The American Journal of Managed Care > July 2016
The American Journal of Managed Care - July 2016
Enhanced Risk Prediction Model for Emergency Department Use and Hospitalizations in Patients in a Primary Care Medical Home
July 19, 2016 – Paul Y. Takahashi, MD; Herbert C. Heien, MS; Lindsey R. Sangaralingham, MPH; Nilay D. Shah, PhD; and James M. Naessens, ScD
An enhanced risk model incorporating medication use, prior healthcare utilization, and mental health with comorbid health conditions predicts healthcare utilization better than health conditions alone.
July 19, 2016 – Y. Tony Yang, ScD, and Brian Chen, JD, PhD
Gobeille v. Liberty Mutual Insurance Company highlights the challenges in managing conflicting state and federal laws, and balancing patient privacy interests against the state’s interests in healthcare reform.
July 19, 2016 – Daniel B. Wolfson, MHSA
Early attempts to measure awareness of Choosing Wisely showed promising results. As the campaign and associated activities have grown, greater awareness and acceptance of Choosing Wisely among clinicians is anticipated.
July 19, 2016 – Emily D. Doucette, MD; Joanne Salas, MPH; and Jeffrey F. Scherrer, PhD
In a National Health and Nutrition Examination Survey secondary analysis, privately and publicly insured patients with diabetes were both more likely to meet quality indicators than the uninsured.
TRENDS FROM THE FIELD
July 19, 2016 – Shelly P. Smith, DNP, APRN-BC, and Beth L. Elias, PhD, MS
Shared medical appointments have the potential to improve clinic efficiency, patient outcomes, and patient satisfaction when managing chronic rhinosinusitis.
July 12, 2016 – Jared Lane K. Maeda, PhD, MPH; Jersey Chen, MD, MPH; and Brent R. Plemons, BS
Subscribers migrated to Affordable Care Act—compliant plans with modestly higher costs, but had higher levels of insurance coverage and stronger consumer protections.
July 13, 2016 – Kirsten Hall Long, PhD; James P. Moriarty, MSc; Jeanine E. Ransom, BA; Ryan J. Lennon, MS; Verghese Mathew, MD; Rajiv Gulati, MD, PhD; Gurpreet S. Sandhu, MD, PhD; and Charanjit S. Rihal, MD, MBA
Weekend cardiac catheterization availability for inpatients reduced length of stay and maintained quality of care (no excess hazard for weekend cases), but costs were similar.
July 14, 2016 – David Muhlestein, PhD, JD; Tianna Tu, BA; Katelyn de Lisle, BS; and Thomas Merrill, BA
Analyzes whether hospital participation in accountable care organizations is associated with a hospital’s quality and cost improvement outcomes in other Medicare value-based payment programs.
July 16, 2016 – Seuli Bose-Brill, MD; Matthew Kretovics, MPH; Taylor Ballenger, MD; Gabriella Modan, PhD; Albert Lai, PhD; Lindsay Belanger, MPH; Stephen Koesters, MD; Taylor Pressler-Vydra, MS; Christopher Holloman, PhD; and Celia Wills, PhD, RN
Pilot testing demonstrates the use of a novel, personal health recordâ€”based framework used in primary care settings may improve presence and quality of advance care planning documentation in the electronic health record.
July 18, 2016 – Ana Palacio, MD, MPH; Jessica Chen, MD; Leonardo Tamariz, MD, MPH; Sylvia D. Garay, MD; Hua Li, PhD; and Olveen Carrasquillo, MD, MPH
A point of care medication delivery system improves medication adherence to cardiovascular medications without increasing costs.
July 18, 2016 – Karen M. Kuntz, ScD; Ann G. Zauber, PhD; Amy B. Knudsen, PhD; Carolyn M. Rutter, PhD; Iris Lansdorp-Vogelaar, PhD; Barry M. Berger, MD FCAP; and Bernard Levin, MD, FACP
This is a letter clarifying some points in an article published in the February 2016 issue of AJMC by Berger et al on colorectal cancer screening guidelines.