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Cost-Effectiveness of Pneumococcal Polysaccharide Vaccine Among Healthcare Workers During an Influenza PandemicPneumococcal polysaccharide vaccination of healthcare workers during an influenza pandemic is cost-effective from a societal perspective but not from a hospital perspective without external subsidy.
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Patient Out-of-Pocket Payments for Oral Oncolytics: Results From a 2009 US Claims Data AnalysisOut-of-pocket payments differ widely among oral oncolytic options. As cost for therapy becomes a greater part of treatment decisions, an understanding of patient out-of-pocket cost will be critical in informing choices.
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Medicare Underpayment for Diabetes Prevention Program: Implications for DPP SuppliersThe actual costs of implementing the evidence-based Diabetes Prevention Program (DPP) were compared with the latest reimbursement rates provided by CMS.
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Delivery System Performance as Financial Risk VariesOne delivery system’s healthcare utilization in its Medicare Advantage product was notably less than in its Pioneer accountable care organization or in a traditional Medicare comparison group.
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Patient Assistance: Implementing Preventative Steps to Ensure Financial WellnessAn overview of patient assistance programs at Smilow Cancer Hospital at Yale-New Haven, including their innovative hospital-based explanation of benefits form, which can eliminate patient responsibilities and help expedite the turnaround times for payment processing with copay assistance.
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Targeting High-Risk Employees May Reduce Cardiovascular Racial DisparitiesTargeting cardiovascular risk reduction interventions to high-risk patients has the potential to reduce cardiovascular racial disparities, improve health, and reduce costs.
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Comparative Effectiveness and Costs of Insulin Pump Therapy for DiabetesEvaluation of healthcare utilization and costs over 3 years for adults with insulin-requiring diabetes who transition from multiple daily insulin injections to insulin infusion pumps.
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Pediatric Codeine Prescriptions in Outpatient and Inpatient Settings in KoreaCodeine was frequently prescribed for children in Korea despite the actions taken to restrict its use in that age group in Korea and other countries.
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Producing Comparable Cost and Quality Results From All-Payer Claims DatabasesThis paper describes a replicable process for standardizing disparate databases and methods to calculate cost and quality measures within and across states.
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Continuous Quality Improvement Program, Based on Lean Concepts, Allows Emptying of Emergency Department CorridorsA continuous quality improvement program, based on Lean concepts and including architectural, managerial, and organizational features, allows the emptying of emergency department corridors and the improvement of time interval measurements/quality indicators.
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Creating an ACO: Advice for Employers and PurchasersA growing number of employers are becoming interested in accountable care organizations (ACOs) to improve quality and affordability. This article describes the requirements employers should have for ACOs.
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Rural Hospital Transitional Care Program Reduces Medicare SpendingA telephonic transitional care program at a rural hospital reduced postdischarge Medicare spending by 31% and reduced inpatient spending for Medicare fee-for-service beneficiaries.
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Documentation of the 5 As for Smoking Cessation by PCPs Across Distinct Health SystemsEvaluation of the 5 As of smoking cessation using patient electronic medical records across 6 distinct healthcare systems, stratified by comorbidity, gender, age, race ethnicity.
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Outcomes Associated With Timing of Maintenance Treatment for COPD ExacerbationEarly initiation of maintenance medication in patients with moderate to severe COPD exacerbations is associated with reduced risk of future exacerbations and lower costs.
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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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Oral Anticoagulant Discontinuation in Patients With Nonvalvular Atrial FibrillationThe risk of discontinuation of oral anticoagulant therapy (both warfarin and direct oral anticoagulant therapies [DOACs]) among nonvalvular atrial fibrillation patients was high. Although the hazard ratio for discontinuation favors DOACs, it is unlikely that the small difference in discontinuation relative to warfarin is clinically meaningful.
