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Authors



Mark Pauly, PhD

Latest:

Bending the Curve Through Health Reform Implementation

Authors from The Brookings Institution update their recommendations by focusing on 3 concrete objectives to slow spending and improve quality of care within the next 5 years.


Jenny B. Kotlerman, MS

Latest:

The Effect of Disease Management on Utilization of Services by Race/Ethnicity: Evidence From the Florida Medicaid Program

This study examines racial/ethnic differences in utilization of inpatient days and ED and outpatient visits before and after implementation of a Medicaid disease management program.



Avery M. Day, MPH

Latest:

ACO Use of Case Mix Index to Comprehensively Evaluate Postacute Care Partners

This article describes how one accountable care organization (ACO) created a risk-adjusted algorithm to evaluate current and potential candidates for skilled nursing facility partnerships.



Ernest B. Harmon, BS

Latest:

Prevalence of Osteoporosis in Men in a VA Rehabilitation Center

Men in a VA rehabilitation unit who had osteoporosis were older and thinner, but otherwise similar (metabolic and functional status) to control subjects.


Robert Cosway, FSA, MAAA

Latest:

Questioning the Widely Publicized Savings

Two responses to the commentary entitled Questioning the Widely Publicized Savings Reported for North Carolina Medicaid by Al Lewis, JD, published in the August 2012 issue of The American Journal of Managed Care.


Hyun Gi Noh, MSC

Latest:

Real-World Economic Value of a 21-Gene Assay in Early-Stage Breast Cancer

Universal gene expression profiling of patients with stage II breast cancer resulted in outpatient savings of $11,000 (inclusive of testing costs) within 6 months of initiation of medical therapy.


Kateryna Karimova, MSc

Latest:

Performance of the Adapted Diabetes Complications Severity Index Translated to ICD-10

We present an International Classification of Diseases, Tenth Revision (ICD-10) translation of the adapted Diabetes Complications Severity Index and show its performance in predicting hospitalizations, mortality, and healthcare-associated costs.


Lisa Tuscher, BA

Latest:

Rates of Guideline Adherence Among US Community Oncologists Treating NSCLC

US community oncologists treating NSCLC were significantly more likely to be guideline adherent when providing first-line rather than adjuvant treatment.


Kristen Finne, BA

Latest:

State of Emergency Preparedness for US Health Insurance Plans

Health insurance plans serve a critical role in public health emergencies. The authors queried plans about issues related to emergency preparedness: infrastructure, adaptability, connectedness, and best practices.


Michael L. Paustian, PhD, MS

Latest:

Dialing In: Effect of Telephonic Wellness Coaching on Weight Loss

Small weight loss was reported by overweight/obese individuals targeted for telephonic wellness coaching in this large retrospective study using pre-post design.


Allison Gilchrist, PharmacyTimes.com

Latest:

Public Outrage Overturning Drug Price Hikes

Public outrage over the 5000% price increase for Daraprim, a 62-year-old drug purchased by Turing Pharmaceuticals in August, prompted the company to promise it would lower the drug's cost. This is not the first time such an incidence has occurred.



Jane N. Kogan, PhD

Latest:

Connected Care: Improving Outcomes for Adults With Serious Mental Illness

Case study of a payer-led intervention to improve coordination of care for adult Medicaid beneficiaries with serious mental illness.


Steven E. Marx, PharmD

Latest:

The Wider Public Health Value of HCV Treatment Accrued by Liver Transplant Recipients

Advances in treatment for hepatitis C virus (HCV) have the potential to generate considerable spillover benefits to patients awaiting transplants, especially among those with non—HCV-mediated liver failure.


Matthew M. Clark, PhD

Latest:

Preferred Roles in Treatment Decision Making Among Patients With Cancer: A Pooled Analysis of Studies Using the Control Preferences Scale

This pooled analysis assesses preferred roles in treatment decision making, actual roles, and preferred versus actual discordance among 6 studies of patients with cancer.


Amol Navathe, MD, PhD

Latest:

Medicare’s Bundled Payment Model Did Not Change Skilled Nursing Facility Discharge Patterns

Hospital participation in Medicare’s Bundled Payments for Care Improvement model was not associated with changes in number of skilled nursing facility (SNF) partners or in SNF discharge concentration.



Joseph Couto, PharmD, MBA

Latest:

Using Aggregated Pharmacy Claims to Identify Primary Nonadherence

We used aggregated pharmacy claims data available within the electronic health record to identify a high rate of primary nonadherence in a nonintegrated primary care network.



Ryan W. Stidham, MD, MSc

Latest:

Adalimumab Persistence for Inflammatory Bowel Disease in Veteran and Insured Cohorts

Veterans with inflammatory bowel disease taking adalimumab appear to be more likely to remain on the drug 1 year after initiation than patients who are privately insured.



Zachary Pruitt, PhD

Latest:

Passive Social Health Surveillance and Inpatient Readmissions

By collecting self-identified social needs and linking them to claims data, this study analysis reveals that social needs are associated with inpatient readmissions.




Maura McGuire, MD

Latest:

Early Provider Perspectives Within an Accountable Care Organization

The authors’ survey of providers in a new accountable care organization reports that initial perceptions of this care model are ambivalent and vary among participating practices.



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