The American Journal of Managed Care > April 2015
The American Journal of Managed Care - April 2015
April 21, 2015 – Amy Linsky, MD, MSc; Steven R. Simon, MD, MPH; Thomas B. Marcello, BA; and Barbara Bokhour, PhD
A qualitative study to understand clinical providers' attitudes and beliefs about polypharmacy and their perceived barriers to and facilitators of appropriate medication discontinuation.
April 22, 2015 – Rosalind Harper, PhD, RN; Tanya Temkin, MPH; and Reena Bhargava, MD
Telephone nursing advice for home care offers an effective and clinically appropriate way to manage upper respiratory infection symptoms for adult members of a large integrated health plan.
April 15, 2015 – David Blumenthal, MD, MPP; and David Squires, MA
Innovations are powering the evolution of patient-centered care, and health plans are at the center of this innovation story.
Managing Specialty Care in an Era of Heightened Accountability: Emphasizing Quality and Accelerating Savings
April 21, 2015 – John W. Peabody, MD, PhD, DTM&H; Xiaoyan Huang, MD; Riti Shimkhada, PhD; and Meredith Rosenthal, PhD
The authors report on a conceptual "specialty ACO" design in cardiology in which cardiology-specific historic spending targets are created to capture cardiovascular diseaseórelated reimbursement and a quality measurement system is introduced.
April 21, 2015 – Wenke Hwang, PhD; Michelle LaClair, MPH; Fabian Camacho, MS; and Harold Paz, MD, MS
This study describes the small number of individuals responsible for larger shares of healthcare cost persistently over a 3-year period.
Antibiotic Prescribing for Respiratory Infections at Retail Clinics, Physician Practices, and Emergency Departments
April 21, 2015 – Ateev Mehrotra, MD, MPH; Courtney A. Gidengil, MD, MPH; Claude M. Setodji, PhD; Rachel M. Burns, MPH; and Jeffrey A. Linder, MD, MPH
There are concerns that retail clinics provide inferior quality of care. The authors found no difference in quality among retail clinics, physician offices, and emergency departments.
May 07, 2015 – Brent C. Williams, MD, MPH
Explanations for, and implications of, the sharp contrast between the results of randomized and nonrandomized trials of care management to lower total healthcare costs are examined.
May 07, 2015 – Kathleen Kan, MD; Andrew J. Barnes, PhD; Yaniv Hanoch, PhD; and Alex D. Federman, MD, MPH
Older adults who prefer to delegate insurance decisions tend to be female and married, to have less Medicare knowledge, and to have someone in their lives they trust to make decisions for them.
May 11, 2015 – Anita A. Vashi, MD, MPH, MHS; Susannah G. Cafardi, MSW, LCSW, MPH; Christopher A. Powers, PharmD; Joseph S. Ross, MD, MHS; and William H. Shrank, MD, MSHS
Only 1.2% of community-dwelling Medicare beneficiaries who received hospital-based observation services in 2010 were discharged to an SNF not covered by Medicare.
Elderly Veterans With Dual Eligibility for VA and Medicare Services: Where Do They Obtain a Colonoscopy?
May 12, 2015 – Ashish Malhotra, MD, MS; Mary Vaughan-Sarrazin, PhD; and Gary E. Rosenthal, MD
This study examines factors impacting the receipt of an outpatient colonoscopy by VA or non-VA providers in older veterans dually eligible for VA/Medicare benefits.
May 15, 2015 – Paul Gerrard, MD; Richard Goldstein, PhD; Margaret A. DiVita, PhD; Chloe Slocum, MD; Colleen M. Ryan, MD; Jacqueline Mix, MPH; Paulette Niewczyk, PhD, MPH; Lewis Kazis, ScD; Ross Zafonte, DO; and Jeffrey C. Schneider, MD
Functional status is an important predictor of an acute care readmission in patients who have had a unilateral hip fracture.
May 15, 2015 – Kevin P. Cohoon, DO, MSc; Cynthia L. Leibson, PhD; Jeanine E. Ransom, BA; Aneel A. Ashrani, MD, MS; Tanya M. Petterson, MS; Kirsten Hall Long, PhD; Kent R. Bailey, PhD; and John A. Heit, MD
Venous thromboembolism during or after recent hospitalization for medical illness contributes a substantial economic burden to society across all hospital and ambulatory care delivered.
May 15, 2015 – Pamela N. Roberto, MPP; and Eberechukwu Onukwugha, PhD
The use of an 80% threshold or other binary cut point may be insufficient for characterizing the relationship between medication adherence and Medicare spending.