning Technology for Addressing Medication-Related Risk in Older, Multimorbid Patients

A novel machine learning system effectively stratifies emergency department use and hospitalization risk of older patients with multimorbidity who take multiple medications and provides appropriate medication recommendations.

Kathleen J. Yost, PhD
Latest Article

Patient-Centered Communication and Outcomes in Heart Failure

Among community patients living with heart failure, excellent and good patient-centered communication was associated with a reduced risk of death.

Alexander N. Ortega, PhD
Latest Article

The Societal Costs of Food Insecurity: Implications for Managed Care Strategies

Food insecurity among working-age US adults has significant economic consequences, primarily driven by increased job instability and income insecurity.

Kristin Oaks, DO
Latest Article

Managing Total Knee Replacement Under Value-Based Payments

This article describes the approach that a large primary care group at risk for value-based payments chose to deploy in managing clinical and financial outcomes of knee osteoarthritis jointly with orthopedic surgeons.

Weiwei Ouyang, PhD
Latest Article

Timely Preterm-Birth Prediction Among Pregnant Women in Medicaid Without Preterm-Birth History

A novel prediction model is developed that accurately predicts preterm birth in a timely manner among pregnant women in Medicaid without preterm-birth history.

Abner Mason

Abner Mason is founder and CEO of ConsejoSano, a multicultural patient engagement company that partners with health plans. He has worked in health equity and policy at the federal and state levels.

Latest Article

Contributor: 5 Lessons on Health Equity From the Fight Against HIV/AIDS in Africa

Abner Mason, CEO and founder of ConsejoSano, highlights how lessons learned from his early days in the fight against HIV and AIDS in Africa can inform improvements in health equity, especially in light of the COVID-19 pandemic.

Priyanka Raval, MD
Latest Article

Optimizing Revisit Intervals: Reducing Variability to Enhance Health Care Efficiency

The authors explore the limitations of the current system of revisit interval assignment and discuss the importance of standardization to optimize patient health care outcomes.

Ye Liu, MD, MPH
Latest Article

Social Determinants of Health and Emergency Department Utilization in Alabama Children’s Health Insurance Program

Community social determinants of health such as rurality and low socioeconomic status moderate the association between an individual’s race and emergency care use.

Erica Spivack, MHA
Latest Article

Linking Data to Determine Risk for 30-Day Readmissions in Dementia

This study found that certain characteristics in linked electronic health record data across episodes of care can help identify patients with Alzheimer disease and related dementias at high risk of 30-day readmissions.

Lacey Loomer, PhD
Latest Article

Bundled Payment Impacts Uptake of Prescribed Home Health Care

The Comprehensive Care for Joint Replacement Model mitigated a trend of lower home health uptake for Black and White patients but not for other populations.

Shelley C. Stoll, MPH
Latest Article

Patient and Supporter Factors Affecting Engagement With Diabetes Telehealth

Family support with medication management and recent urgent self-management concerns are 2 novel factors, among others, that predict completion of diabetes telehealth calls.