The American Journal of Managed Care > June 2016
The American Journal of Managed Care - June 2016
June 17, 2016 – Seuli Bose-Brill, MD; Matthew Kretovics, MPH; Taylor Ballenger, BS; Gabriella Modan, PhD; Albert Lai, PhD; Lindsay Belanger, MPH; Stephen Koesters, MD; Taylor Pressler-Vydra, MS; and Celia Wills, PhD, RN
By using a novel, pre-defined advance care planning (ACP) framework, the personal health record can be used to elicit meaningful ACP documentation that is effective for both patients and providers.
LETTERS TO THE EDITORS
June 17, 2016 – Marc Herant, PhD, MD, and Alex J. Brown, MEng, MBA
Even if they leave average cost the same, interventions that decrease cost variability have economic value.
June 17, 2016 – Anna D. Sinaiko, PhD
Health plans with tiered physician networks channel patients associated with the highest proportion of medical spending to higher value providers.
June 17, 2016 – Renuka Tipirneni, MD, MSc; Karin V. Rhodes, MD, MS; Rodney A. Hayward, MD; Richard L. Lichtenstein, PhD; HwaJung Choi, PhD; Elyse N. Reamer, BS; and Matthew M. Davis, MD, MAPP
After Medicaid expansion in Michigan, appointment availability for new Medicaid patients stably increased-this is perhaps attributable to increasing proportions of appointments scheduled with nonphysician providers.
June 17, 2016 – Julia Thornton Snider, PhD; Seth Seabury, PhD; Janice Lopez, PharmD, MPH; Scott McKenzie, MD; Yanyu Wu, PhD; and Dana P. Goldman, PhD
An analysis of claims from over 90,000 patients with type 2 diabetes (T2D) demonstrates that increased medication cost sharing is associated with higher rates of hospitalization and increased plan costs.
TRENDS FROM THE FIELD
Risk Contracting and Operational Capabilities in Large Medical Groups During National Healthcare Reform
June 17, 2016 – Robert. E. Mechanic, MBA, and Darren Zinner, PhD
Many large, well-integrated medical groups with infrastructure to manage care effectively continue to receive a majority of revenue from fee-for-service and pay physicians based on productivity.
The Evolving Role of Subspecialties in Population Health Management and New Healthcare Delivery Models
June 07, 2016 – Dhruv Khullar, MD, MPP; Sandhya K. Rao, MD; Sreekanth K. Chaguturu, MD; and Rahul Rajkumar, MD, JD
This article explores the role of subspecialists in new care delivery models and argues compensation should recognize the range of ways subspecialists provide value to populations.
June 09, 2016 – Damir Ljuboja, BS, BA; Brian W. Powers, AB; Benjamin Robbins, MD, MBA; Robert Huckman, PhD; Krishna Yeshwant, MD, MBA; and Sachin H. Jain, MD, MBA
Large-scale analysis of Harvard Business Schoolís physician graduates yields new insights into physician-MBA career choices and the utility of these programs.
June 14, 2016 – Krithika Rajagopalan, PhD; Mariam Hassan, PhD; Kimberly Boswell, MD; Evelyn Sarnes, PharmD, MPH; Kellie Meyer, PharmD, MPH; and Fred Grossman, MD, PhD
This literature review evaluates the impact of restricted access to atypical antipsychotic drugs in individuals with schizophrenia or bipolar disorder.
June 15, 2016 – Anupam B. Jena, MD, PhD; Daniel M. Blumenthal, MD, MBA; Warren Stevens, PhD; Jacquelyn W. Chou, MPP, MPL; Thanh G.N. Ton, PhD; and Dana P. Goldman, PhD
Reducing lipid levels in high-risk patients can significantly reduce disease burden and, depending on final negotiated prices, PCSK9 inhibitors can make an economic contribution to this goal.
June 16, 2016 – Xiaoxi Yao, PhD; Lindsey R. Sangaralingham, MPH; Joseph S. Ross, MD; Nilay D. Shah, PhD; and Jayant A. Talwalkar, MD
New hepatitis C medications have been quickly adopted into practice and increased treatment rate. The median out-of-pocket costs of new medications were relatively low.
June 16, 2016 – Kevin F. Erickson, MD, MS; Wolfgang C. Winkelmayer, MD, ScD; Glenn M. Chertow, MD, MPH; and Jay Bhattacharya, MD, PhD
The Medicare programís transition in 2004 to tiered fee-for-service physician reimbursement for dialysis care had the unintended consequence of reducing use of home dialysis.