The American Journal of Managed Care > September 2012

The American Journal of Managed Care - September 2012

September 19, 2012 – Arsenio M. Gonzalez III, PharmD, RPh; and Andrew Kolbasovsky, PsyD, MBA
Managed care organizations have the opportunity to identify potential opioid misuse and implement care coordination interventions, which can enhance safety and streamline patient pain management.
September 19, 2012 – LeChauncy D. Woodard, MD, MPH; Cassie R. Landrum, MPH; Tracy H. Urech, MPH; Degang Wang, PhD; Salim S. Virani, MD; and Laura A. Petersen, MD, MPH
We examined the impact of clinical complexity defined by comorbidity count and illness burden on comprehensive diabetes care, including blood pressure, glycemic, and lipid management.
September 19, 2012 – Matthew A. Rank, MD; Juliette T. Liesinger, BA; Jeanette Y. Ziegenfuss, PhD; Megan E. Branda, MS; Kaiser G. Lim, MD; Barbara P. Yawn, MD, MSc; James T. Li, MD, PhD; and Nilay D. Shah, PhD
Increased expenditures in US asthma are driven by increased medication spending that are not offset by decreases in emergency department and hospital spending.
September 20, 2012 – Justin G. Trogdon, PhD; Florence K. L. Tangka, PhD; Donatus U. Ekwueme, PhD; Gery P. Guy Jr, PhD; Isaac Nwaise, PhD; and Diane Orenstein, PhD
State-level estimates of the number of people treated for cancer and the average cost of their treatment by state from 2010 through 2020.
September 19, 2012 – Shang-Jyh Chiou, DrPH; Shiow-Ing Wang, PhD; Chien-Hsiang Liu, PhD; and Chih-Liang Yaung, PhD
Higher incomes, higher comorbidity scores, and more advanced cancer were associated with outpatient-shopping behavior in Taiwanese patients.
September 20, 2012 – Ruth Lopert, MD, FAFPHM; J. Samantha Shoemaker, PhD; Amy Davidoff, PhD; Thomas Shaffer, MHS; Abdulla M. Abdulhalim, BSPharm; Jennifer Lloyd, MA; and Bruce Stuart, PhD
Modest increases in adherence to medication regimens among Medicare patients with heart failure were associated with lower Medicare spending in 3 major drug classes.
September 20, 2012 – Zirui Song, PhD; Mary Beth Landrum, PhD; and Michael E. Chernew, PhD
Competitive bidding characterizes market-based proposals to control Medicare spending, but in this first empirical study of bidding in Medicare, we find that competition is lacking.
September 20, 2012 – Andrea DeVries, PhD; Chia-Hsuan Winnie Li, MS; Gayathri Sridhar, PhD; Jill Rubin Hummel, JD; Scott Breidbart, MD; and John J. Barron, PharmD
Patient-centered medical home practices provided better preventive care and disease management with less resource utilization than practices not pursuing PCMH status.
September 14, 2012 – Anand A. Dalal, PhD, MBA; Manan B. Shah, PharmD, PhD; Anna O. D'Souza, BPharm, PhD; Amol D. Dhamane, BPharm, MS; and Glenn D. Crater, MD
Early initiation of maintenance medication in patients with moderate to severe COPD exacerbations is associated with reduced risk of future exacerbations and lower costs.
September 14, 2012 – Sofie Rahman Morgan, MD, MBA; Meaghan A. Smith, BS; Stephen R. Pitts, MD, MPH; Robert Shesser, MD, MPH; Lori Uscher-Pines, PhD, MSc; Michael J. Ward, MD, MBA; and Jesse M. Pines, MD, MBA, MSCE
To analyze value of low-acuity care, an existing model is adapted to highlight factors impacting how stakeholders assess emergency department care compared with alternatives.
September 14, 2012 – Terri Castle, RN, MS; Michael A. Cunningham, MS; and Gary M. Marsh, PhD
Our age-adjusted evaluation found that IVR calls had little impact on antidepressant medication adherence rates and that rates generally increased markedly with increasing age.
September 14, 2012 – Katrin Gehring, PhD; David L.B. Schwappach, PhD, MPH; Markus Battaglia, MD, MPH; Roman Buff, MD; Felix Huber, MD; Peter Sauter, MBA; and Markus Wieser, MD
Physicians' and nurses' assessments of the frequency and harm of incidents can be a supplemental method to study patient safety in the primary care office.
September 14, 2012 – Julie M. Donohue, PhD; Zachary A. Marcum, PharmD, MS; Walid F. Gellad, MD, MPH; Judith R. Lave, PhD; Aiju Men, MS; and Joseph T. Hanlon, PharmD, MS
High-risk drug use increased slightly among seniors gaining Medicare Part D coverage; however, high-risk drugs account for a small share of total drug use.
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