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Authors




Alan H. Heaton, PharmD

Latest:

Plan Designs That Encourage the Use of Generic Drugs Over Brand-Name Drugs: An Analysis of a Free Generic Benefit

Small increases and decreases in pharmacy copayments have little influence on patients’ switching to generic drugs or on improving adherence to medication regimens.


Arielle Apfel, MPH

Latest:

Association of Care Management Intensity With Healthcare Utilization in an All-Condition Care Management Program

Higher intensity of care management in an all-condition program addressing care coordination and care barriers was associated with increased healthcare utilization among Medicaid and Medicare patients.



John C. Fortney, PhD

Latest:

A Web-Based Clinical Decision Support System for Depression Care Management

This article describes the development and capabilities of a Webbased decision support system for care managers working in the context of the chronic care model.


Fotios Kokkotos, PhD

Latest:

The Value of Specialty Pharmaceuticals - A Systematic Review

This study examines whether patients treated with specialty pharmaceuticals have improved outcomes compared with patients treated with conventional therapies, and evaluates costs associated with these treatments.



Rebekah J. Walker, PhD

Latest:

Differential Impact of Mental Health Multimorbidity on Healthcare Costs in Diabetes

Assessment of prevalence and specific costs associated with discrete multimorbid mental health disease clusters in adults with diabetes.







Norman Daniels, PhD

Latest:

A Strategic Plan for Integrating Cost-effectiveness Analysis Into the US Healthcare System

A panel composed of medical and pharmacy directors expressed strong support for a greater role for cost-effectiveness analysis in US health policy decisions.




Scott Weingarten, MD

Latest:

Choosing Wisely Clinical Decision Support Adherence and Associated Inpatient Outcomes

This analysis examines the associations between adherence to Choosing Wisely recommendations embedded into clinical decision support alerts and 4 measures of resource use and quality.


James B. Parr, BA

Latest:

Reference-Based Pricing: An Evidence-Based Solution for Lab Services Shopping

Reference-based pricing combined with employer education and an online shopping tool significantly improved members' utilization of lab services at or below the reference price


Bobby G. Baker, DMin, BCC

Latest:

Community Navigators Reduce Hospital Utilization in Super-Utilizers

Super-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.





Nancy L. Keating, MD, MPH

Latest:

Multimodality Cancer Care and Implications for Episode-Based Payments in Cancer

Most patients receiving multimodality cancer care receive care from different practices. Therefore, episode-based payments in oncology must hold multiple providers accountable for costs and quality.



Taylor Justice, MBA, President of Unite Us

Latest:

The Intersection of Health and Social Services: How to Leverage Community Partnerships to Deliver Whole-Person Care

As the healthcare industry continues its transition from volume to value, it is critical for healthcare organizations to leverage existing community partnerships to improve outcomes.


Hong-Phuc Tran, MD

Latest:

Older Adult Consumers' Attitudes and Preferences on Electronic Patient-Physician Messaging

A randomized controlled trial was conducted to assess whether adding a peer testimonial to a mailing increases conversion rates from brand name prescription medications to lower-cost equivalents.



Ray Wang, MS

Latest:

Hospital Readmission Rates in Medicare Advantage Plans

Hospital readmission rates in Medicare Advantage plans are considerably lower than those in Medicare's traditional fee-for-service program, after accounting for differences in risk.


Jane A. Dickerson, PhD

Latest:

Genetic Counselors Save Costs Across the Genetic Testing Spectrum

Genetic counselors (GCs) increasingly serve a variety of roles across the healthcare spectrum, including test utilization management. Our data show that utilizing the expertise of GCs reduced test order errors, improved patient outcomes, and resulted in significant cost savings to the healthcare system.

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