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High-Need Beneficiary Enrollment Patterns in Medicare Advantage and Traditional MedicareAccounting for 32% of all Medicare enrollees in 2019, high-need beneficiaries were more likely to be in traditional Medicare than Medicare Advantage.
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FDA Warning and Removal of Rosiglitazone From VA National FormularyAfter the FDA warning and removal of rosiglitazone from the VA National Formulary, glucose control may have declined among those discontinuing rosiglitazone without receiving replacement medication.
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Healthcare Information Technology Interventions to Improve Cardiovascular and Diabetes Medication AdherenceDespite increasing availability of healthcare information technology, a literature review showed few clinical data on medication adherence interventions using this technology.
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Improving Endoscopy Completion: Effectiveness of an Interactive Voice Response SystemAn interactive voice response system is as effective as nurse phone calls for ensuring that patients attend appointments and are adequately prepared for endoscopy examinations.
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Decision Aids for Benign Prostatic Hyperplasia and Prostate CancerImplementing patient decision aids was associated with lower rates of elective surgery for benign prostatic hyperplasia and of active treatment for localized prostate cancer.
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Implications of Evolving Delivery System Reforms for Prostate Cancer CareHealthcare integration was associated with small declines in treatment, but no change in overtreatment of prostate cancer. Integrated care delivery alone may be insufficient to curtail overtreatment.
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Impact of the Patient-Centered Medical Home on Consistently High-Cost PatientsPatient-centered medical homes in Maryland’s multipayer demonstration disrupted the pattern of recurrently high expenditure among the costliest patients and improved continuity of care.
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Importance of a Heart Failure Disease Management Program for Chemotherapy-Induced ToxicityTo promote collaboration and efficiency, the MD Anderson Cancer Center developed an interdisciplinary team—based Heart Success Program to coordinate the management of concurrent cardiomyopathy and HF while the patient is receiving cancer treatment.
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Multiple Chronic Conditions in Type 2 Diabetes Mellitus: Prevalence and ConsequencesThis study's findings showed that diabetes care remained suboptimal among many patients with multiple chronic conditions and that patient outcomes varied by multimorbidity profile.
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Depression Care Following Psychiatric Hospitalization in the Veterans Health AdministrationDifferent patient characteristics predict adequate antidepressant treatment after hospitalization, received by 58.7% of patients, versus adequate psychotherapy, received by 12.9% of patients.
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Impact of an Online Prescription Management Account on Medication AdherenceOnline prescription management accounts may help promote medication adherence, as utilizing patients had a higher proportion of days covered than nonusers.
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Treating Medicaid Patients With Hepatitis C: Clinical and Economic ImpactHepatitis C virus treatment is often restricted in Medicaid patients. This analysis evaluates the clinical and cost impacts of treating all Medicaid patients versus the current status quo.
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Cost-Sharing and Initiation of Disease-Modifying Therapy for Multiple SclerosisThis study examines the association between cost-sharing and initiation of disease-modifying therapies among privately insured patients with multiple sclerosis.
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Absenteeism and Productivity Among Employees Being Treated for Hepatitis CEmployees with hepatitis C (HCV) who underwent existing treatments had more absences and higher indirect costs than HCVinfected employees who did not undergo treatment.
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Improving Quality of Care in Oncology Through Healthcare Payment ReformOverview of alternative payment models and how leading national organizations are involved with linking quality improvement initiatives and payment reform.
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Moving From A to Z: Successful Implementation of a Statin Switch Program by a Large Physician GroupThis report shows that a successful, cost-effective statin switch program can be implemented by a large physician group via a centralized, collaborative process.
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Comparing Breast Cancer Treatment Outcomes Between Fee-for-Service and Medicare AdvantageThis study examined postdiagnosis breast cancer treatment outcomes for Medicare Advantage vs fee-for-service (FFS) Medicare in Ohio and found no significant differences overall but disparities for Black patients with FFS Medicare.
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Development of a Tailored Survey to Evaluate a Patient-Centered InitiativeWe developed short patient experience surveys that were sensitive to our broad quality initiative, were meaningful and acceptable to patients, and had good response rates.
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Can Primary Care Physicians Accurately Predict the Likelihood of Hospitalization in Their Patients?This study demonstrates that the predictive accuracy of primary care physicians’ assessment of future hospitalization risk is comparable to commonly used quantitative risk stratification instruments.
