The American Journal of Managed Care > May 2010

The American Journal of Managed Care - May 2010

May 11, 2010 – Ann-Sofie Backman, MD; Paul Blomqvist, MD, PhD; Magdalena Lagerlund, PhD; and Johanna Adami, MD, MPH, PhD

Physicians at an emergency department and in primary care evaluated the appropriateness of complaints among nonurgent patients. Low regular previous healthcare use correlated with inappropriateness.

May 11, 2010 – Reina Haque, PhD; Ninah S. Achacoso, MS; Suzanne W. Fletcher, MD, MSc; Larissa Nekhlyudov, MD, MPH; Laura C. Collins, MBBS; Stuart J. Schnitt, MD; Charles P. Quesenberry Jr, PhD; and Laurel A. Habel, PhD

Although we found no DCIS treatment disparities by race/ethnicity, use of adjuvant radiation therapy was less among older women and among residents of poorer neighborhoods.

May 11, 2010 – Michael Schatz, MD, MS; Robert S. Zeiger, MD, PhD; Su-Jau T. Yang, PhD; Wansu Chen, MS; William W. Crawford, MD; Shiva G. Sajjan, PhD; and Felicia Allen-Ramey, PhD
Fewer short-acting agonist canisters dispensed (but not dispensing of any controller) and higher ratio of controller to total medication are associated with reduced asthma exacerbations.
May 11, 2010 – Amar C. Nawathe, MD, MHA; Sherry A. Glied, PhD; William S. Weintraub, MD; and Lori J. Mosca, MD, PhD

A low-cost cardiovascular disease screening and periodic educational intervention did not increase healthcare resource utilization and expenditures at 1 year.

May 11, 2010 – Bruce W. Sherman, MD

Patient-centered medical homes and worksite clinics represent 2 employer healthcare cost containment strategies. Although each may afford benefit, integration can yield enhanced employer value.

May 13, 2010 – Neumann PJ, et al and Sankaranarayanan J, et al.
May 11, 2010 – Teresa B. Gibson, PhD; Yonghua Jing, PhD; Ginger Smith Carls, PhD; Edward Kim, MD, MBA; J. Erin Bagalman, MSW; Wayne N. Burton, MD; Quynh-Van Tran, PharmD; Andrei Pikalov, MD, PhD; and Ron Z. Goetzel, PhD

When a clinical staging algorithm for treatment-resistant depression was applied to administrative claims data, higher scores predicted higher future medical costs.

May 11, 2010 – Charles L. Moore, MBA; Michael J. McMullen, BA; Samuel W. Woolford, PhD; and Barry M. Berger, MD

Wide variation in the way clinical services are provided to similar patients for similar visit types results in highly variable costs but similar clinical outcomes.

May 11, 2010 – Karen S. Hamlet, MA; Adam Hobgood, MS; Guy Brent Hamar, DDS, MPH; Angela C. Dobbs, MA; Elizabeth Y. Rula, PhD; and James E. Pope, MD

A telephonic counseling program, directed by a predictive model, reduced end-of-life costs by 4.5% within 2 Medicare Health Support pilot programs.

May 01, 2010 – Ronnie J. DePue, Jr, PharmD; JoAnn Stubbings, MHCA; and David C. Baker, PharmD

Although the fundamental structure of Medicare Part D remained the same in 2010, the beneficiary provisions continued to improve.

May 01, 2010 – Harold C. Sox, MD; Mark Helfand, MD, MPH; Jeremy Grimshaw, MBChB, PhD, FRCGP; Kay Dickersin, PhD; the PLoS Medicine Editors*; David Tovey, FRCGP; J. Andre Knottnerus, MD, PhD; and Peter Tugwell, MD

In order to encourage dissemination, this commentary is freely available in PLoS Medicine, and will also be published in Medical Decision Making, Croatian Medical Journal, The Cochrane Library, Trials, and Journal of Clinical Epidemiology.

May 01, 2010 – Steven B. Zeliadt, PhD, MPH; Carol M. Moinpour, PhD; David K. Blough, PhD; David F. Penson, MD, MPH; Ingrid J. Hall, PhD, MPH; Judith Lee Smith, PhD; Donatus U. Ekwueme, PhD; Ian M. Thompson, MD; Thomas E. Keane, MB, ChB, FRCSI; and Scott D. Ramsey, MD, PhD

In a survey of local-stage prostate cancer patients, preference for prostatectomy was influenced by perceptions of its efficacy and personal burden versus nonsurgical options.

May 01, 2010 – Kathleen B. Orrico, PharmD, BCPS; Joyce K. Lin, PharmD; Amy Wei, PharmD; and Henry Yue, PharmD

Notifying patients and providers about the rosiglitazone cardiovascular safety alert led to sweeping changes in drug therapy that were initiated by both physicians and patients.

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