Electronic decision support for high-tech diagnostic imaging was associated with reduced volume and increased appropriateness, but had little impact on findings or patients.
Lipid levels can remain controlled with electronic laboratory reminder letters for most patients with coronary artery disease discharged from a cardiovascular disease management program.
The authors demonstrate the utility of distributed data models for reporting of local trends and variation in utilization, pricing, and spending for commercially insured beneficiaries.
By covering vaccinations under both the medical and pharmacy benefit, rather than the medical benefit alone, health insurers can help improve adult vaccination rates.
The Samfund conducted a preliminary investigation into the impact of the Affordable Care Act on young adult cancer survivors’ medical cost burden and access to health care.
The concept of clinical nuance-among others-is highlighted at the University of Michigan Center for Value-Based Insurance Design's annual Summit.
Collaborative care plans combined with provider education resulted in significant reductions in referrals to specialists without an apparent increase in the rate of emergency department visits or hospital admissions.
This commentary explains why comparing a launch price with a value-based price from a cost-effectiveness analysis requires further examination.
Among patients likely needing mental health care, two-thirds had no discussion or perfunctory discussion of mental health during periodic health exams.
Value-based programs such as accountable care organizations appear to encourage the adoption and spread of care coordination activities by hospitals.
This study examined the relationship among availability of an on-site, employer-provided primary care medical home, and health services use and health plan costs.
Medication dose captures modification of hypertension treatment intensity more precisely than medication count, and this measure should be preferred in studies that aim to improve hypertension management.
The pay-for-performance program for breast cancer care had a positive impact on breast cancer outcome in Taiwan. Enrollees received better quality care and had better outcome.
Medical monitoring and counseling can help us track and contain many harmful effects of cancer drug-induced cardiotoxicity. Patient engagement from the very beginning, along with medically advanced testing methods, can help us surmount cardiotoxicity and better ensure that patients receive only the benefits of essential cancer treatment.
The combination of electronic medical record data and administrative data provides the fullest picture of patient health histories.
This study examined the impact of prior authorization formularies on the likelihood that patients with schizophrenia will be arrested and incarcerated.