The American Journal of Managed Care > February 2010

The American Journal of Managed Care - February 2010

February 05, 2010 – Judith J. Stephenson, SM; Ralph A. Quimbo, MS; and Benjamin Gutierrez, PhD

Subacute lack of asthma control (SALAC) predicts subsequent asthma exacerbation and may improve health plan members’ asthma control and healthcare utilization associated with asthma exacerbation.

February 05, 2010 – Leif I. Solberg, MD; Feifei Wei, PhD; John C. Butler, MD; Kevin J. Palattao, BA; Cally A. Vinz, RN; and Melissa A. Marshall, MBA

Electronic decision support for high-tech diagnostic imaging was associated with reduced volume and increased appropriateness, but had little impact on findings or patients.

February 05, 2010 – Robert S. Galvin, MD, MBA

A strategic framework for payment reform needs to be developed to guide the growing momentum in order to mitigate unintended consequences and maximize coordination.

February 05, 2010 – Margaret E. O'Kane

Tiering of networks cannot be viewed in isolation, but rather as a piece of a larger value agenda.

February 05, 2010 – Anna D. Sinaiko, MPP; and Meredith B. Rosenthal, PhD

A consumer survey on awareness, use, and trust of tiered provider networks indicated the need for increased consumer awareness of the networks.

February 05, 2010 – Arja Helin-Salmivaara, MD, PhD; Piia T. Lavikainen, MSc; Maarit J. Korhonen, LicSc(Pharm), PhD(Epid); Heli Halava, MD; Jaana E. Martikainen, LicSc(Pharm);Leena K. Saastamoinen, PhD(Pharm); Lauri Virta, MD, PhD; Timo Klaukka, MD, PhD†; and Risto Huupponen, MD, PhD

One-year persistence among new users of statins in Finland improved from 1995 to 1998, after which no substantial changes
were observed up to 2004.

February 05, 2010 – Michael E. Chernew, PhD; Lindsay M. Sabik, BA; Amitabh Chandra, PhD; Teresa B. Gibson, PhD; and Joseph P. Newhouse, PhD

Traditional Medicare and the large-firm commercial sector have a positive correlation in hospital utilization, but a lack of correlation in spending.

February 05, 2010 – Karen M. Stockl, PharmD; Jennifer S. Shin, PharmD; Sherry Gong, MS; Ann S. M. Harada, PhD, MPH; Brian K. Solow, MD; and Heidi C. Lew, PharmD

This study evaluated the effect of a multiple sclerosis disease therapy management program on medication adherence, therapy persistence, relapses, work productivity, and quality of life.

February 01, 2010 – Sukyung Chung, PhD; Latha P. Palaniappan, MD, MS; Laurel M. Trujillo, MD; Haya R. Rubin, MD, PhD; and Harold S. Luft, PhD

This study examined the effect of physician-specific pay-for-performance incentives on well-established ambulatory quality measures in a large group practice setting.

February 01, 2010 – Mary Kay Theis, MA, MS; Robert J. Reid, MD, PhD; Monica Chaudhari, MS; Katherine M. Newton, PhD; Leslie Spangler, VMD, PhD; David C. Grossman, MD, MPH; and Ronald E. Inge, DDS

An n - 1 deterministic linkage strategy was used successfully to merge dental and medical data from a healthcare plan and a dental insurance carrier.

February 01, 2010 – Song Chen, MS; Regina A. Levin, MPH; and James A. Gartner, RPh, MBA

Medication adherence was lower for some drug classes among CDHP patients who enrolled in consumer-driven health plans compared with patients who continuously enrolled in traditional managed care plans.

February 01, 2010 – Michael J. Fischer, MD, MSPH; Kevin T. Stroupe, PhD; James S. Kaufman, MD; Ann M. O'Hare, MD; Margaret M. Browning, PhD; Zhiping Huo, MS; and Denise M. Hynes, RN, MPH, PhD

Many older veterans do not receive appropriate nephrology care before beginning dialysis. Dual use of Veterans Affairs and Medicare-covered services was associated with better patterns of care.

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