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May 2010
Worksite Clinics and the Patient-Centered Medical Home: Competition or Collaboration?
May 11, 2010
Article
COMMENTARY
Patient-centered medical homes and worksite clinics represent 2 employer healthcare cost containment strategies. Although each may afford benefit, integration can yield enhanced employer value.
Relationship of Asthma Control to Asthma Exacerbations Using Surrogate Markers Within a Managed Care Database
May 11, 2010
Article
CLINICAL
Fewer short-acting agonist canisters dispensed (but not dispensing of any controller) and higher ratio of controller to total medication are associated with reduced asthma exacerbations.
Cost Burden of Treatment Resistance in Patients With Depression
May 11, 2010
Article
MANAGERIAL
When a clinical staging algorithm for treatment-resistant depression was applied to administrative claims data, higher scores predicted higher future medical costs.
Impact of Predictive Model-Directed End-of-Life Counseling for Medicare Beneficiaries
May 11, 2010
Article
MANAGERIAL
A telephonic counseling program, directed by a predictive model, reduced end-of-life costs by 4.5% within 2 Medicare Health Support pilot programs.
Clinical Consequences of Disseminating the Rosiglitazone FDA Safety Warning
May 01, 2010
Article
WEB EXCLUSIVE
Notifying patients and providers about the rosiglitazone cardiovascular safety alert led to sweeping changes in drug therapy that were initiated by both physicians and patients.
Preliminary Treatment Considerations Among Men With Newly Diagnosed Prostate Cancer
May 01, 2010
Article
WEB EXCLUSIVE
In a survey of local-stage prostate cancer patients, preference for prostatectomy was influenced by perceptions of its efficacy and personal burden versus nonsurgical options.
Treatment of Ductal Carcinoma In Situ Among Patients Cared for in Large Integrated Health Plans
May 11, 2010
Article
CLINICAL
Although we found no DCIS treatment disparities by race/ethnicity, use of adjuvant radiation therapy was less among older women and among residents of poorer neighborhoods.
Clinical Process Variation: Effect on Quality and Cost of Care
May 11, 2010
Article
MANAGERIAL
Wide variation in the way clinical services are provided to similar patients for similar visit types results in highly variable costs but similar clinical outcomes.
The Effect of a Cardiovascular Educational Intervention on Healthcare Utilization and Costs
May 11, 2010
Article
CLINICAL
A low-cost cardiovascular disease screening and periodic educational intervention did not increase healthcare resource utilization and expenditures at 1 year.
Comparative Effectiveness Research: Challenges for Medical Journals
May 01, 2010
Article
WEB EXCLUSIVE
In order to encourage dissemination, this commentary is freely available in PLoS Medicine, and will also be published in Medical Decision Making, Croatian Medical Journal, The Cochrane Library, Trials, and Journal of Clinical Epidemiology.
Physician Assessment of Appropriate Healthcare Level Among Nonurgent Patients
May 11, 2010
Article
CLINICAL
Physicians at an emergency department and in primary care evaluated the appropriateness of complaints among nonurgent patients. Low regular previous healthcare use correlated with inappropriateness.
Medicare Part D Policy Update and Implications for 2010
May 01, 2010
Article
WEB EXCLUSIVE
Although the fundamental structure of Medicare Part D remained the same in 2010, the beneficiary provisions continued to improve.