Clinical Interventions Addressing Nonmedical Health Determinants in Medicaid Managed Care
This review examines the breadth of published work on interventions addressing nonmedical determinants of health that are supported by Medicaid managed care organizations.
Implementing a Hybrid Approach to Select Patients for Care Management: Variations Across Practices
Hybrid approaches allow for clinician input into case finding for care management, but training and monitoring is required to protect against unintentional biases.
Physician Perceptions of Choosing Wisely and Drivers of Overuse
The authors surveyed physicians regarding “Choosing Wisely” and hypothesized drivers of overuse, finding high reported prevalence of hypothesized drivers of overuse and widespread support for cost-consciousness.
Greater Potential Cost Savings With Biosimilar Use
Biosimilars in the United States may demonstrate higher discounts and cost reduction than current estimates.
Breast Cancer Multigene Testing Trends and Impact on Chemotherapy Use
A multigene test for breast cancer recurrence risk was used in a minority of eligible patients, yet was associated with a decrease in chemotherapy use.
Referring Wisely: Orthopedic Referral Guidelines at an Academic Institution
The authors used the modified Delphi method to develop local orthopedic referral guidelines, enabling detailed decision support and nonâ€”face-to-face consultation at the point of referral.
Medicaid Managed Care Penetration and Drug Utilization for Patients With Serious Mental Illness
This study examines the relationship between Medicaid managed care penetration within a state and spending on pharmaceuticals for patients with serious mental illnesses.
A Cost-Effectiveness Analysis of Over-the-Counter Statins
This paper estimates the costs and benefits of over-the-counter (OTC) statins using data on statin use and cardiovascular risk, clinical studies of statin safety and efficacy, and an OTC statin use trial.
Enhanced Primary Care and Impact on Quality of Care in Massachusetts
In a statewide telephone survey, patient-reported indicators of the patient-centered medical home correlated with improved process measures in diabetes, cholesterol screening, vaccination, and care access.
Potential of Risk-Based Population Guidelines to Reduce Cardiovascular Risk in a Large Integrated Health System
The authors evaluated the clinical applicability, accuracy, and implications of using an automated risk calculator and risk-based decision tool in an integrated health system.
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