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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.
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Ambulatory Care–Sensitive Emergency Visits Among Patients With Medical Home AccessPatients often self-refer to the emergency department (ED) for management of an ambulatory care–sensitive condition, and the ED may be the most appropriate care location.
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Economic Evaluation of an Internet-Based Weight Management ProgramAn Internet-based weight management program provides a cost-effective alternative for weight management.
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The Characteristics of Physician Practices Joining the Early ACOs: Looking Back to Look ForwardPhysician practices intending to join Medicare accountable care organizations (ACOs) in 2012 had greater capabilities in health information technology, care management processes, and quality improvement methods than those not intending to join, but they still were far from using all recommended behaviors to manage risk.
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Randomized Trial of an Electronic Asthma Monitoring System Among New York City ChildrenChildren who used an electronic monitoring system had as many emergency department visits and hospitalizations for asthma as children who used a paper diary.
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Medicaid Prior Authorization and Opioid Medication Abuse and OverdoseEnrollees in Medicaid plans employing prior authorization policies for opioid medications may have lower rates of opioid medication abuse and overdose.
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Trends in Bisphosphonate Initiation Within an Integrated Healthcare Delivery SystemThe authors observed a marked shift toward treatment of higher-risk subsets of younger postmenopausal women (with prior fracture and/or with osteoporosis), and away from women at lower risk.
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The Redesign of Consumer Cost Sharing for Specialty Drugs at the California Health Insurance ExchangePatients can be shielded from the most onerous cost-sharing burdens for specialty drugs while keeping premiums affordable for the entire enrolled population.
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An Early Warning Tool for Predicting at Admission the Discharge Disposition of a Hospitalized PatientWe developed an early warning discharge disposition prediction tool to facilitate discharge planning and coordination, potentially reducing length of hospital stay and improving patient experience.
