This review suggests that only a few primary care quality measures, which usually are not found in claims data, have significant clinical and financial impact.
This study explores self-reported reasons for primary nonadherence among patients newly prescribed statin medication in an integrated health delivery system.
A revised HEDIS definition of high-risk asthma more precisely identifies patients with functional impairment and higher healthcare utilization who might benefit from case management.
Most patients in a large integrated healthcare system who were high-risk for hospitalization were at substantially lower risk within 2 years.
Most 30-day readmissions are experienced by patients who have multiple hospital stays. Efforts to reduce readmissions must look beyond a single 30-day period.
Significant changes were found in patients' utilization of healthcare related to early implementation of medical home components in VA primary care clinics.
Glycemic control can lower the risk of diabetes-related complications, and delayed treatment intensification can impede optimal diabetes care.This study examines trends in hyperglycemia treatment intensification between 2002 and 2010.
Medicare prospective payment for dialysis modestly increased availability and use of home-based dialysis treatment but did not affect historic racial disparities in home dialysis.
WellPoint, UCLA's Jonsson Comprehensive Cancer Center, the National Coalition for Cancer Survivorship (NCCS) and Genentech collaborated to develop Journey Forward, a first-of-its-kind program for coordinating post-treatment care.
Centrally assisted collaborative telecare is a cost-effective strategy relative to usual care for treating posttraumatic stress disorder and depression in the Military Health System.
Even in communities with health information technology initiatives, consumer use of personal health records may be limited by the
This study demonstrates that it is possible to generate a highly accurate model to predict inpatient and emergency department utilization using data on socioeconomic determinants of care.
This article reviews the mobile clinic sector's impact on access, quality, and costs, and explores postreform opportunities for leveraging them nationally.
Authors from My Gene Counsel discuss gaps in CMS reimbursement policy for genetic testing and counseling, in light of advances in guidelines from groups that include the National Comprehensive Cancer Network.
Criteria used by primary care physicians to select patients for practice-based care management programs were explored in a qualitative study.
Increasing adherence to inhaled corticosteroids for Medicaid-enrolled children with asthma could cost-effectively decrease both Medicaid spending and adverse clinical outcomes.
Data from mHealth can inform, assess, anticipate, and aid in interventions while monitoring and coordinating patient health status and care.
Expanding primary care teams with trained and supported paraprofessionals enables systematic delivery of widely recommended, evidence-based, cost-saving alcohol, drug, and depression screening and intervention services.