The Value of Decreasing Health Cost Volatility
Even if they leave average cost the same, interventions that decrease cost variability have economic value.
Risk Contracting and Operational Capabilities in Large Medical Groups During National Healthcare Reform
Many large, well-integrated medical groups with infrastructure to manage care effectively continue to receive a majority of revenue from fee-for-service and pay physicians based on productivity.
Development of a Tethered Personal Health Record Framework for Early End-of-Life Discussions
By using a novel, pre-defined advance care planning (ACP) framework, the personal health record can be used to elicit meaningful ACP documentation that is effective for both patients and providers.
Impact of Type 2 Diabetes Medication Cost Sharing on Patient Outcomes and Health Plan Costs
An analysis of claims from over 90,000 patients with type 2 diabetes (T2D) demonstrates that increased medication cost sharing is associated with higher rates of hospitalization and increased plan costs.
Variations in Patient Response to Tiered Physician Networks
Health plans with tiered physician networks channel patients associated with the highest proportion of medical spending to higher value providers.
Primary Care Appointment Availability and Nonphysician Providers One Year After Medicaid Expansion
After Medicaid expansion in Michigan, appointment availability for new Medicaid patients stably increased-this is perhaps attributable to increasing proportions of appointments scheduled with nonphysician providers.
Effects of Physician Payment Reform on Provision of Home Dialysis
The Medicare program’s transition in 2004 to tiered fee-for-service physician reimbursement for dialysis care had the unintended consequence of reducing use of home dialysis.
Adoption of New Agents and Changes in Treatment Patterns for Hepatitis C: 2010-2014
New hepatitis C medications have been quickly adopted into practice and increased treatment rate. The median out-of-pocket costs of new medications were relatively low.
Value of Improved Lipid Control in Patients at High Risk for Adverse Cardiac Events
Reducing lipid levels in high-risk patients can significantly reduce disease burden and, depending on final negotiated prices, PCSK9 inhibitors can make an economic contribution to this goal.
Review of Outcomes Associated With Restricted Access to Atypical Antipsychotics
This literature review evaluates the impact of restricted access to atypical antipsychotic drugs in individuals with schizophrenia or bipolar disorder.
When Doctors Go to Business School: Career Choices of Physician-MBAs
Large-scale analysis of Harvard Business School’s physician graduates yields new insights into physician-MBA career choices and the utility of these programs.
The Evolving Role of Subspecialties in Population Health Management and New Healthcare Delivery Models
This article explores the role of subspecialists in new care delivery models and argues compensation should recognize the range of ways subspecialists provide value to populations.
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