Authors
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A Literature Review of Heart Failure Transitional Care InterventionsTransitional care interventions are considered evidence-based, designed to ensure coordination and continuity of care when patients are transferred to different levels of care, and to prevent hospital readmissions of heart failure patients.
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Examining Differential Performance of 3 Medical Home Recognition ProgramsWe examine utilization, quality, and expenditures among Medicare beneficiaries receiving care at federally qualified health centers and compare outcomes among those attributed to 1 of 3 recognition programs versus none.
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Impact of Hypertension on Healthcare Costs Among ChildrenThis study demonstrates a major influence of prehypertension and hypertension on healthcare costs in a large cohort of children, independent of body mass index.
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Case Study of Linking Dental and Medical Healthcare RecordsAn n - 1 deterministic linkage strategy was used successfully to merge dental and medical data from a healthcare plan and a dental insurance carrier.
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Primary Care Capacity as Insurance Coverage Expands: Examining the Role of Health Information TechnologyPrimary care physicians using more health information technology were less likely to accept new patients.
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Medicare Advantage Customer Service Is Used Most by Higher-Need PatientsMedicare Advantage customer service supports a less healthy, higher-need population, indicating that it should be designed and staffed to effectively serve complex, high-need patients.
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Medicare Part D Policy Update and Implications for 2010Although the fundamental structure of Medicare Part D remained the same in 2010, the beneficiary provisions continued to improve.
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Team-Based Approach to Care ManagementSenior Vice President, Health System Alliances, CVS Health
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Premium Tax Credits in the American Rescue Plan and Off-Marketplace EnrolleesWe estimate that the median 2021 premium tax credit for off-marketplace enrollees in California would be $311 if they switched to marketplace plans, with wide variation by age and plan size.
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Population Health Approach for Diabetic Patients With Poor A1C ControlA population health management approach to identify, track, and intervene with diabetic patients before their blood sugar becomes poorly controlled can improve their overall health.
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Economic Value of Pharmacist-Led Medication Reconciliation for Reducing Medication Errors After Hospital DischargeThe results of this simulation model suggest that implementing a pharmacist-led medication reconciliation intervention at hospital discharge could be cost-saving compared with usual care.
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GRACE Principles: Recognizing High-Quality Observational Studies of Comparative EffectivenessThe GRACE principles lay out 3 questions to help healthcare providers, patients, and other decision makers evaluate the quality of noninterventional comparative effectiveness studies.
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Patient Access to Oncology Care in ACA Exchange PlansThis article describes provider networks and benefit design-including deductibles, cost-sharing, and maximum out-of-pocket limits-for oncology care in 2015 health insurance exchanges.
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Impact of Statin Guidelines on Statin Utilization and Costs in an Employer-Based Primary Care ClinicAdherence to clinical guidelines in practice is often suboptimal and controversial. This study compares actual statin utilization and cost with full adoption of major clinical guidelines in a real-world population.
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Cost Sharing and Branded Antidepressant Initiation Among Patients Treated With GenericsHigher cost sharing is associated with reduced branded antidepressant initiation among patients trying generic therapy. Dynamic benefit designs could enhance access to branded medications when appropriate.
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Value-Based Payment in Implementing Evidence-Based Care: The Mental Health Integration Program in Washington StateValue-based payment improved fidelity to key elements of the Collaborative Care Model—an evidence-based mental health intervention—and improved patient depression outcomes in Washington state.
