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Costs Associated With Long-Acting Insulin Analogues in Patients With DiabetesFindings from a literature review indicate that overall costs of long-acting insulin analogues are not significantly different from those of intermediate-acting human insulin and oral antidiabetic agents.
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Multi-Level Approach to Addressing Iatrogenic InfertilityA socioecological approach focused on patient care, education and resources for providers, and programs within cancer institutions will ensure that the risk of infertility, frequently associated with cancer treatment, will be addressed and routinely included as part of cancer care. This article discusses LIVESTRONG's efforts to achieve this goal.
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Managed Care Quality and Disenrollment in New York SCHIPUsing data from the New York SCHIP program, this study showed that plan disenrollment was not significantly associated with managed care plan quality.
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Bridges to Excellence—Recognizing High-Quality Care: Analysis of Physician Quality and Resource UsePhysicians recognized as high quality by Bridges to Excellence performed better than their peers on claimsbased quality measures and, in some cases, on resource use measures.
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Can Cancer Patients Seeking a Second Opinion Get Better Care?Colorectal resection patients in Taiwan with heavy hospital shopping behaviors got better surgical care than those who did not shop or hospitals.
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Understanding Vaccination Rates and Attitudes Among Patients With Rheumatoid ArthritisPatients with rheumatoid arthritis self-report a moderate rate of any previous pneumococcal vaccination (54%) and a very low rate of herpes zoster vaccination (8%).
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Promoting Electronic Health Record Adoption Among Small Independent Primary Care PracticesSubstantial outreach efforts are needed in addition to offering subsidies or incentives in engaging primary care providers to adopt electronic health records.
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High Cost Sharing and Specialty Drug Initiation Under Medicare Part D: A Case Study in Patients With Newly Diagnosed Chronic Myeloid LeukemiaA Medicare claims analysis of patients newly diagnosed with chronic myeloid leukemia revealed that high cost sharing was associated with reduced and/or delayed tyrosine kinase inhibitor initiation under Part D.
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Claims-Based Risk Model for First Severe COPD ExacerbationA health insurance claims-based risk assessment tool to predict patients’ first severe chronic obstructive pulmonary disease exacerbation has been developed and validated.
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Cancer Care Spending and Use by Site of Provider-Administered Chemotherapy in MedicareDifferences in cancer care spending and utilization between Medicare beneficiaries receiving chemotherapy in hospital outpatient departments versus physician offices vary by service type.
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Disease-Modifying Therapy and Hospitalization Risk in Heart Failure PatientsSubstantive outcome improvement and savings to Medicaid may be achieved with small changes in prescribing rates or comorbidity prevalence among patients with heart failure.
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Association of Decision Support for Hospital Discharge Disposition With OutcomesThe use of clinical decision support for hospital discharge disposition was associated with a reduction in spending and readmissions without negatively affecting emergency department use.
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Managed Care and Cancer Outcomes for Medicare Beneficiaries With DisabilitiesThis study showed better outcomes for disabled Medicare patients with breast cancer but not those with lung cancer when they were enrolled in HMOs.
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Benefits and Risks of Live Attenuated Influenza Vaccine in Young ChildrenUse of live attenuated influenza vaccine in young children has a favorable benefit-risk profile.
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Evaluation of Care Management Intensity and Bariatric Surgical Weight LossThis study examines the effect of pre- and postoperative care management intensity on weight loss outcomes after bariatric surgery in 9 US centers.
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Patient Attribution: Why the Method MattersReliable identification of the physician–patient relationship is necessary for accurate evaluation. Standardization of evidence-based attribution methods is essential to improve the value of healthcare.
