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Treating Medicaid Patients With Hepatitis C: Clinical and Economic Impact

Hepatitis C virus treatment is often restricted in Medicaid patients. This analysis evaluates the clinical and cost impacts of treating all Medicaid patients versus the current status quo.

Preferred Roles in Treatment Decision Making Among Patients With Cancer: A Pooled Analysis of Studies Using the Control Preferences Scale

This pooled analysis assesses preferred roles in treatment decision making, actual roles, and preferred versus actual discordance among 6 studies of patients with cancer.

EHR Adoption Among Ambulatory Care Teams

Health IT—enabled information sharing promotes communication within care teams. This study examined health IT adoption rates among practices that employ nurse practitioners and physician assistants.

Anticoagulation in Atrial Fibrillation: Impact of Mental Illness

Atrial fibrillation patients with mental health conditions are less likely to be eligible for warfarin receipt, and those who are eligible receive warfarin at lower rates.

Breast Cancer: Overview of Current Management Considerations of Economic Impact

A Gray Area for Reimbursement: Medical Foods for Non–Inborn Errors of Metabolism

Most non–inborn errors of metabolism (non-IEM) medical foods (MFs) do not meet the regulatory MF definition and lack scientific evidence for safety and efficacy. Non-IEM MFs are not yet ready for reimbursement by public insurers.

Can Administrative Database Studies Inform Medication Use Policy Decisions? An Application of Occam's Razor

Physician Response to Patient Request for Unnecessary Care

Many primary care physicians in the United States reported providing unnecessary medical care in response to patient requests; several factors predicted this behavior.

A Randomized, Pragmatic, Pharmacist-Led Intervention Reduced Opioids Following Orthopedic Surgery

This pharmacist-led, patient-directed intervention demonstrated a reduction in opioid dispensings in the 90 days following hip replacement but not knee replacement.

Treatment Barriers Among Younger and Older Socioeconomically Disadvantaged Smokers

A conceptual framework was used to examine the influence of healthcare provider and psychosocial barriers on treatment utilization among younger and older socioeconomically disadvantaged smokers.

Improving Asthma Treatment in a Managed Care Population

Anthem Blue Cross and Blue Shield's Coronary Services Network: A Managed Care Organization's Approach to Improving the Quality of Cardiac Care for Its Members

Improving BP Control Through Electronic Communications: An Economic Evaluation

Home blood pressure (BP) monitoring and use of secure webbased tools to manage care collaboratively with pharmacists is a cost-effective way to improve BP control.

Comorbidities Associated with Overactive Bladder

Guidelines and Population Considerations in Colorectal Cancer

Factors Associated With Primary Hip Arthroplasty After Hip Fracture

Patient, clinical, and hospital factors were associated with receiving primary hip arthroplasty versus no surgery after hip fracture in the United States.

Benign Prostatic Hyperplasia: An Overview for Pharmacists

Shifting the Dialogue From Hospital Readmissions to Unplanned Care

This commentary proposes a bundled measure of unplanned post-hospital care to better assess the true impact of readmissions reductions programs and to avoid unintended consequences.

Evaluation of a Depression Health Management Program to Improve Outcomes in First or Recurrent Episode Depression

Design and Implementation of an Inpatient Disease Management Program

Evaluation of a Depression Health Management Program to Improve Outcomes in First or Recurrent Episode Depression

Building a Payment Model for Health Coaching in Primary Care: Lessons From Tennessee

This case study describes Tennessee’s process for convening key stakeholders to develop uniform payment guidelines to encourage increased preventive service delivery.

Tiered Networks: Strategies of Engagement for Patients and Physicians

Tiering of networks cannot be viewed in isolation, but rather as a piece of a larger value agenda.

Telemonitoring With Case Management for Seniors With Heart Failure

An Internet-based telehealth intervention for elderly heart failure patients found no discernible incremental impact on morbidity or mortality compared with case management alone.