The American Journal of Managed Care > November 2015
The American Journal of Managed Care - November 2015
November 13, 2015 – Elizabeth Levy Merrick, PhD, MSW; Dominic Hodgkin, PhD; Constance M. Horgan, ScD; Laura S. Lorenz, PhD; Lee Panas, MS; Grant A. Ritter, PhD; Paul Kasuba, MD; Debra Poskanzer, MD; and Renee Altman Nefussy, BA
This study tested 3 financial incentives encouraging breast cancer screening (mammograms) among women deemed overdue. None were effective overall; "person-centered" incentives worked in the most recently screened subgroup.
Community Pharmacy Automatic Refill Program Improves Adherence to Maintenance Therapy and Reduces Wasted Medication
November 13, 2015 – Olga S. Matlin, PhD; Steven M. Kymes, PhD; Alice Averbukh, MBA, MS; Niteesh K. Choudhry, MD, PhD; Troyen A. Brennan, MD, MPH; Andrew Bunton, MBA, CFA; Timothy A. Ducharme, MBA; Peter D. Simmons, RPh; and William H. Shrank, MD, MSHS
Evaluation of a national retail pharmacy automatic refill program for patients on medication for chronic disease demonstrated significantly improved patient adherence and reduced medication oversupply.
November 13, 2015 – Anna D. Sinaiko, PhD; and Richard Zeckhauser, PhD
Payment policy, health plan characteristics, and Medicare beneficiary characteristics come together to foster continued growth in the Medicare Advantage program.
November 13, 2015 – Katherine Chockley, BA; and Ezekiel J. Emanuel, MD, PhD
The American healthcare system is finally moving away from fee-for-service toward bundled payments, but this transition will only be successful if we shift risk to the physicians.
November 13, 2015 – Sapna Kaul, PhD, MA; Anne C. Kirchhoff, PhD, MPH; Nancy E. Morden, MD, MPH; Christine S. Vogeli, PhD; and Eric G. Campbell, PhD
Many primary care physicians in the United States reported providing unnecessary medical care in response to patient requests; several factors predicted this behavior.
Medicare's Bundled Payments for Care Improvement Initiative: Expanding Enrollment Suggests Potential for Large Impact
November 13, 2015 – Lena M. Chen, MD, MS; Ellen Meara, PhD; and John D. Birkmeyer, MD
Expanding and more representative participation in Medicare's Bundled Payments for Care Improvement initiative suggests potential for large impact, pending the results of risk-bearing participants.
TRENDS FROM THE FIELD
November 13, 2015 – Christine Minerowicz, MD; Nicole Abel, MD; Krystal Hunter, MBA; Kathryn C. Behling, MD, PhD; Elizabeth Cerceo, MD; and Charlene Bierl, MD, PhD
Providing a weekly feedback report significantly influences the test ordering behavior of internal medicine residents and reduces laboratory overutilization.
November 10, 2015 – Gerard F. Anderson, PhD; Jeromie Ballreich, MHS; Sara Bleich, PhD; Cynthia Boyd, MD; Eva DuGoff, PhD; Bruce Leff, MD; Claudia Salzburg, PhD; and Jennifer Wolff, PhD
Many programs attempting to effectively treat high-need, high-cost individuals have not been able to lower spending, improve outcomes, or increase satisfaction. This paper suggests 8 attributes that many successful programs share.
November 20, 2015 – April Lopez, MS; Charron Long, PharmD; Laura E. Happe, PharmD, MPH; and Michael Relish, MS
Sequence discovery techniques identified sequences of events that led to gaps in diabetic therapies and were used to identify outreach opportunities aimed at improving medication adherence.
Will Preoperative Smoking Cessation Programs Generate Long-Term Cessation? A Systematic Review and Meta-Analysis
November 27, 2015 – Nicholas L. Berlin, MD, MPH; Christina Cutter, MD, MSc; and Catherine Battaglia, PhD, RN
This review demonstrates the long-term (≥12 months) efficacy of preoperative smoking cessation programs, providing further support for incorporation of smoking cessation programs into presurgical clinics.
November 30, 2015 – Susan K. Schmitt, PhD; Mintu P. Turakhia, MD, MAS; Ciaran S. Phibbs, PhD; Rudolf H. Moos, PhD; Dan Berlowitz, MD, MPH; Paul Heidenreich, MD, MS; Victor Y. Chiu, MD; Alan S. Go, MD; Sarah A. Friedman, MSPH; Claire T. Than, MPH; and Susan M. Frayne, MD, MPH
Atrial fibrillation patients with mental health conditions are less likely to be eligible for warfarin receipt, and those who are eligible receive warfarin at lower rates.
November 30, 2015 – Colleen A. Payton, MPH; Mona Sarfaty, MD; Shirley Beckett, AAS; Carmen Campos, MPH; and Kathleen Hilbert, RN
The authors describe a quality improvement intervention that focuses on directly scheduling mammogram appointments for women who lack adherence despite written outreach letters.