Variation in Outpatient Antibiotic Prescribing in the United States
Rates of outpatient antibiotic prescribing vary widely between US commercial health plans. High-utilizing health plans may improve quality and lower costs by reducing unnecessary antibiotic use.
Plan Designs That Encourage the Use of Generic Drugs Over Brand-Name Drugs: An Analysis of a Free Generic Benefit
Small increases and decreases in pharmacy copayments have little influence on patients’ switching to generic drugs or on improving adherence to medication regimens.
Managed Care Quality and Disenrollment in New York SCHIP
Using data from the New York SCHIP program, this study showed that plan disenrollment was not significantly associated with managed care plan quality.
Can Managed Care Plans Reliably Infer the Quality of Cardiac Surgeons' Outcomes?
Florida managed care plans observe insufficient outcomes by contracted cardiac surgeons to reliably distinguish quality. Pooling data across insurers or using society data may help.
Analytic Models to Identify Patients at Risk for Prescription Opioid Abuse
This study evaluates the feasibility of using claims data to evaluate risk factors for prescription opioid abuse among patients in a privately insured population.
Effect of Antihypertensive Medication Adherence Among Employees With Hypertension
Antihypertensive medication adherence was associated with improvement in certain short-term utilization measures among employees with high prior medical costs.
A Physician-Friendly Alternative to Prior Authorization for Prescription Drugs
A policy allowing prescribers to write prior authorization criteria directly on the prescription led to decreased gaps in therapy without diminishing drug cost savings.
Pharmaceuticals From Development to Practice: Learnings From an Online Curriculum
This article summarizes the outcomes from a pilot online curriculum on off-label prescribing, appraising pharmaceutical information, and talking with patients about advertised medications.
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