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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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Effects of an Integrated Medication Therapy Management Program in a Pioneer ACOThis article reports that an integrated medication management program in a Pioneer Accountable Care Organization was associated with decreases in all-cause hospitalization and Medicare costs.
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Impact of a Co-pay Accumulator Adjustment Program on Specialty Drug AdherenceCommercial health plan initiation of a co-pay accumulator adjustment program for specialty medications treating autoimmune diseases was associated with significant reductions in medication adherence and persistence.
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Predicting Hospitalizations From Electronic Health Record DataThe authors aimed to develop a rigorous technique for predicting hospitalizations using data that are already available to most health systems.
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Long-term Medication Adherence and Preventive vs Reactive Care Utilization Among Older Adults With DiabetesThis study using Medical Expenditure Panel Survey data found greater health care utilization and expenditure among adults 65 years and older who were adherent to oral hypoglycemic agents.
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Low Screening and Follow-up for Unhealthy Alcohol Use Among Health Plan BeneficiariesScreening and follow-up for unhealthy alcohol use are low among plan members. Use of standardized screening tools, documentation, and care for alcohol misuse need improvement.
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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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Do Health Systems Respond to the Quality of Their Competitors?The authors determined whether Minnesota health systems responded to competitors’ publicly reported performance. Low performers fell further behind high performers, suggesting that reporting was not associated with quality competition.
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Comparison of Healthcare Delivery Systems in Low- and High-Income CommunitiesThis large-scale, national study shows geographic variation in provider supply and hospital access for low- and high-income communities following the Affordable Care Act.
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How Do Medicare Advantage Beneficiary Payments Vary With Tenure?Compared with lower-cost plans, Medicare Advantage enrollees pay more for their plans the longer they remain enrolled.
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The Effect of a PPO Pay-for-Performance Program on Patients With DiabetesA pay-for-performance program in a preferred provider organization setting may significantly increase the receipt of quality care and decrease hospitalization rates among patients with diabetes.
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Health Information Technology and the Medical School CurriculumThere are opportunities for and obstacles to adding core biomedical informatics competencies to medical school curricula.
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Are Benefits From Diabetes Self-Management Education Sustained?Conventional individualized diabetes self-management education resulted in sustained improvement in self-efficacy and diabetes distress. Short-term improvements in A1C, nutrition, and physical activity were not sustained.
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Evaluation of a Hospital-in-Home Program Implemented Among VeteransThe Hospital-in-Home program implemented at the Veterans Affairs Pacific Islands Health Care System in Honolulu, Hawaii, is associated with reduced costs with no compromise in quality.
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Evaluation of Interdisciplinary Geriatric Transitions of Care on Readmission RatesAn interdisciplinary transitions of care service composed of nurse navigators, pharmacists, and medical providers reduced 30-day hospital readmissions among patients who received all components of the intervention.
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Factors Influencing Primary Care Providers’ Decisions to Accept New Medicaid Patients Under Michigan’s Medicaid ExpansionIn the era after Medicaid expansion, primary care providers placed importance on practice capacity, specialist availability, and reimbursement when deciding whether to accept new Medicaid patients.
