May 2015

May 18, 2015

The authors examine 4 alternative payment models for oncology care that shift away from fee-for-service and move progressively toward greater bundling, either across providers or across payments.

May 14, 2015

Increased care fragmentation among chronically ill, commercially insured patients is associated with higher costs and lower quality of care.

May 21, 2015

This study shows that health plans use chronic care management programs as standard components of the overall approach to manage the health of their members.

May 21, 2015

The authors compared targeting strategies and characteristics of chronic disease care management programs delivered by primary care practices with one administered by a large health plan.

May 21, 2015

Use of specialist visits decreased by patients whose primary care physicians transformed their practices into patient-centered medical homes, 1 year after medical home implementation.

May 22, 2015

A discussion on meaningful measurement and driving greater value in healthcare, and the role of the National Quality Forum.

June 03, 2015

A qualitative study of patient and provider perspectives regarding the after-visit summary and the patient portal features of the electronic health record.

June 05, 2015

This paper illustrates how Medicare Advantage plans and accountable care organizations could benefit from adopting innovative care delivery models, and suggests policy changes to accelerate spread.

June 06, 2015

We assessed challenges and barriers to annual diabetic eye examinations for a managed care Medicaid population and make recommendations to improve population-level screening.

June 16, 2015

A systematic review of insurance benefit designs with differential cost sharing for substitute prescription drugs.

June 17, 2015

Glycemic control can lower the risk of diabetes-related complications, and delayed treatment intensification can impede optimal diabetes care.This study examines trends in hyperglycemia treatment intensification between 2002 and 2010.

June 17, 2015

Medicaid-insured type 2 diabetes mellitus patients, just like the uninsured, are more likely to be hospitalized through emergency/urgent admissions.

June 23, 2015

Variation in private spending reflects the ability of the local population to pay for healthcare, whereas variation in Medicare is more driven by health status.

June 26, 2015

Commonly used measures of performance for assessing patient access do not reflect PCMH-encouraged strategies to improve access that may be preferentially used by part-time physicians.