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Patient Satisfaction: Opportunity for Better Multiple Sclerosis TherapiesExperts in multiple sclerosis discuss overall patient satisfaction with current disease-modifying therapies for multiple sclerosis, highlighting the need for more therapies that stave off decline and disease progression.
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The Impact of HDHPs on Service Use and Spending for Substance Use DisordersOffering a high-deductible health plan (HDHP) led to a 6.6% reduction in the probability of using substance use disorder services and a shift in spending from the plan to the enrollee.
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Solid-Organ Transplant Recipients With Hyperglycemia on Admission Face Worse OutcomesElevated glucose levels are common in solid-organ transplant recipients and associated with short- and long-term mortality risks in hospitalized transplant recipients. This increased mortality risk was independent of age, gender, smoking, alcohol, or comorbidities.
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Population Health in Primary Care: Cost, Quality, and Experience ImpactAn evaluation of the use of predictive modeling for primary care resource allocation demonstrated reduced spending and improved quality and patient experience for publicly insured adults.
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Effectiveness and Cost-Effectiveness of Diabetes Prevention Among Adherent ParticipantsOver 10 years, among adherent participants, lifestyle intervention and metformin were effective and cost-effective for diabetes prevention compared with placebo.
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Racial/Ethnic Disparities in Cost-Related Barriers to Care Among Near-Poor Beneficiaries in Medicare Advantage vs Traditional MedicareAmong near-poor Black and Hispanic individuals, Medicare Advantage was associated with increased vision care and some, although not uniform, reductions in access disparities vs traditional Medicare.
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Impact of Care Coordination Based on Insurance and Zip CodeA care transitions program for patients who underwent percutaneous coronary intervention appeared to reduce 30-day rehospitalizations for patients with Medicaid who lived in wealthier zip codes.
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A Step in the Digital Direction: From Paper Logs to Electronic Data CaptureResearch documentation is a critical aspect of running a clinical trial. Key patient information such as informed consent, adverse events (AEs), concomitant medications, and medical and surgical histories are collected and used to determine patient safety and efficacy as the trial proceeds. Ultimately, the sponsor may make decisions—ranging from modifying the dose of the investigational drug to closing the study due to AEs—based on the data collected.
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Patient and Plan Characteristics Affecting Abandonment of Oral Oncolytic PrescriptionsTen percent of patients abandon newly initiated oral oncolytics at the pharmacy. Patients facing higher cost sharing or increased concurrent prescription activity have a higher abandonment rate.
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Predictive Index for 90-Day Postoperative Outcomes Following Gynecologic SurgeryIncreasing LACE+ index score is a significant predictor of greater risk of unplanned readmission, emergency department visits, and reoperation after gynecologic surgery.
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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.
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Costs for a Health Coaching Intervention for Chronic Care ManagementOn average, the health coach intervention cost $483 per participant per year. There was no evidence that the coaching intervention saved money at 1 year.
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Reducing Out-of-Pocket Cost Barriers to Specialty Drug Use Under Medicare Part D: Addressing the Problem of "Too Much Too Soon"Medicare claims analyses offer insight into how proposed policy changes would affect out-of-pocket prescription costs for Part D beneficiaries requiring specialty drugs.
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Impact of Point-of-Care Case Management on Readmissions and CostsImplementation of a point-of-care case management team consisting of a nurse, social worker, pharmacist, and health navigators reduced readmissions and associated costs.
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Shifting the Dialogue From Hospital Readmissions to Unplanned CareThis commentary proposes a bundled measure of unplanned post-hospital care to better assess the true impact of readmissions reductions programs and to avoid unintended consequences.
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Home Telemonitoring for Respiratory Conditions: A Systematic ReviewHome telemonitoring represents a promising approach for the management of respiratory conditions and supports early identification of deteriorations in patient condition and symptoms control.
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Provider and Patient Burdens of Obtaining Oral Anticancer MedicationsOral anticancer medications are frequently used to treat patients with cancer. We found significant time and energy burdens for clinic staff and patients in obtaining these drugs.
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Integrating Nurse-Directed Diabetes Management Into a Primary Care SettingA nurse following treatment alogrithms with prescription authority in a primary care setting markedly improved diabetes outcomes; 47% met ADA A1C, LDL-C, and BP goals.
