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Care Management Reduced Infant Mortality for Medicaid Managed Care Enrollees in OhioCare management was effective at reducing infant mortality among the most vulnerable infants enrolled in an Ohio Medicaid managed care organization.
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Electronic Health Record Availability Among Advanced Practice Registered Nurses and PhysiciansAvailability of electronic health records among advanced practice nurses and physicians in California is concentrated among large practices with fewer Medicaid patients.
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Progress of Diabetes Severity Associated With Severe Hypoglycemia in TaiwanRapid progression of diabetes complications was associated with higher risk of severe hypoglycemia.
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Anticoagulation in Atrial Fibrillation: Impact of Mental IllnessAtrial fibrillation patients with mental health conditions are less likely to be eligible for warfarin receipt, and those who are eligible receive warfarin at lower rates.
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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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Healthcare Utilization and Costs in Persons With Insomnia in a Managed Care PopulationPatients with an insomnia diagnosis have higher healthcare utilization and costs than a matched control group, both before and after the diagnosis.
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Specialty Care Access for Medicaid Enrollees in Expansion StatesIn a survey of community health center medical directors in 9 Medicaid expansion states and DC, nearly 60% reported difficulty obtaining new specialist visits and multiple access barriers on behalf of their patients.
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Hospitalized Patients' and Family Members' Preferences for Real-Time, Transparent Access to Their Hospital RecordsThis mixed-methods study evaluated hospitalized patients’ and family members’ perceived communications mismatches and their calls for transparent real-time information and potential 21st-century solutions.
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A Population Health Approach to Improving Medication AdherenceIn this article, the author explores how accountable care organizations and other provider organizations can apply population health methods to physician populations to predict which physicians may unknowingly be promoting patient medication nonadherence based upon their patient communication and engagement skills. Training interventions for improving physician communications with patients are also discussed.
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The Underuse of Carotid Interventions in Veterans With Symptomatic Carotid StenosisFor patients with symptomatic severe (>70%) carotid stenosis carotid endarterectomy is highly effective at reducing the risk of subsequent stroke; however few eligible Veterans appear to be receiving this procedure.
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Development and Implementation of an Academic Cancer Therapy Stewardship ProgramA cancer therapy stewardship program can be used to improve clinical quality and patient care by emphasizing the importance of value and evidence in oncology.
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A Call for a Statewide Medication Reconciliation ProgramThe authors propose statewide programs that would expand the Prescription Drug Monitoring Program for all medications-not just opiates-in order to reduce outpatient medication errors.
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Association Between FDA Black Box Warnings and Medicare Formulary Coverage ChangesMedicare formularies were inconsistent in increasing restrictiveness to drugs that received FDA black box warnings for death and/or cardiovascular risk with safer available drug alternatives.
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Prescription Opioid Registry Protocol in an Integrated Health SystemA flexible population-based prescription opioid registry was established for addressing a broad range of critical public health questions relating to prescription opioid use.
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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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COPD Exacerbation Costs in the IMPACT Study: A Within-Trial AnalysisTreatment with fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) compared with FF/VI or UMEC/VI reduced exacerbation-related costs associated with chronic obstructive pulmonary disease (COPD) in the US healthcare system.
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Evolving Practices in Managing Costly ImmunotherapyTo address the nationwide concern of costly immunotherapy agents, this article features health system inpatient and outpatient strategies that can help mitigate their costs.
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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.
