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Authors
Latest:
Value-Based Insurance Design: Benefits Beyond Cost and UtilizationThe authors provide a framework to capture additional benefits that may result from VBID programs, extending beyond utilization and outcomes to productivity, engagement, and talent.
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Recommendations for the Role of Clinical Pathways in an Era of Personalized MedicineWe offer recommendations for the development and design of clinical pathways in an effort to establish a set of normative criteria that creates trust and transparency.
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Community Navigators Reduce Hospital Utilization in Super-UtilizersSuper-utilizers place a significant clinical and financial burden on the healthcare system. The authors investigated the effectiveness of community navigators in reducing hospital utilization and costs.
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Variation in the Cost of Medications for the Treatment of Colorectal CancerUsing data from a nationwide registry, this study revealed significant variation in the use and cost of contemporary regimens for colorectal cancer.
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Health Systems Tackling Social Determinants of Health: Promises, Pitfalls, and Opportunities of Current PoliciesTo improve overall health, and not just healthcare, health systems require policies that fund and promote direct interventions targeting social determinants.
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Potential of Risk-Based Population Guidelines to Reduce Cardiovascular Risk in a Large Integrated Health SystemThe authors evaluated the clinical applicability, accuracy, and implications of using an automated risk calculator and risk-based decision tool in an integrated health system.
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Can Cancer Care Lead the Way Toward a Value-Based Future?A senior vice president of Archway Health discusses challenges and opportunities of the proposed Oncology Care First model.
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A Systematic Review of Value-Based Insurance Design in Chronic DiseasesValue-based insurance design for prescription drug coverage increases drug adherence in patients with chronic disease, though their effect on clinical outcomes and health spending remain uncertain.
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Physician-Initiated Payment Reform: A New Path Toward ValuePhysician groups have begun designing alternative payment models for their own specialties, proposing that CMS include financial risk, funding for new technologies, and legal waivers.
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Cost-Effectiveness of a Patient Navigation Program to Improve Cervical Cancer ScreeningThis study investigates the cost-effectiveness of a community-based patient navigation program to improve cervical cancer screening.
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Thromboembolism Prophylaxis in Medical Inpatients: Effect on Outcomes and CostsVTE prophylaxis is underutilized in medical patients in US hospitals, but the occurrence of VTE has a major clinical and economic impact.
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Improving Adherence to Cardiovascular Disease Medications With Information TechnologyImproving adherence to long-term medication therapy remains a challenge. Health information technology interventions that leverage electronic medical records are promising, low-cost approaches for increasing adherence.
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US Internists' Awareness and Use of Overtreatment Guidelines: A National SurveyIn a national survey, US internists reported high levels of adoption of overtreatment guidelines; despite this fact, they also reported recommending services targeted by the overtreatment guidelines.
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Variability in Resource Use: Diagnosing Colorectal CancerIn a cohort of 449 patients with colorectal cancer in the VA health system, diagnostic resource use varied with facility, patient age, and patient presentation.
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Reimbursement Landscape for Molecular Testing in Non-Small Cell Lung CancerThis review assesses the current molecular testing landscape for non–small-cell lung cancer in the United States.
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The National Oncology Working Group (NOW) Initiative: Payer and Provider Collaborations in Oncology Benefits ManagementThis article highlights the work of the National Oncology Working Group (NOW) Initiative.
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Care Pathways in US Healthcare Settings: Current Successes and Limitations, and Future ChallengesCare pathways influence quality of care and outcomes. Despite positive trends in development and implementation, further efforts in process transparency and evaluation are required.
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Provider-Owned Insurers in the Individual MarketProvider-owned insurers sell individual policies in areas that cover 62% of the US population and have premiums similar to policies of traditional insurers.
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Factors Associated With Timeliness in Academic General Surgery Clinics: A Prospective Quality AssessmentThe participation of residents and physician assistants significantly increased patient wait time without reducing the attending surgeon’s consultation length in outpatient surgery clinics.
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A Cost-Effectiveness Analysis of Cardiology eConsults for Medicaid PatientsA randomized trial of eConsults for cardiology referrals from primary care resulted in significant reductions in total cost of care compared with traditional face-to-face consultations.
