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Provider Type and Management of Common Visits in Primary CareIn primary care, nurse practitioners and physician assistants do not necessarily order more ancillary services, or more costly services among alternatives, than physicians.
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Dangerous Liaisons: Obesity and DiabetesApproximately 80% to 90% of Patients Diagnosed With Type 2 Diabetes Mellitus Are Also Obese
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A Descriptive Study of Patients Receiving Foundational Financial Assistance Through Local Specialty PharmaciesLocal specialty pharmacies collaborated with a charitable assistance organization to provide a safety net and to facilitate care for patients with chronic illnesses, allowing them to focus on receiving and adhering to medication, rather than on financial toxicity.
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How Health Plans Promote Health IT to Improve Behavioral Health CareCommercial health plans promote the use of health IT to support behavioral health care access and delivery.
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A Dementia Care Management Intervention: Which Components Improve Quality?Specifically trained care managers are essential for quality gains from a dementia care management program; even higher quality accrues with coordination across community and primary care.
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The 2014 Elections and the Future of MedicaidThe 2014 elections are likely to have minor, but noticeable impacts on the future of the Medicaid program, both in terms of federal conversations on entitlement reform and in state approaches to the Medicaid expansion.
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Pilot of Urgent Care Center Evaluation for Acute Coronary SyndromeA formal protocol for urgent care center evaluation of potential acute coronary syndrome safely precluded emergency department visits among 84% of those eligible.
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5-ASA to Sulfasalazine Drug Switch Program in Patients With Ulcerative ColitisA 5-aminosalicylic acid (5-ASA) drug switch program switching from 5-ASA to sulfasalazine was instituted for insured patients with ulcerative colitis. Unanticipated barriers limited the number of patients who switched, but significant cost savings were still obtained.
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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.
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Chronic Disease Management: Why Dementia Care Is DifferentBecause of its often slowly progressive nature, dementia is often included among chronic disease management programs. Yet, for many reasons, its management demands different approaches.
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Changes in Ambulatory Utilization After Switching From Medicaid Fee-for-Service to Managed CareTransitioning from Medicaid fee-for-service to Medicaid managed care was associated with a significant decrease in ambulatory utilization, especially among beneficiaries with 5 or more chronic conditions.
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Switching from Multiple Daily Injections to CSII Pump Therapy: Insulin Expenditures in Type 2 DiabetesThe effect of switching from multiple daily insulin injections to an insulin pump on insulin and other diabetic drug expenditures in type 2 diabetes.
