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Comparing Variation in Medicare and Private Insurance Spending in TexasWe found that, in 2008, variations across Texas in total spending and inpatient utilization are similar in Blue Cross Blue Shield of Texas and Medicare.
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Satisfaction With Care After Reducing Opioids for Chronic PainThere is no significant association between unfavorable patient satisfaction and opioid reductions for chronic pain, but encounters with unestablished providers may slightly impair satisfaction when reducing opioids.
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Small Practice Participation and Performance in Medicare Accountable Care OrganizationsMedicare beneficiaries attributed to small practices in accountable care organizations (ACOs) achieve greater savings than beneficiaries attributed to large practices in ACOs.
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Importance of Reasons for Stocking Adult VaccinesEconomic factors associated with the purchase and maintenance of vaccine inventory and inadequate reimbursement for vaccination services were the most important to pharmacy and doctors’ office decision makers when considering whether to stock adult vaccines.
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Placement of Selected New FDA-Approved Drugs in Medicare Part D Formularies, 2009-2013There is significant heterogeneity in formulary placement and restrictions on new drug approvals in the Part D marketplace.
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The Ingredients of Success in a Medicare Accountable Care OrganizationFor 2 successive years, the Hackensack Alliance Accountable Care Organization achieved cost savings and maintained quality by using physicians with patient-centered medical homes and nurse care coordinators focused on high-risk patients.
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Study Summary: Estimating the Value-Based Price Range of Erenumab for Migraine PreventionThis health economic analysis predicted that, compared with use of supportive care, erenumab treatment will reduce the direct and indirect costs associated with migraine and increase quality-adjusted life-years for patients who have previously experienced treatment failure with at least 1 preventive migraine treatment.
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Assessing the Effect of the VHA PCMH Model on Utilization Patterns Among Veterans With PTSDThis study utilizes a validated instrument to create case and control groups to measure the effect of the Veterans Health Administration (VHA)’s patient-centered medical home (PCMH) model on utilization patterns among veterans with posttraumatic stress disorder (PTSD).
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Medicaid Managed Care Reduces Readmissions for Youths With Type 1 DiabetesAn analysis of the largest cohort available reveals that youths with type 1 diabetes, on a Medicaid managed care plan, are less likely to be readmitted within 90 days of discharge.
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The Impact of Electronic Health Records and Teamwork on Diabetes Care QualityPatients with diabetes that are cared for by primary care teams with higher cohesion experienced greater EHR-related outcome improvements, compared with patients cared for by lower cohesion teams.
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Care Coordination for Children With Special Needs in Medicaid: Lessons From MedicareAs increasing numbers of children with special healthcare needs move into Medicaid managed care, health plans can improve care coordination using evidence from Medicare.
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The Effect of Implementing a Care Coordination Program on Team Dynamics and the Patient ExperienceA primary care redesign program embedding care coordinators into practices slightly improves the patient experience and does not disrupt team dynamics.
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A Transitional Care Model for Patients With Acute Coronary SyndromeThis study suggests that the Bridging the Discharge Gap Effectively (BRIDGE) program can help decrease the number of hospital readmissions in patients with acute coronary syndrome that cause unnecessary and substantial healthcare systems costs.
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A Randomized Controlled Trial of Negative Co-Payments: The CHORD TrialThis study extends value-based insurance design concepts in testing the impact on blood pressure control of rewards that provided negative co-payments for blood pressure medication.
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KeynoteIn her keynote address Anne Peters, MD, CDE, Director, Clinical Diabetes Program, University of Southern California, opened the meeting by defining what patient-centered care is. Providing care that is respectful of and responsive to individual patient preferences, needs, values, and ensuring that patients are involved in all clinical decisions, said Dr. Peters. She emphasizes the importance of looking to the needs of the individual patient and make decisions.
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A Restricted Look at CRC Screening: Not Considering Annual Stool Testing as an OptionThis is a letter clarifying some points in an article published in the February 2016 issue of AJMC by Berger et al on colorectal cancer screening guidelines.
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Active Pharmacovigilance and Healthcare UtilizationThis study highlights the potential value of innovative ways of collecting information about adverse drug events directly from patients.
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Feasibility of Integrating Standardized Patient-Reported Outcomes in Orthopedic CarePatient-reported outcomes, through the use of new technological advances, can be successfully integrated into routine orthopedic practice and shared across distinct institutions.
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Effect of Multiple Chronic Conditions Among Working-Age AdultsMultiple chronic conditions among working-age adults lead to high costs over many years. Understanding how to effectively manage such patients is an important challenge.
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Persistent High Utilization in a Privately Insured PopulationThis study describes the small number of individuals responsible for larger shares of healthcare cost persistently over a 3-year period.
