Authors
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Case Study: How Does an ACO Generate Savings Three Years in a Row?Increasing accountable care organization savings is dependent on maximizing quality scores and increasing the number of beneficiaries while maintaining a low per-capita spend through efficiencies of care.
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Risk Stratification for Return Emergency Department Visits Among High-Risk PatientsThe authors examined 2 high-risk classification methods to compare and contrast the patient populations, and to identify the preferred method for predicting subsequent emergency department visits.
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The Patient-Centered Medical Home in the Veterans Health AdministrationWe describe the Veterans Health Administration's nationwide patient-centered medical home (PCMH) initiative and evaluate interim changes in PCMH-related patient care processes.
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Delivering on the Value Proposition of Precision Medicine: The View From Healthcare PayersGenomics-based precision medicine has the potential to transform healthcare delivery. However, effective collaborations among scientists, clinicians, and payers are needed to accelerate the translation of precision medicine to clinical practice and ensure its sustainability.
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Medicare HMO Impact on Utilization at the End of LifeHMOs in California, particularly Kaiser, have developed approaches to end-of-life care that allow them to use far fewer inpatient resources than fee-for-service providers.
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Evaluating the Efficacy of a Bundled Chronic Condition Management ProgramA chronic disease management company presents promising preliminary results from their remote intensive behavioral counseling intervention, aimed at addressing type 2 diabetes.
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Managed Care Patients' Preferences, Physician Recommendations, and Colon Cancer ScreeningCRC screening rates in a large managed care organization were low. Among those screened, use was associated more with physicians' recommendations than with patient preferences.
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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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Real-World Economic Value of a 21-Gene Assay in Early-Stage Breast CancerUniversal gene expression profiling of patients with stage II breast cancer resulted in outpatient savings of $11,000 (inclusive of testing costs) within 6 months of initiation of medical therapy.
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National Estimates of Price Variation by Site of CareBetween 2009 and 2013, for individuals with employer-sponsored insurance, prices for services performed at hospital outpatient departments were higher than in physician offices, and the magnitude of price differential increased over time.
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Predicting Nursing Home Placement Among Home- and Community-Based Services Program ParticipantsThe authors developed a model to identify participants in a home- and community-based services program who are at highest risk for long-term nursing home placement.
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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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The Impact of Hospitalists on Length of Stay and Costs: Systematic Review and Meta-AnalysisIn this systematic review and meta-analysis, we found that hospitalists reduce hospital length of stay without increasing costs.
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Variability in Resource Use: Diagnosing Colorectal CancerIn a cohort of 449 patients with colorectal cancer in the VA health system, diagnostic resource use varied with facility, patient age, and patient presentation.
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Physician Financial Incentives and Care for the Underserved in the United StatesFinancial incentives alter the quality and quantity of care that physicians provide. Understanding physicians' recent experience with incentives may help shape current payment reform efforts.
