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Does Sharing Care Across the Primary–Specialty Interface Improve Outcomes in Chronic Disease? A Systematic ReviewEvidence to support the introduction of shared care services into clinical practice is limited, although methodologic shortcomings may account for this lack of evidence.
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ICER's Value Assessment Framework: Capturing the Patient ExperienceThe Institute for Clinical and Economic Review (ICER), has established a robust health technology assessment strategy for engaging patients so that the entire process is informed by the patient experience and what “value” means to them.
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Practical Solutions When Facing Cost Sharing: The American Cancer Society's Health Insurance Assistance ServiceThis case study from the American Cancer Society (ACS) describes the ACS’s Health Insurance Assistance Service and offers profiles of 2 cases, which describe the challenges of finding adequate and affordable solutions, as well as sharing lessons learned.
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Using Sequence Discovery to Target Outreach for Diabetes Medication AdherenceSequence discovery techniques identified sequences of events that led to gaps in diabetic therapies and were used to identify outreach opportunities aimed at improving medication adherence.
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Availability and Variation of Publicly Reported Prescription Drug PricesRetail prices for commonly prescribed drugs are often absent from state prescription drug price websites, but when reported, can vary substantially.
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Predialysis Nephrology Care Among Older Veterans Using Department of Veterans Affairs or Medicare-Covered ServicesMany older veterans do not receive appropriate nephrology care before beginning dialysis. Dual use of Veterans Affairs and Medicare-covered services was associated with better patterns of care.
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Opioid Prescribing for Chronic Pain in a Community-Based Healthcare SystemThis study identified populations with non-cancer chronic pain to determine which patients may be more likely to receive an opioid prescription in an outpatient setting.
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Economic Implications of Weight Change in Patients With Type 2 Diabetes MellitusModest weight loss (>3%) among metformin-treated patients with type 2 diabetes mellitus was associated with decreased costs, lower resource utilization, and lower rates of treatment discontinuation.
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Advancing Patient Care in Cardio-Oncology: The ACC.15 Cardio-Oncology IntensiveA Cardio-Oncology Working Group formed by the ACC conducted a nationwide survey focused on cardio-oncology services, gathering opinions from cardiovascular division chiefs and fellowship training directors. This helped identify important challenges, including the need for broader educational opportunities and training.
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Type 2 Diabetes Mellitus in China: A Preventable Economic BurdenTreatment of type 2 diabetes mellitus and its complications places a heavy burden on healthcare budgets in China and will continue to do so.
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Potential Savings From Increasing Adherence to Inhaled Corticosteroid Therapy in Medicaid-Enrolled ChildrenIncreasing adherence to inhaled corticosteroids for Medicaid-enrolled children with asthma could cost-effectively decrease both Medicaid spending and adverse clinical outcomes.
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High-Deductible Health Plans and Costs and Utilization of Maternity CareHigh-deductible benefit design was associated with increased out-of-pocket costs for maternity care, but had no adverse impacts on receipt of recommended prenatal and postpartum care.
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Employer-Led Efforts to Improve the Value of Health SpendingFindings from a systematic review show that employer-led efforts to date have produced few promising strategies for improving the value of health spending.
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Amazing Grace: A Free Clinic's Transformation to the Patient-Centered Medical Home ModelDespite many barriers, Grace Medical Home, a free clinic, achieved patient-centered medical home recognition in October 2014 through a focused team-based approach.
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Medication Adherence and Healthcare Disparities: Impact of Statin Co-Payment ReductionThis study examined patterns of medication adherence after a reduction in medication co-payment amount among privately insured patients living in racially diverse neighborhoods.
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Impact of Complex Care Management on Spending and Utilization for High-Need, High-Cost Medicaid PatientsComplex care management for high-need, high-cost Medicaid patients significantly reduced total medical expenditures and inpatient utilization in a randomized quality improvement trial.
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Care Coordination to Increase Referrals to Smoking Cessation Telephone Counseling: A Demonstration ProjectAn intervention to increase tobacco treatment rates through care coordination for telephone counseling was effective in raising referral rates and in achieving excellent long-term abstinence.
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Treatment Patterns, Healthcare Utilization, and Costs of Chronic Opioid Treatment for Non-Cancer Pain in the United StatesHealthcare utilization and costs increased in the 6 months after patients started opioid therapy for chronic pain; they then decreased but never reverted to baseline levels.
