The American Journal of Managed Care > March 2010

The American Journal of Managed Care - March 2010

March 09, 2010 – Michael S. Broder, MD; Benjamin Gutierrez, PhD; Eunice Chang, PhD; David Meddis, PhD; and Michael Schatz, MD
The ratio of controller to total asthma medications can be calculated using 1 or 2 quarters of data; high versus low ratios differentiate patient characteristics.
March 09, 2010 – Laurel A. Copeland, PhD; Gregory D. Berg, PhD; Donna M. Johnson, MHS; and Richard L. Bauer, MD

An intervention of variable intensity for congestive heart failure showed some improvements but no survival effect, suggesting a tradeoff between intervention cost and intensity and survival benefit.

March 09, 2010 – Kenneth J. Smith, MD, MS; Mahlon Raymund, PhD; Mary Patricia Nowalk, PhD, RD;Mark S. Roberts, MD, MPP; and Richard K. Zimmerman, MD, MPH

Pneumococcal polysaccharide vaccination of healthcare workers during an influenza pandemic is cost-effective from a societal perspective but not from a hospital perspective without external subsidy.

March 09, 2010 – Melanie E. Mouzoon, MD; Flor M. Munoz, MD; Anthony J. Greisinger, PhD; Brenda J. Brehm, MA; Oscar A. Wehmanen, MS; Frances A. Smith, MD; Julie A. Markee, RN, MPH; and W. Paul Glezen, MD

Influenza vaccination rates in pregnant women and healthcare workers were increased with standing orders, vaccine advocates, and educational activities on influenza immunization.

March 09, 2010 – Alan C. O'Connor, MBA; Christine M. Layton, PhD, MPH; Todd J. Osbeck, MM; Therese M. Hoyle; and Bobby Rasulnia, PhD

Health plans may benefit from using a state immunization information system as the primary data source for HEDIS and physician incentive and quality programs.

March 09, 2010 – Todd A. Brown, MHP and Nathaniel M. Rickles, PhD. Reply by O. Kenrick Duru, MD, MSHS; Julie A. Schmittdiel, PhD; Wendy T. Dyer, MSc; Melissa M. Parker, MS; Connie S. Uratsu, MS; James Chan, PharmD; and Andrew J. Karter, PhD
March 09, 2010 – Joshua M. Pevnick, MD, MSHS; Steven M. Asch, MD, MPH; John L. Adams, PhD; Soeren Mattke, MD, DSc; Mihir H. Patel, PharmD; Susan L. Ettner, PhD; and Douglas S. Bell, MD, PhD

In a health plan–sponsored e-prescribing initiative, participating PCPs' mean e-prescribing rate was 1 prescription per 4 pharmacy claims, but some PCPs achieved high use.

March 09, 2010 – Pei-Jung Lin, PhD; Matthew L. Maciejewski, PhD; John E. Paul, PhD;and Andrea K. Biddle, PhD

Incorporating functional status in diagnosis-based risk adjustment measures may modestly improve overall expenditure prediction for beneficiaries with substantial disabilities, but not prescription cost prediction.

March 01, 2010 – Bruce Y. Lee, MD, MBA; Julie H. Y. Tai, MD; Rachel R. Bailey, MPH; Kenneth J. Smith, MD, MS; and Andrew J. Nowalk, MD, PhD

Vaccinating children earlier (ie, September or October) can provide net economic benefit to society and to third-party payers. Vaccination of children remained cost-effective through December.

March 01, 2010 – Gregory A. Nichols, PhD; Timothy J. Bell, MHA; Kathryn L. Pedula, MS; and Maureen O'Keeffe-Rosetti, MS

The economic burden of providing care to patients with cardiovascular disease, driven by secondary hospitalizations, may be substantially greater than current American Heart Association estimates.

March 01, 2010 – Hsuei-Chen Lee, PhD; Ku-Chou Chang, MD; Yu-Ching Huang, BS, RN; Chung-Fu Lan, DDS, DrPH; Jin-Jong Chen, MD, PhD; and Shun-Hwa Wei, PhD

Based on claims data from a universal health insurance system, inpatient stroke rehabilitation use was 34.0% and mainly related to stroke type and stroke severity.

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