The American Journal of Managed Care > December 2014

The American Journal of Managed Care - December 2014

December 11, 2014 – Thomas Delate, PhD; Alexander P. Block, PharmD; Deanna Kurz, BA; and Sarah J. Billups, PharmD
Prescription cost and pharmacy convenience were identified as the most significant drivers of out-of-plan pharmacy use.
December 11, 2014 – Netta Bentur, PhD; Shirli Resnizky, MA; Ran Balicer, MD; and Tsofia Eilat-Tsanani, MD
Palliative principles were applied to the care of more HH patients than non-HH patients, but no differences were found in their utilization of healthcare services.
December 12, 2014 – Robert S. Rudin, PhD; David Auerbach, PhD; Mikhail Zaydman, BS; and Ateev Mehrotra, MD
With effective methods of promoting telemedicine yet to be established, new risk-based payment models offer the greatest potential for telemedicine's effective and efficient use.
December 11, 2014 – Jeremy B. Shelton, MD, MSHS; Ted A. Skolarus, MD, MPH; Diana Ordin, MD, MPH; Jennifer Malin, MD, PhD; AnnaLiza Antonio, MS; Joan Ryoo, MD, MSHS; and Christopher S. Saigal, MD
Even in a fully integrated healthcare system, only 28% of cancer quality measures could be validated by using electronically available data.
December 11, 2014 – Jean M. Abraham, PhD; Roger Feldman, PhD; and Kosali Simon, PhD
This study analyzes the factors associated with insurer participation in the initial year of individual market exchanges created under the Affordable Care Act.
December 12, 2014 – Valerie A. Lewis, PhD; Carrie H. Colla, PhD; William L. Schpero, MPH; Stephen M. Shortell, PhD, MPH, MBA; and Elliott S. Fisher, MD, MPH
The authors find 51% of accountable care organizations have private payer contracts, which are more likely than public contracts to include downside risk and upfront payments.
December 12, 2014 – L. Doug Melton, PhD, MPH; Kent Bradley, MD, MPH, MBA; Patricia Lin Fu, MPH; Raegan Armata, BS, MBA; and James B. Parr, BA
Reference-based pricing combined with employer education and an online shopping tool significantly improved members' utilization of lab services at or below the reference price
February 04, 2015 – David Grande, MD, MPA; Margaret Lowenstein, MD, MPhil; Madeleine Tardif, BA; and Carolyn Cannuscio, ScD
Patients are receptive to diverse strategies to screen for cost barriers but want participatory decision making to address cost-efficacy tradeoffs.
February 04, 2015 – Julie Schmittdiel, PhD; Marsha Raebel, PharmD; Wendy Dyer, MS; John Steiner, MD, MPH; Glenn Goodrich, MS; Andy Karter, PhD; and Gregory Nichols, PhD
The Medicare STAR medication adherence measures exclude diabetes patients at high risk for poor cardiovascular outcomes, and underestimate the prevalence of medication nonadherence in diabetes.
February 04, 2015 – Justin L. Sewell, MD, MPH; Katherine S. Telischak, MSc; Lukejohn W. Day, MD; Neil Kirschner, PhD; and Arlene Weissman, PhD
Internists reported frequent use of, and support for, preconsultation exchange to improve access to and efficiency of specialty care.
February 13, 2015 – Manasi A. Tirodkar, PhD, MS; Suzanne Morton, MPH, MBA; Thomas Whiting, MPA; Patrick Monahan, MD; Elexis McBee, DO; Robert Saunders, PhD; and Sarah Hudson Scholle, DrPH, MPH
Even among practices reaching the highest level of PCMH achievement, there are variations in the implementation of key medical home capabilities.
February 17, 2015 – Arun Mohan, MD, MBA; M. Brian Riley, MA; Brian Schmotzer, MS; Dane R. Boyington, PhD; and Sunil Kripalani, MD, MSc
A randomized controlled trial found that plain-language, illustrated medication lists improved medication understanding among Latinos.
February 18, 2015 – Melissa A. Greiner, MS; Laura G. Qualls, MS; Isao Iwata, MD, PhD, EdM; Heidi K. White, MD; Sheila L. Molony, PhD, APRN, GNP-BC; M. Terry Sullivan, RN, MSW, MSN; Bonnie Burke, MS; Kevin A. Schulman, MD; and Soko Setoguchi, MD, DrPH
The authors developed a model to identify participants in a home- and community-based services program who are at highest risk for long-term nursing home placement.
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