The American Journal of Managed Care > September 2019
The American Journal of Managed Care - September 2019
September 09, 2019 – Zachary Burningham, PhD; Wei Chen, PhD; Brian C. Sauer, PhD; Regina Richter Lagha, PhD; Jared Hansen, MStat; Tina Huynh, MPH, MHA; Shardool Patel, PharmD; Jianwei Leng, MStat; Ahmad Halwani, MD; and B. Josea Kramer, PhD
Primary care teams reduced their prescribing of potentially inappropriate medications to older veterans after participation in the Veterans Affairs (VA) Geriatric Scholars Program.
The Sociobehavioral Phenotype: Applying a Precision Medicine Framework to Social Determinants of Health
September 06, 2019 – Ravi B. Parikh, MD, MPP; Sachin H. Jain, MD, MBA; and Amol S. Navathe, MD, PhD
Sociobehavioral phenotypes are actionable risk profiles based on empirically derived social, economic, and behavioral factors that, if applied appropriately, can help healthcare organizations address social determinants of health.
From The Editorial Board
September 13, 2019 – Jan E. Berger, MD, MJ
September 11, 2019 – Jean P. Hall, PhD; Tracey A. LaPierre, PhD; and Noelle K. Kurth, MS
The authors studied Kansas Medicaid enrollees with serious mental illness and their experiences with integrated managed care and unmet needs.
September 13, 2019 – Musetta Leung, PhD; Christopher Beadles, MD, PhD; Melissa Romaire, PhD; and Monika Gulledge, MPH; for the MAPCP Evaluation Team
An evaluation of the Multi-Payer Advanced Primary Care Practice Demonstration found mixed results in terms of quality of care provided to Medicare and Medicaid beneficiaries.
September 10, 2019 – Suhas Gondi, BA; Timothy G. Ferris, MD, MPH; Kavita K. Patel, MD, MSHS; and Zirui Song, MD, PhD
Physician groups have begun designing alternative payment models for their own specialties, proposing that CMS include financial risk, funding for new technologies, and legal waivers.
Managed Care for Long-Stay Nursing Home Residents: An Evaluation of Institutional Special Needs Plans
September 12, 2019 – Brian E. McGarry, PT, PhD; and David C. Grabowski, PhD
This study examines UnitedHealthcare’s Institutional Special Needs Plans and their association with hospital and skilled nursing facility use.
August 29, 2019 – Cassandra Leighton, MPH; Evan Cole, PhD; A. Everette James, JD, MBA; and Julia Driessen, PhD
Medicare Shared Savings Program accountable care organization (ACO) network comprehensiveness is associated with stable patient assignment year to year. Panel stability was significantly associated with improved diabetes and hypertension control in the short term.
August 30, 2019 – Laura Skopec, MS; Joshua Aarons, BA; and Stephen Zuckerman, PhD
The Affordable Care Act’s reductions to Medicare Advantage plan payments were not significantly associated with healthcare access or affordability for enrollees.
September 02, 2019 – Kevin N. Griffith, MPA; Donglin Li, MPH; Michael L. Davies, MD; Steven D. Pizer, PhD; and Julia C. Prentice, PhD
Greater telephone wait times, but not abandonment rates, were associated with lower patient perceptions of their ability to obtain urgent care in a timely manner.
September 04, 2019 – Lisa M. Kern, MD, MPH; Mangala Rajan, MBA; Harold Alan Pincus, MD; Lawrence P. Casalino, MD, PhD; and Susan S. Stuard, MBA
Transitioning from Medicaid fee-for-service to Medicaid managed care was associated with a significant decrease in ambulatory utilization, especially among beneficiaries with 5 or more chronic conditions.
September 12, 2019 – Evelyn T. Chang, MD, MSHS; Rebecca Piegari, MS; Edwin S. Wong, PhD; Ann-Marie Rosland, MD, MS; Stephan D. Fihn, MD, MPH; Sandeep Vijan, MD; and Jean Yoon, PhD, MHS
Most patients in a large integrated healthcare system who were high-risk for hospitalization were at substantially lower risk within 2 years.