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Oncology Practice Transformation Helps Deliver Patient-Centered Cancer Care in a Community Oncology Practice

One possible way to reduce overall cost, improve patient experience, and improve outcomes in cancer care is to shift the focus of healthcare delivery away from volume and toward value. Patient-centered cancer care holds the promise of addressing these issues.

Baseline and Postfusion Opioid Burden for Patients With Low Back Pain

Patients with low back pain have a high opioid burden, which increases following spinal fusion surgery; 27% of fusion patients filled opioid prescriptions at least 12 months post surgery.

Cost-Effectiveness of Pneumococcal and Influenza Vaccination Standing Order Programs

Improving influenza and pneumococcal vaccination rates through outpatient standing order programs, which allow vaccination without physician orders, is economically favorable in older Americans.

Opt-In Consent Policies: Potential Barriers to Hospital Health Information Exchange

Opt-in patient consent requirements for health information exchange correlate with more reported regulatory barriers, especially among less technologically advanced hospitals.

Efficacy, Safety, and Immunogenicity of Heptavalent Pneumococcal Conjugate Vaccine in Children

HIV Infection in Adults: A Therapeutic Update

Assessing the Value and Affordability of Cholesterol Reduction in the Managed Care Setting

Annual Diabetic Eye Examinations in a Managed Care Medicaid Population

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

Assessment and Potential Determinants of Compliance and Persistence to Antiosteoporosis Therapy in Italy

This analysis of antiosteoporosis therapy shows that 75% of patients have inadequate drug coverage and that adherence is strongly associated with age and administration regimen.

Switching from Multiple Daily Injections to CSII Pump Therapy: Insulin Expenditures in Type 2 Diabetes

The effect of switching from multiple daily insulin injections to an insulin pump on insulin and other diabetic drug expenditures in type 2 diabetes.

Antiquated Tests Within the Clinical Pathology Laboratory

Physicians and laboratorians must work to reduce use of antiquated clinical laboratory tests.

An Intervention for VA Patients With Congestive Heart Failure

An intervention of variable intensity for congestive heart failure showed some improvements but no survival effect, suggesting a tradeoff between intervention cost and intensity and survival benefit.

5-ASA to Sulfasalazine Drug Switch Program in Patients With Ulcerative Colitis

A 5-aminosalicylic acid (5-ASA) drug switch program switching from 5-ASA to sulfasalazine was instituted for insured patients with ulcerative colitis. Unanticipated barriers limited the number of patients who switched, but significant cost savings were still obtained.

Development of a Multidisciplinary, Multicampus Subspecialty Practice in Endocrine Cancers

The development of subspecialty tumor groups for uncommon malignancies represents an effective approach to building experience, increasing patient volumes and referrals, and fostering development of increased therapeutic options and clinical trials for patients afflicted with otherwise historically neglected cancers.

Organizational Barriers to Physician Participation in Cancer Clinical Trials

All-Cause Costs Increase Exponentially with Increased Chronic Kidney Disease Stage

A Health Plan's Investigation of Healthy Days and Chronic Conditions

Linking administrative claims to health-related quality of life measured in Healthy Days provides a new vision into the health of populations.

Physician Practice Variation Under Orthopedic Bundled Payment

This study demonstrates that variation reduction is an important, but not requisite, component of organizational success under orthopedic bundled payment.

Efforts to Improve Subsequent Treatment of Cardiovascular Risk Factors in Older Patients With Diabetes Hospitalized for a Cardiac Event

Economic Value of Pharmacist-Led Medication Reconciliation for Reducing Medication Errors After Hospital Discharge

The results of this simulation model suggest that implementing a pharmacist-led medication reconciliation intervention at hospital discharge could be cost-saving compared with usual care.

Understanding Suboptimal e-Consult Requests: Lessons From the VA

US Department of Veterans Affairs (VA) clinicians’ perspectives on what constitutes a good e-consult and why suboptimal e-consult requests occur contain broadly applicable lessons for other health systems.

Patient Desire and Reasons for Specialist Referral in a Gatekeeper-Model Managed Care Plan

Incorporating Health IT Into Primary Care Transformation

Longitudinal evaluation of an advanced primary care reform effort found some improvements in health information technology (IT) offerings and use as well as opportunities to improve future collaboration.

Effects of a Program for Coordinated Care of Advanced Illness on Patients, Surrogates, and Healthcare Costs: A Randomized Trial

Trends in the Use of Clinical Decision Support by Health System–Affiliated Ambulatory Clinics in the United States, 2014-2016

Use of clinical decision support (CDS) in ambulatory clinics is increasing but remains modest. The CDS function with the greatest use is basic medication screening, which increased from 52% of clinics nationally in 2014 to 61% in 2016.

Value-Based Insurance Design: Embracing Value Over Cost Alone

The Budget Impact of Cervical Cancer Screening Using HPV Primary Screening

This study assesses the clinical and economic implications from a payer perspective of human papillomavirus genotyping for cervical cancer screening in comparison with existing practices.

Impact of Formulary Restrictions on Medication Intensification in Diabetes Treatment

Formulary restrictions on brand name noninsulin antihyperglycemic drugs have little impact on treatment intensification patterns among low-income patients with diabetes in Medicare Part D.

A Framework for Assessing the Effectiveness, Efficiency, and Equity of Behavioral Healthcare

Should Mitigating Comorbidities Be Considered in Assessing Healthcare Plan Performance in Achieving Optimal Glycemic Control?