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Review of Veterans Health Administration Telemedicine InterventionsA review of exemplary VHA-sponsored telemedicine interventions indicates that telemedicine can efficiently address patient healthcare needs.
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Risk Adjusting Community-acquired Pneumonia Hospital Outcomes Using Automated DatabasesUsing laboratory and administrative data, large managed care organizations can assign severity of illness scores to patients with pneumonia for risk adjustment and reporting.
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Well-Child Care Visits and Risk of Ambulatory Care-Sensitive HospitalizationsTimely well-child care visits may play a role in decreasing unnecessary hospitalizations in children in integrated healthcare delivery systems.
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Medicare Underpayment for Diabetes Prevention Program: Implications for DPP SuppliersThe actual costs of implementing the evidence-based Diabetes Prevention Program (DPP) were compared with the latest reimbursement rates provided by CMS.
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Prior Authorization to Improve Testing of Glycosylated Hemoglobin in a Managed Care SettingPrior authorization was successfully implemented in a managed care setting to obtain 100.0% performance of A1C testing in patients with diabetes treated with expensive drugs.
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CHAPTER 5. Clinical Guideline for Pharmacological Management of Adults With Type 2 DiabetesFrom the Adult Diabetes and Clinical Research Sections, Joslin Diabetes Center, Harvard Medical School. Approved May 10, 2016; updated April 24, 2018. For the Figure and Tables, download the PDF at the end of the chapter.
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Patients' Preferences for Receiving Laboratory Test ResultsThe main reason given for receiving results online was time savings, reported by 77% of participants, followed by lowering the chance of missing the results (31%).
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Fragmented Ambulatory Care and Subsequent Emergency Department Visits and Hospital Admissions Among Medicaid BeneficiariesAmong Medicaid beneficiaries, having more fragmented ambulatory care was associated with a modest independent increase in the hazard of a subsequent emergency department visit.
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Shifting Cardiovascular Care to Nurses Results in Structured Chronic CareThis study sought to explore if shifting care to nurses in cardiovascular risk management in primary care is a key to more structured chronic care.
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The Potential Impact of CAR T-Cell Treatment Delays on SocietyTreatment delays limit the social value generated by chimeric antigen receptor (CAR) T-cell therapy for the treatment of pediatric acute lymphoblastic leukemia and diffuse large B-cell lymphoma.
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Low-Cost Insulin for Socially At-Risk Patients: Evidence for EffectivenessHuman synthetic insulin may offer low-cost, effective treatment for certain patients with diabetes and financial constraints.
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Cost Burden of Hepatitis C Virus Treatment in Commercially Insured PatientsRates of hepatitis C virus (HCV) treatment in a commercially insured population doubled after availability of new direct-acting antivirals. Member out-of-pocket spending was kept low while the health plan bore 99% of spending on HCV medications.
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Call Center Performance Affects Patient Perceptions of Access and SatisfactionGreater telephone wait times, but not abandonment rates, were associated with lower patient perceptions of their ability to obtain urgent care in a timely manner.
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Bowling Alone, Healing Together: The Role of Social Capital in Delivery ReformAs delivery reform unfolds and leads to new models of care delivery, social capital will be a powerful concept to incorporate into their design and evaluation.
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Diabetes Care Improvement in Pharmacist- Versus Nurse-Supported Patient-Centered Medical HomesIn this longitudinal comparative effectiveness study of different chronic disease self-management support approaches within 1 system, both pharmacist- and nurse-led patient-centered medical home approaches improved diabetes care.
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Association Between Length of Stay and Readmission for COPDAmong patients admitted for chronic obstructive pulmonary disease (COPD) at Veterans Affairs hospitals, hospital-level length of stay was not associated with 30-day readmission.
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Medicare Savings From Conservative Management of Low Back PainThis instrumental variables analysis estimates that Medicare would realize $362 million in annual savings if all patients with newly diagnosed low back pain were managed conservatively.
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Therapies for Treatment of Osteoporosis in US Women: Cost-effectiveness and Budget Impact ConsiderationsOsteoporosis treatment for high-risk women is cost-effective, with bisphosphonates providing the most benefit at the lowest cost.
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Addressing Cancer Health Disparities in a Multilateral Collaboration in an Independent Community Cancer Clinic: Translating Words Into ActionNo One Left Behind, a program to provide financial assistance and access to cancer care at Carolina Blood and Cancer Care Associates in South Carolina, will be discussed during a session of the Community Oncology Alliance 2022 Community Oncology Conference.
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Employers Should Disband Employee Weight Control ProgramsNo corporate weight control program has ever reported savings or even sustained weight loss using valid metrics across a sizable population for 2 years or more, accounting for dropouts and nonparticipants. Further, these programs can harm morale and even the health of the employees themselves.
