Authors


Kathleen M. Fox, PhD

Latest:

Cost of Home vs Clinic Administration of Paclitaxel in Metastatic Breast Cancer

Home administration of oral paclitaxel and encequidar is associated with potential cost savings for payers compared with clinic administration of intravenous chemotherapy in metastatic breast cancer patients.






James Harnett, PharmD, MS

Latest:

Inefficiencies in Osteoarthritis and Chronic Low Back Pain Management

This study identified inefficiencies in drug and medical service utilization related to pain management among Medicare members with osteoarthritis and chronic low back pain.



Paul Trompke, MPP

Latest:

Spending Variation Among ACOs in the Medicare Shared Savings Program

Analysis of spending differences among accountable care organizations (ACOs) may help identify cost savings opportunities. We examined the magnitude and sources of spending variation among ACOs over 4 years.


Hendrik van den Bussche, Prof

Latest:

Identifying Groups of Nonparticipants in Type 2 Diabetes Mellitus Education

This study describes reasons for nonparticipation in type 2 diabetes mellitus education and identifies typical subgroups of nonparticipants in order to improve recruitment strategies.


Nancy Gordon, ScD

Latest:

Patient-Initiated E-mails to Providers: Associations With Out-of-Pocket Visit Costs, and Impact on Care-Seeking and Health

Patients with higher out-of-pocket visit costs, such as co-payments and deductibles, initiated provider contact by e-mail more often. Patients report that e-mailing changed their care-seeking behaviors and improved overall health.


Elissa Dawkins, MS

Latest:

High-Touch Care Leads to Better Outcomes and Lower Costs in a Senior Population

Evaluating the impact of a high-touch primary care model among a Medicare Advantage population in comparison with a standard practice–based model. Check out our website’s new table/figure pop-up feature! Click on the name of a table or figure in the text to see it in your browser.


Tanya Burton, PhD

Latest:

Clinical Characteristics and Treatment Patterns Among US Patients With HIV

It is important to take into account individual complexities such as comorbidities and pill burden when selecting antiretroviral therapy regimens for individuals living with HIV.


Glen B. Taksler, PhD

Latest:

Developing a Composite Weighted Quality Metric to Reflect the Total Benefit Conferred by a Health Plan

The authors developed a weighted quality measure to reflect the total health benefit conferred by a health plan annually to its members.




Daniel P. Kessler, JD, PhD

Latest:

ACA Marketplace Premiums and Competition Among Hospitals and Physician Practices

Premiums in federally facilitated Affordable Care Act Health Insurance Marketplaces are higher in geographic areas with more concentrated hospitals and physician practices and fewer insurers.


Joseph S. Zickafoose, MD, MS

Latest:

Care Coordination for Children With Special Needs in Medicaid: Lessons From Medicare

As increasing numbers of children with special healthcare needs move into Medicaid managed care, health plans can improve care coordination using evidence from Medicare.


Shalini Thuppal Prakash, BPharm, MS

Latest:

Physician-Specific Variation in Medication Adherence Among Diabetes Patients

Physician-specific, aggregate patient medication adherence data vary significantly and provide an expanded focus for interventions to improve patient adherence to treatment.



Kimberly Brayton, MD, JD, MS

Latest:

Opportunities to Improve the Value of Outpatient Surgical Care

Outpatient surgeries in the United States account for roughly 7% of annual healthcare expenditures. To exploit substantial opportunities to improve the value of outpatient surgical care, the authors composed an evidence-based care delivery composite for national discussion and pilot testing.



Rodney A. Hayward, MD

Latest:

The Presurgical Episode: An Untapped Opportunity to Improve Value

Expansion of episode of care measurement models to include presurgical care is an added opportunity to improve quality, value, and efficiency in healthcare delivery.



Susan K. Burbach, BSN-RN

Latest:

Shared Medical Appointments for Patients with Type 2 Diabetes

Glycemic control in patients with type 2 diabetes was improved through a shared medical appointment program focusing on lifestyle education and behavior change.


Man Hung, PhD

Latest:

Will Regional Differences in Family Practice Procedures Impact Reimbursement Rates? A National Study of Medicare Part B

Analysis of 77,462 family practice providers showed large regional differences in types of procedures performed, and significant differences in submitted charges and payments, across regions.


Ruth Oratz, MD, FACP

Latest:

Cost-Effectiveness of 21-Gene Assay in Node-Positive, Early-Stage Breast Cancer

A decision-analytic model was used to estimate cost-effectiveness of adopting a 21-gene assay in treatment decisions for women with early-stage N (1-3)/ER HER2-negative breast cancer.





G. Caleb Alexander, MD, MS

Latest:

Medicare Advantage Coverage Restrictions for the Costliest Physician-Administered Drugs

Four large Medicare Advantage insurers manage access to expensive physician-administered drugs with a combination of prior authorization, step therapy, and Part D formulary design.

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