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Characteristics and Medication Use of Veterans in Medicare Advantage PlansVeterans enrolled in Medicare Advantage plans differed from fee-for-service sector enrollees in several demographic, geographic, and clinical characteristics and in patterns of medication use.
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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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VA Geriatric Scholars Program’s Impact on Prescribing Potentially Inappropriate MedicationsPrimary care teams reduced their prescribing of potentially inappropriate medications to older veterans after participation in the Veterans Affairs (VA) Geriatric Scholars Program.
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Observation Encounters and Subsequent Nursing Facility StaysOnly 1.2% of community-dwelling Medicare beneficiaries who received hospital-based observation services in 2010 were discharged to an SNF not covered by Medicare.
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Controlling Hypertension Requires a New Primary Care ModelBlood pressure control can be improved through a "Treat to Target" approach including home blood pressure monitoring, health coaching, and home titration of antihypertensive medications.
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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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Treatment Patterns Among Adults With ADHD Receiving Long-Acting TherapyAdults with attention-deficit/hyperactivity disorder (ADHD) who received long-acting combination therapy had significantly lower adherence and persistence compared with those who received long-acting monotherapy.
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Enhancing Healthcare Delivery Research at the National Cancer InstituteThe National Cancer Institute's Division of Cancer Control and Population Sciences created the Healthcare Delivery Research Program in January 2015, recognizing the need for empirical evidence to address cancer care challenges.
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A Technology Solution for the High-Tech Diagnostic Imaging ConundrumThis article reports a unique statewide initiative in Minnesota to improve orders for high-tech diagnostic imaging tests while reducing their overall frequency and costs.
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Economic Assessment of Initial Maintenance Therapy for Chronic Obstructive Pulmonary DiseaseCompared with ipratropium alone, fluticasone/salmeterol combination therapy resulted in better clinical outcomes and similar or lower treatment costs in all COPD populations studied.
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HIT Press Club AJMC - Melinda Beeuwkes Buntin, PhDDr. Melinda Beeuwkes Buntin, US Dept of Health and Human Services, discusses her papers and answers questions.
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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.
