The American Journal of Managed Care > July 2015
The American Journal of Managed Care - July 2015
July 15, 2015 – Adam L. Sharp, MD, MS; Marc H. Klau, MD, MBA; David Keschner, MD, JD; Eric Macy, MD, MS; Tania Tang, PhD, MPH; Ernest Shen, PhD; Corrine Munoz-Plaza, MPH; Michael Kanter, MD; Matthew A. Silver, MD; and Michael K. Gould, MD, MS
Acute sinusitis is a common acute illness and offers an opportunity to eliminate low-value care. The authors describe current practices, comparing primary care, urgent care, and the emergency department.
July 16, 2015 – Dominique Comer, PharmD, MS; Joseph Couto, PharmD, MBA; Ruth Aguiar, BA; Pan Wu, PhD; and Daniel J. Elliott, MD, MSCE
The authors used aggregate pharmacy claims data available within a primary care electronic health record to identify a high rate of medication discrepancies.
July 16, 2015 – Risa Lavizzo-Mourey, MD, MBA, president and CEO, The Robert Wood Johnson Foundation
Accountable care organizations can play a key role in building a Culture of Health in which every person in America can have the healthiest life possible.
July 16, 2015 – Shivan J. Mehta, MD, MBA; Daniel Polsky, PhD; Jingsan Zhu, MBA; James D. Lewis, MD, MSCE; Jonathan T. Kolstad, PhD; George Loewenstein, PhD; and Kevin G. Volpp, MD, PhD
The ACA eliminated patient cost sharing for evidence-based preventive care, yet this policy has not resulted in substantial increases in colonoscopy and mammography utilization.
July 16, 2015 – Paul D. Jacobs, PhD; and Melinda B. Buntin, PhD
Using new data, the authors found that consumers in the Medicare Advantage market are fairly insensitive to premiums, but respond more strongly to reduced medical cost sharing.
July 20, 2015 – Charles Elder, MD, MPH; Lynn DeBar, PhD, MPH; Cheryl Ritenbaugh, PhD, MPH; William Vollmer, PhD; Richard A. Deyo, MD, MPH; John Dickerson, PhD; and Lindsay Kindler, PhD, RN
Most patients with chronic musculoskeletal pain use acupuncture or chiropractic care. A substantial percentage of this utilization, however, is not captured by the electronic medical record.
July 28, 2015 – Christopher Conover, PhD; Rebecca Namenek Brouwer, MS; Gale Adcock, MSN, RN, FNP-BC, FAANP; David Olaleye, PhD, MSCe; John Shipway, BS; and Truls Østbye, MD, PhD
This study examined the relationship among availability of an on-site, employer-provided primary care medical home, and health services use and health plan costs.
Effectiveness and Cost of Influenza Vaccine Reminders for Adults With Asthma or Chronic Obstructive Pulmonary Disease
August 05, 2015 – Jo Ann Shoup, MS; Carlos Madrid, MA; Caroline Koehler, RN, MSN; Cynthia Lamb, BS, RN; Jennifer Ellis, MSPH; Debra P. Ritzwoller, PhD; and Matthew F. Daley, MD
Interactive voice response reminders had neither a positive nor a negative effect on promoting influenza vaccination over reminders via postcards, but are a potentially less expensive option.
August 05, 2015 – Kathryn Fitch, RN, MEd; Bruce Pyenson, FSA, MAAA; Helen Blumen, MD, MBA; Thomas Weisman, MD, MBA; and Art Small, MD
Screening commercially insured individuals for colorectal cancer is a high-value service, costing less per year of life saved than breast or cervical cancer screening.
August 17, 2015 – Jennifer K. Maratt, MD; and Sameer D. Saini, MD, MS
Improving the appropriate use of colorectal cancer screening requires novel approaches to strike a balance between underuse and overuse.
August 17, 2015 – Wayne Matthews, MS, PA-C, DFAAPA
This editorial reviews the recently published study (AJMC April) by Gerrard et al, which analyzed the statistical prediction model of the Fitness Index Measure for hospital readmission in unilateral hip fractures.
August 18, 2015 – Amy R. Schwartz, MD; Forrest L. Levin, MS; Joseph A. O'Neil, Jr, BS; and R. Scott Braithwaite, MD, MSc
Colorectal cancer screening involves balancing immediate harms with longer-term benefits; electronic medical record decision support may facilitate personalized benefit/harm assessment.