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Authors


Shaohui Zhai, PhD

Latest:

Multipayer Primary Care Transformation: Impact for Medicaid Managed Care Beneficiaries

The Michigan Primary Care Transformation project generated cost savings among adults in Medicaid managed care, particularly high-risk adults, while largely maintaining quality of care.




for The Working Group on Optimizing Medication Therapy in Value-Based Healthca

Latest:

Role of Pharmaceuticals in Value-Based Healthcare: A Framework for Success

A framework for the role of pharmaceuticals in value-based healthcare, practical examples from organizations that have made the transition, and implementation considerations.



Jeffrey F. Scherrer, PhD

Latest:

Insurance Coverage and Diabetes Quality Indicators Among Patients in NHANES

In a National Health and Nutrition Examination Survey secondary analysis, privately and publicly insured patients with diabetes were both more likely to meet quality indicators than the uninsured.



J. Thomas Cox, MD

Latest:

The Budget Impact of Cervical Cancer Screening Using HPV Primary Screening

This study assesses the clinical and economic implications from a payer perspective of human papillomavirus genotyping for cervical cancer screening in comparison with existing practices.


Erica Solway, PhD, MPH, MSW

Latest:

Older Adults’ Perspectives on Emergency Department Costs During COVID-19

Most older US adults have concerns about emergency department visit affordability. Lower income, being uninsured, poor or fair physical/mental health, and younger age were associated with increased concerns.


Sheila Sankaran, MA

Latest:

Is the Medicare Bundled Payments for Care Improvement Initiative Designed to Succeed?

Providers' perspectives point to key considerations for policy makers as they seek to broaden participation in the Bundled Payments for Care Improvement Initiative.



Amy M. Lischko, DSc

Latest:

Knowledge of Cost Sharing and Decisions to Seek Care

Educating employees about their cost-sharing responsibilities could lead to more efficient use of the healthcare system.


James Lightwood, PhD

Latest:

Evaluation of Value-Based Insurance Design With a Large Retail Employer

Retrospective analysis of value-based insurance design (VBID) showed the potential for VBID to improve adherence and reduce utilization and costs with active disease management counseling.


Yan Yang, PhD

Latest:

Nudging Physicians and Patients With Autopend Clinical Decision Support to Improve Diabetes Management

Incorporating an autopend functionality into clinical decision support improved glycated hemoglobin laboratory test completion by between 21.1% and 33.9% for reminder messages read within 57 days.


Wade S. Samowitz, MD

Latest:

Lynch Syndrome Screening Implementation: Business Analysis by a Healthcare System

This study synthesized published evidence on Lynch syndrome screening and expanded that evidence to match the decision needs of internal decision makers.


Susan Bacheller, BA

Latest:

ACOs: What Every Care Coordinator Needs in Their Tool Box

This article examines the features a care coordinator should look for in care coordination tools to ensure they meet the needs of patients, the care team, and the care coordinator.


Maria Muzik, MD, MS

Latest:

Sustainable Lifelines: Supporting Integrated Behavioral Health Services for Children and Adolescents in the Accountable Care Era

A reimbursement strategy for collaborative care models is presented to enhance access to integrated behavioral healthcare for children and adolescents from underserved areas.



Miriam L. Zichlin, MPH

Latest:

Drivers of Excess Costs of Opioid Abuse Among a Commercially Insured Population

The healthcare burden of opioid abuse is substantial; abusers often have complex healthcare needs and may require care beyond that which is required to treat abuse.


Sharon J. Rolnick, PhD, MPH

Latest:

Knowledge, Attitudes, and Preferences Regarding Advance Directives Among Patients of a Managed Care Organization

Adults 20 years or older were surveyed regarding advance directives (ADs); one third had completed an AD. Subjects were comfortable with provider initiation of the topic.


Yiting Li, PhD

Latest:

Cost-Sharing Payments for Out-of-Network Care in Commercially Insured Adults

This study of claims among adults covered by employer-sponsored plans revealed substantial variations in out-of-network cost-sharing payments. The growth of cost sharing for nonemergent hospitalizations is concerning.




Nhu Ho Nguyen, MSc

Latest:

Compliance, Persistence, and Switching Patterns for ACE Inhibitors and ARBs

This drug-utilization study in a prescription database of more than 50,000 patients analyzed compliance, persistence, and switching behavior for ACE inhibitors and ARBs.


Mat L. Kendall, MPH

Latest:

Promoting Electronic Health Record Adoption Among Small Independent Primary Care Practices

Substantial outreach efforts are needed in addition to offering subsidies or incentives in engaging primary care providers to adopt electronic health records.


Glenn Melnick, PhD

Latest:

An Empirical Analysis of Hospital ED Pricing Power

We find that under current regulatory and market conditions, demand for hospital-based emergency services is highly inelastic with respect to price, giving hospitals substantial pricing power over out-of-network emergency services.




Martin A. Makary, MD, MPH

Latest:

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.


Marie Krousel-Wood, MD, MSPH

Latest:

New Medication Adherence Scale Versus Pharmacy Fill Rates in Seniors With Hypertension

Scores on a new medication adherence scale maintained a strong graded association with antihypertensive drug pharmacy fill adherence among community-dwelling seniors in a managed care organization.

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