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Health Plan Use of Immunization Information Systems for Quality MeasurementHealth plans may benefit from using a state immunization information system as the primary data source for HEDIS and physician incentive and quality programs.
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Targeting a High-Risk Group for Fall Prevention: Strategies for Health PlansThis study evaluates different strategies to identify high fall risk among community-dwelling elders using a combination of easily obtainable administrative data and patient screening questions.
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Accountable Care Organizations: How to Dress for SuccessAccountable care organizations will be more successful in taking on accountability for patient outcomes when market and firm organization get a balanced treatment.
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Pharmacy Team Engagement in Navigating the Revenue Cycle for High-Cost Medications in Patients With CancerWith the clinical and financial implications of high-cost medications, and their impact on health system revenue, it is of utmost importance for all key stakeholders to be engaged in the complex revenue cycle.
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Patients’ Expectations of Their AnesthesiologistsUnderstanding patients’ expectations, educating them about the role of an anesthesiologist, and involving them in decisions about their medical care can improve patient satisfaction.
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Complementary and Alternative Medicine Provider Use and Expenditures by Cancer Treatment PhaseMore than 26% of cancer patients see CAM providers, primarily for musculoskeletal problems; use does not vary by treatment phase, and associated expenditures are low.
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Functional Status and Readmissions in Unilateral Hip FracturesFunctional status is an important predictor of an acute care readmission in patients who have had a unilateral hip fracture.
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Safety Net Representation in Federal Payment and Care Delivery Reform InitiativesAlthough safety net organizations are eligible for some two-thirds of federal payment reform programs, fewer than 20% of these programs directly target the safety net.
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Medication Adherence and Improved Outcomes Among Patients With Type 2 DiabetesAdherence to glucose-lowering agents was associated with a significant reduction in use of acute care resources without any increased total medical costs.
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CHAPTER 1. Clinical Guideline for Adults With DiabetesFrom the Adult Diabetes and Clinical Research sections, Joslin Diabetes Center, Harvard Medical School, Boston, Massachusetts.
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CKD Quality Improvement Intervention With PCMH Integration: Health Plan ResultsA scalable chronic kidney disease (CKD) quality improvement intervention demonstrated feasibility, decreased hospitalization, and reduced costs. These preliminary results support innovation in CKD by commercial health plans.
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Transitions in Cancer Care - Moving From Crisis Intervention to Care Planning and ManagementAs the American healthcare sector transitions towards value-based and patient-centered care models, New York Oncology Hematology has seen success in modernizing palliative care delivery, integrating social services with the overall care experience, and using the family meeting model to ensure families remain involved throughout the patient’s treatment process.
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Effect of Insurance Status on the Stage of Breast and Colorectal Cancers in a Safety-Net HospitalIn a safety-net hospital, patients with Medicaid have rates of advanced-stage cancer similar to those patients with other types of insurance; however, patients with no insurance have significantly higher rates of advanced disease.
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Discontinuation of New Hepatitis C Drugs Among Medicare PatientsReal-world discontinuation of hepatitis C drugs was low, but it was 3 times more likely than in clinical trials and varied by patient characteristics.
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Inappropriate Ordering of Lumbar Spine Magnetic Resonance Imaging: Are Providers Choosing Wisely?This article analyzes use of lumbar spine magnetic resonance imaging in a national sample of patients with low back pain.
