Authors
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Cost-Sharing and Initiation of Disease-Modifying Therapy for Multiple SclerosisThis study examines the association between cost-sharing and initiation of disease-modifying therapies among privately insured patients with multiple sclerosis.
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Is the QALY Fit for Purpose?The quality-adjusted life-year (QALY) is a popular tool for value assessment but is flawed. This paper highlights potential solutions.
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Ambulatory Care–Sensitive Emergency Visits Among Patients With Medical Home AccessPatients often self-refer to the emergency department (ED) for management of an ambulatory care–sensitive condition, and the ED may be the most appropriate care location.
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Type 2 Diabetes Mellitus in China: A Preventable Economic BurdenTreatment of type 2 diabetes mellitus and its complications places a heavy burden on healthcare budgets in China and will continue to do so.
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Moving From A to Z: Successful Implementation of a Statin Switch Program by a Large Physician GroupThis report shows that a successful, cost-effective statin switch program can be implemented by a large physician group via a centralized, collaborative process.
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Cardiac Risk Is Not Associated With Hypertension Treatment IntensificationThis study shows how cardiovascular prevention would be much more efficient if risk were used in treatment decisions, but that currently it plays no role.
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A Better Way: Leveraging a Proven and Utilized System for Improving Current Medication Reconciliation ProcessesIn this reply to the commentary, “A Call for a Statewide Medication Reconciliation Program,” published in the October 2016 issue of The American Journal of Managed Care®, authors discuss a proven and scalable solution to improve medication reconciliation that is already available to, and used by, clinicians.
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A Randomized, Pragmatic, Pharmacist-Led Intervention Reduced Opioids Following Orthopedic SurgeryThis pharmacist-led, patient-directed intervention demonstrated a reduction in opioid dispensings in the 90 days following hip replacement but not knee replacement.
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Development and Pilot Testing of Guidelines to Monitor High-Risk Medications in the Ambulatory SettingPilot testing of guidelines for the laboratory monitoring of high-risk medications shows that monitoring is highly variable and that there is room for improvement.
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Systematic Review of the Impact of Worksite Wellness ProgramsAnalysis of studies of worksite wellness programs suggested mixed impact on health-related behaviors and cost, with insufficient evidence regarding absenteeism and mental health.
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Predictors of High-Risk Prescribing Among Elderly Medicare Advantage BeneficiariesThis study examines patterns of high-risk prescribing in the elderly Medicare Advantage population and demonstrates that the practice varies widely by geography and drug class.
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Utilization Management for Smoking Cessation Pharmacotherapy: Varenicline Rejected Claims AnalysisAbout half of the patients in this study did not fill any smoking cessation medication following a rejected claim for varenicline.
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Project ECHO: An Effective Means of Increasing Palliative Care CapacityThis article provides insight on the work of 7 of Project ECHO’s replicating partners from around the world who are implementing the ECHO model to address the knowledge gap that underlies integrated palliative care crisis.
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The Effect of Disease Management on Utilization of Services by Race/Ethnicity: Evidence From the Florida Medicaid ProgramThis study examines racial/ethnic differences in utilization of inpatient days and ED and outpatient visits before and after implementation of a Medicaid disease management program.
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Chronic Disease Outcomes From Primary Care Population Health Program ImplementationPatients in practices with central population health coordinators had greater improvement in short-term chronic disease outcome measures compared with patients in practices without central support.
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The Need for a Serious Illness Digital Ecosystem (SIDE) to Improve Outcomes for Patients Receiving Palliative and Hospice CarePalliative and hospice care services produce well-known benefits for patients living with serious illness and for their families. Benefits include improved quality of life and reduced symptom burden, spiritual and emotional distress, and caregiver distress.
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Psychological Family Intervention for Poorly Controlled Type 2 DiabetesA family-based intervention targeting negative and/or inaccurate illness perceptions in patients with poorly controlled type 2 diabetes was effective in improving glycemic control.
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Medicare Part D Coverage Gap and Diabetes BeneficiariesWhen diabetic patients in 2 Medicare Advantage Part D plans reached the 2006 coverage gap, overall drug costs dropped as out-of-pocket costs increased.
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How Does Drug Coverage Vary by Insurance Type? Analysis of Drug Formularies in the United StatesThe proportion of available on-patent drugs covered in low copay tiers varied by insurance type, with the lowest proportion being in Medicare plans.
