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Medication, Diagnostic, and Cost Information as Predictors of High-Risk Patients in Need of Care Management

Predictive models from diagnostic or medication data identify care management candidates who are more amenable to clinical interventions than groups identified using prior cost alone.

Implementation of Cancer Clinical Care Pathways

Cost Variation and Savings Opportunities in the Oncology Care Model

Geographic variation in cancer treatment spending reveals that chemotherapy and hospital inpatient care may offer opportunities for savings for practices participating in the Oncology Care Model.

Clinical Outcome of a Mandatory Formulary Switch for Dihydropyridine Calcium Channel Blocker Therapy at a Veteran's Administration Medical Center

Correspondence regarding, "Formulary Limitations and the Elderly: Results from the Managed Care Outcomes Project"

Health-related Quality of Life"An Introduction

Effect of Multiple Chronic Conditions Among Working-Age Adults

Multiple chronic conditions among working-age adults lead to high costs over many years. Understanding how to effectively manage such patients is an important challenge.

Impact of Compliance With Proton Pump Inhibitors on NSAID Treatment

Patients with gastroesophageal reflux disease who are compliant with proton pump inhibitor therapy stay on NSAIDs longer than noncompliant patients.

Testing of a Tethered Personal Health Record Framework for Early End-of-Life Discussions

Pilot testing demonstrates the use of a novel, personal health record—based framework used in primary care settings may improve presence and quality of advance care planning documentation in the electronic health record.

Impact of an Educational Intervention for Secondary Prevention of Myocardial Infarction on Medicaid Drug Use and Cost

Global Outlook on Palliative Care in Cancer

The Effect of Increases in HMO Penetration and Changes in Payer Mix on In-hospital Mortality and Treatment Patterns for Acute Myocardial Infarction

ED-Based Care Coordination Reduces Costs for Frequent ED Users

Results of our pilot randomized controlled intervention involving emergency department (ED)-based care coordination and community health workers demonstrated a trend toward fewer ED visits, fewer hospitalizations, and lower costs among intervention patients.

Impact of Medical Care Coordination Intervention on Patient Activation

This observational evaluation compared an adult medical care coordination intervention with usual care and found that the intervention was associated with significant improvements in patient activation.

Impact of Cost-Sharing on Treatment Augmentation in Patients With Depression

Higher patient cost-sharing is associated with a lower likelihood of treatment augmentation in patients with depression who are treated with antidepressants.

Inpatient Electronic Health Record Maintenance From 2010 to 2015

In the 6 years following inpatient electronic health record (EHR) implementation, an average of 2.5 significant EHR changes per day were made for maintenance and improvement.

Health System Correlates of Receipt of Radiation Therapy After Breast-Conserving Surgery: A Study of Low-Income Medicaid-Enrolled Women

Omission of radiation therapy after breast-conserving surgery leads to poor outcomes. Geographic isolation and scarcity of healthcare specialists correlate with low adjuvant radiation therapy use.

Capitation Payment, Length of Visit, and Preventive Services: Evidence from a National Sample of Outpatient Physicians

Measuring Migraine-Related Quality of Care Across 10 Health Plans

Standardized measurement of migraine, an underdiagnosed and perhaps underrecognized condition, is necessary for health plans to understand utilization of costly diagnostic and treatment services.

Health Insurance, Blood Cancer Care, and Outcomes: A Literature Review

doi: 10.37765/ajmc.2021.88733

Cognitive Impairment and Reduced Early Readmissions in Congestive Heart Failure?

Proactive identification of cognitive impairment and compensatory destigmatized patient/familial psychoeducation regarding “forgetfulness” in hospitalized patients with congestive heart failure may reduce readmission rates substantially.

Patient and Physician Perceptions of a Hypercholesterolemia Safety-Net Program

Patients’ misperceptions of statins and physicians’ limited knowledge of a hypercholesterolemia safety-net program warrant additional interventions to reduce barriers and improve care.

Cognitive Impairment and Reduced Early Readmissions in Congestive Heart Failure?

Proactive identification of cognitive impairment and compensatory destigmatized patient/familial psychoeducation regarding “forgetfulness” in hospitalized patients with congestive heart failure may reduce readmission rates substantially.

Patients' Adoption of and Feature Access Within Electronic Patient Portals

We found race and age disparities not only in who adopted patient portal technology but also in which features were accessed by those who were adopters.

Secondary Failure of Glycemic Control for Patients Adding Thiazolidinedione or Sulfonylurea Therapy to a Metformin Regimen

Understanding Practice Patterns and Low-density Lipoprotein Cholesterol Goal Attainment Implications of Switching Patients From Simvastatin in a Health Plan Setting

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