Disease management programs for diabetes can improve some processes of care, but they do not improve intermediate outcomes beyond doubt.
Many programs attempting to effectively treat high-need, high-cost individuals have not been able to lower spending, improve outcomes, or increase satisfaction. This paper suggests 8 attributes that many successful programs share.
A copayment increase from $2 to $7 adversely affected veterans' adherence to statins, antihypertensives, and oral hypoglycemic agents.
Proactive identification of cognitive impairment and compensatory destigmatized patient/familial psychoeducation regarding “forgetfulness” in hospitalized patients with congestive heart failure may reduce readmission rates substantially.
Many older veterans do not receive appropriate nephrology care before beginning dialysis. Dual use of Veterans Affairs and Medicare-covered services was associated with better patterns of care.
Federal parity led to an increase in spending on substance use disorder treatment.
Is specialist “gatekeeping” in modern health maintenance organization (HMO) insurance associated with differences in outpatient care? The study finds that HMO gatekeeping may meaningfully reduce specialist utilization.
A collaborative practice model to reduce hospital readmissions from an outpatient environment.
An online survey identified that documentation requirements and communication issues with health plans are associated with providers modifying clinical decisions to avoid medication prior authorization.
Although health information technology interventions are associated with cost savings and revenue gains, there still are few articles on this topic.
Increased expenditures in US asthma are driven by increased medication spending that are not offset by decreases in emergency department and hospital spending.
This study explored barriers to the transition of obese patients from hospital to community as perceived by case managers, nursing home directors, and home health directors.