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  Subjects -> MEDICAL SCIENCES (Total: 7706 journals)
    - ALLERGOLOGY AND IMMUNOLOGY (196 journals)
    - ANAESTHESIOLOGY (111 journals)
    - CARDIOVASCULAR DISEASES (318 journals)
    - CHIROPRACTIC, HOMEOPATHY, OSTEOPATHY (21 journals)
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    - DERMATOLOGY AND VENEREOLOGY (155 journals)
    - EMERGENCY AND INTENSIVE CRITICAL CARE (115 journals)
    - ENDOCRINOLOGY (145 journals)
    - FORENSIC SCIENCES (38 journals)
    - GASTROENTEROLOGY AND HEPATOLOGY (171 journals)
    - GERONTOLOGY AND GERIATRICS (128 journals)
    - HEMATOLOGY (145 journals)
    - HYPNOSIS (4 journals)
    - INTERNAL MEDICINE (147 journals)
    - LABORATORY AND EXPERIMENTAL MEDICINE (94 journals)
    - MEDICAL GENETICS (58 journals)
    - MEDICAL SCIENCES (1960 journals)
    - NURSES AND NURSING (314 journals)
    - OBSTETRICS AND GYNECOLOGY (191 journals)
    - ONCOLOGY (357 journals)
    - OPHTHALMOLOGY AND OPTOMETRY (126 journals)
    - ORTHOPEDICS AND TRAUMATOLOGY (153 journals)
    - OTORHINOLARYNGOLOGY (81 journals)
    - PATHOLOGY (100 journals)
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    - RADIOLOGY AND NUCLEAR MEDICINE (186 journals)
    - RESPIRATORY DISEASES (96 journals)
    - RHEUMATOLOGY (66 journals)
    - SPORTS MEDICINE (74 journals)
    - SURGERY (369 journals)
    - UROLOGY, NEPHROLOGY AND ANDROLOGY (138 journals)

MEDICAL SCIENCES (1960 journals)                  1 2 3 4 5 6 7 8 | Last

Showing 1 - 200 of 3562 Journals sorted alphabetically
16 de Abril     Open Access  
3D Printing in Medicine     Open Access   (Followers: 1)
AADE in Practice     Hybrid Journal   (Followers: 5)
ABCS Health Sciences     Open Access   (Followers: 3)
Abia State University Medical Students' Association Journal     Full-text available via subscription  
ACIMED     Open Access   (Followers: 1)
ACS Medicinal Chemistry Letters     Hybrid Journal   (Followers: 41)
Acta Bio Medica     Full-text available via subscription   (Followers: 2)
Acta Bioethica     Open Access  
Acta Bioquimica Clinica Latinoamericana     Open Access   (Followers: 1)
Acta Facultatis Medicae Naissensis     Open Access  
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Medica (Hradec Králové)     Open Access  
Acta Medica Bulgarica     Open Access  
Acta Medica Colombiana     Open Access   (Followers: 1)
Acta Médica Costarricense     Open Access   (Followers: 2)
Acta Medica Indonesiana     Open Access  
Acta Medica International     Open Access  
Acta medica Lituanica     Open Access  
Acta Medica Marisiensis     Open Access  
Acta Medica Martiniana     Open Access  
Acta Medica Nagasakiensia     Open Access  
Acta Medica Peruana     Open Access   (Followers: 2)
Acta Médica Portuguesa     Open Access  
Acta Medica Saliniana     Open Access  
Acta Scientiarum. Health Sciences     Open Access   (Followers: 1)
Acupuncture & Electro-Therapeutics Research     Full-text available via subscription   (Followers: 4)
Acupuncture and Natural Medicine     Open Access  
Addiction Science & Clinical Practice     Open Access   (Followers: 6)
Addictive Behaviors Reports     Open Access   (Followers: 8)
Adıyaman Üniversitesi Sağlık Bilimleri Dergisi / Health Sciences Journal of Adıyaman University     Open Access  
Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi     Open Access  
Advanced Biomedical Research     Open Access  
Advanced Health Care Technologies     Open Access   (Followers: 4)
Advanced Science, Engineering and Medicine     Partially Free   (Followers: 7)
Advances in Bioscience and Clinical Medicine     Open Access   (Followers: 5)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 28)
Advances in Life Course Research     Hybrid Journal   (Followers: 8)
Advances in Lipobiology     Full-text available via subscription   (Followers: 1)
Advances in Medical Education and Practice     Open Access   (Followers: 26)
Advances in Medical Sciences     Hybrid Journal   (Followers: 6)
Advances in Medicinal Chemistry     Full-text available via subscription   (Followers: 5)
Advances in Medicine     Open Access   (Followers: 3)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 4)
Advances in Molecular Oncology     Open Access   (Followers: 2)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 7)
Advances in Parkinson's Disease     Open Access  
Advances in Phytomedicine     Full-text available via subscription  
Advances in Preventive Medicine     Open Access   (Followers: 6)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 20)
Advances in Regenerative Medicine     Open Access   (Followers: 2)
Advances in Skeletal Muscle Function Assessment     Open Access  
Advances in Therapy     Hybrid Journal   (Followers: 5)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 13)
Advances in Virus Research     Full-text available via subscription   (Followers: 5)
Advances in Wound Care     Hybrid Journal   (Followers: 10)
Aerospace Medicine and Human Performance     Full-text available via subscription   (Followers: 11)
African Health Sciences     Open Access   (Followers: 2)
African Journal of Biomedical Research     Open Access  
African Journal of Clinical and Experimental Microbiology     Open Access   (Followers: 1)
African Journal of Laboratory Medicine     Open Access   (Followers: 2)
African Journal of Medical and Health Sciences     Open Access   (Followers: 2)
African Journal of Trauma     Open Access   (Followers: 1)
Afrimedic Journal     Open Access   (Followers: 2)
Aggiornamenti CIO     Hybrid Journal   (Followers: 1)
AIDS Research and Human Retroviruses     Hybrid Journal   (Followers: 8)
AJOB Primary Research     Partially Free   (Followers: 3)
AJSP: Reviews & Reports     Hybrid Journal  
Aktuelle Ernährungsmedizin     Hybrid Journal   (Followers: 4)
Al-Azhar Assiut Medical Journal     Open Access  
Alexandria Journal of Medicine     Open Access   (Followers: 1)
Allgemeine Homöopathische Zeitung     Hybrid Journal   (Followers: 2)
Alpha Omegan     Full-text available via subscription  
ALTEX : Alternatives to Animal Experimentation     Open Access   (Followers: 3)
American Journal of Biomedical Engineering     Open Access   (Followers: 11)
American Journal of Biomedical Research     Open Access   (Followers: 2)
American Journal of Biomedicine     Full-text available via subscription   (Followers: 7)
American Journal of Chinese Medicine, The     Hybrid Journal   (Followers: 4)
American Journal of Clinical Medicine Research     Open Access   (Followers: 7)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Law & Medicine     Full-text available via subscription   (Followers: 11)
American Journal of Lifestyle Medicine     Hybrid Journal   (Followers: 5)
American Journal of Managed Care     Full-text available via subscription   (Followers: 11)
American Journal of Medical Case Reports     Open Access   (Followers: 1)
American Journal of Medical Sciences and Medicine     Open Access   (Followers: 4)
American Journal of Medicine     Hybrid Journal   (Followers: 45)
American Journal of Medicine and Medical Sciences     Open Access   (Followers: 1)
American Journal of Medicine Studies     Open Access   (Followers: 1)
American Journal of Medicine Supplements     Full-text available via subscription   (Followers: 3)
American Journal of the Medical Sciences     Hybrid Journal   (Followers: 12)
American Journal on Addictions     Hybrid Journal   (Followers: 8)
American medical news     Free   (Followers: 3)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 5)
Amyloid: The Journal of Protein Folding Disorders     Hybrid Journal   (Followers: 5)
Anales de la Facultad de Medicina     Open Access  
Anales de la Facultad de Medicina, Universidad de la República, Uruguay     Open Access  
Anales del Sistema Sanitario de Navarra     Open Access   (Followers: 1)
Analgesia & Resuscitation : Current Research     Hybrid Journal   (Followers: 5)
Anatolian Clinic the Journal of Medical Sciences     Open Access  
Anatomical Science International     Hybrid Journal   (Followers: 2)
Anatomical Sciences Education     Hybrid Journal   (Followers: 1)
Anatomy     Open Access  
Anatomy Research International     Open Access   (Followers: 2)
Angewandte Schmerztherapie und Palliativmedizin     Hybrid Journal  
Angiogenesis     Hybrid Journal   (Followers: 3)
Ankara Medical Journal     Open Access   (Followers: 2)
Ankara Üniversitesi Tıp Fakültesi Mecmuası     Open Access  
Annales de Pathologie     Full-text available via subscription  
Annales françaises d'Oto-rhino-laryngologie et de Pathologie Cervico-faciale     Full-text available via subscription   (Followers: 3)
Annals of African Medicine     Open Access   (Followers: 1)
Annals of Anatomy - Anatomischer Anzeiger     Hybrid Journal   (Followers: 2)
Annals of Bioanthropology     Open Access   (Followers: 4)
Annals of Biomedical Engineering     Hybrid Journal   (Followers: 18)
Annals of Biomedical Sciences     Full-text available via subscription   (Followers: 3)
Annals of Clinical Microbiology and Antimicrobials     Open Access   (Followers: 10)
Annals of Family Medicine     Open Access   (Followers: 12)
Annals of Ibadan Postgraduate Medicine     Open Access  
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Medicine     Hybrid Journal   (Followers: 12)
Annals of Medicine and Surgery     Open Access   (Followers: 7)
Annals of Microbiology     Hybrid Journal   (Followers: 11)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Saudi Medicine     Open Access  
Annals of the New York Academy of Sciences     Hybrid Journal   (Followers: 5)
Annals of The Royal College of Surgeons of England     Full-text available via subscription   (Followers: 3)
Annual Reports in Medicinal Chemistry     Full-text available via subscription   (Followers: 7)
Annual Reports on NMR Spectroscopy     Full-text available via subscription   (Followers: 4)
Annual Review of Medicine     Full-text available via subscription   (Followers: 16)
Anthropological Review     Open Access   (Followers: 23)
Anthropologie et santé     Open Access   (Followers: 5)
Antibiotics     Open Access   (Followers: 9)
Antibodies     Open Access   (Followers: 2)
Antibody Technology Journal     Open Access   (Followers: 1)
Anuradhapura Medical Journal     Open Access  
Anwer Khan Modern Medical College Journal     Open Access   (Followers: 2)
Apmis     Hybrid Journal   (Followers: 1)
Apparence(s)     Open Access   (Followers: 1)
Applied Clinical Research, Clinical Trials and Regulatory Affairs     Hybrid Journal  
Applied Medical Informatics     Open Access   (Followers: 10)
Arab Journal of Nephrology and Transplantation     Open Access   (Followers: 1)
Arak Medical University Journal     Open Access  
Archive of Clinical Medicine     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives Medical Review Journal / Arşiv Kaynak Tarama Dergisi     Open Access  
Archives of Medical and Biomedical Research     Open Access   (Followers: 3)
Archives of Medical Laboratory Sciences     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Medicine and Surgery     Open Access  
Archives of Trauma Research     Open Access   (Followers: 3)
Archivos de Medicina (Manizales)     Open Access  
ArgoSpine News & Journal     Hybrid Journal  
Arquivos Brasileiros de Oftalmologia     Open Access  
Arquivos de Ciências da Saúde     Open Access  
Arquivos de Medicina     Open Access  
Ars Medica : Revista de Ciencias Médicas     Open Access  
ARS Medica Tomitana     Open Access   (Followers: 1)
Art Therapy: Journal of the American Art Therapy Association     Full-text available via subscription   (Followers: 12)
Arterial Hypertension     Open Access   (Followers: 1)
Artificial Intelligence in Medicine     Hybrid Journal   (Followers: 13)
Artificial Organs     Hybrid Journal   (Followers: 1)
ASHA Leader     Open Access  
Asia Pacific Family Medicine     Open Access   (Followers: 1)
Asia Pacific Journal of Clinical Nutrition     Full-text available via subscription   (Followers: 10)
Asia Pacific Journal of Clinical Trials : Nervous System Diseases     Open Access  
Asian Bioethics Review     Full-text available via subscription   (Followers: 3)
Asian Biomedicine     Open Access   (Followers: 2)
Asian Journal of Cell Biology     Open Access   (Followers: 5)
Asian Journal of Health     Open Access   (Followers: 3)
Asian Journal of Medical and Biological Research     Open Access   (Followers: 3)
Asian Journal of Medical and Pharmaceutical Researches     Open Access   (Followers: 1)
Asian Journal of Medical Sciences     Open Access   (Followers: 2)
Asian Journal of Scientific Research     Open Access   (Followers: 3)
Asian Journal of Transfusion Science     Open Access   (Followers: 1)
Asian Medicine     Hybrid Journal   (Followers: 5)
Asian Pacific Journal of Cancer Prevention     Open Access  
ASPIRATOR : Journal of Vector-borne Disease Studies     Open Access  
Astrocyte     Open Access  
Atención Familiar     Open Access  
Atención Primaria     Open Access   (Followers: 1)
Atti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche     Open Access  
Audiology - Communication Research     Open Access   (Followers: 9)
Auris Nasus Larynx     Full-text available via subscription  
Australian Coeliac     Full-text available via subscription   (Followers: 1)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Journal of Medical Science     Full-text available via subscription   (Followers: 1)
Autopsy and Case Reports     Open Access  
Avicenna     Open Access   (Followers: 3)
Avicenna Journal of Clinical Medicine     Open Access  
Avicenna Journal of Medicine     Open Access   (Followers: 1)
Bangabandhu Sheikh Mujib Medical University Journal     Open Access   (Followers: 1)
Bangladesh Journal of Anatomy     Open Access   (Followers: 1)
Bangladesh Journal of Bioethics     Open Access  
Bangladesh Journal of Medical Biochemistry     Open Access   (Followers: 3)
Bangladesh Journal of Medical Education     Open Access   (Followers: 2)
Bangladesh Journal of Medical Microbiology     Open Access   (Followers: 3)
Bangladesh Journal of Medical Physics     Open Access  
Bangladesh Journal of Medical Science     Open Access  
Bangladesh Journal of Medicine     Open Access   (Followers: 1)
Bangladesh Journal of Physiology and Pharmacology     Open Access  
Bangladesh Journal of Scientific Research     Open Access   (Followers: 1)

        1 2 3 4 5 6 7 8 | Last

Journal Cover
American Journal of Managed Care
Journal Prestige (SJR): 1.045
Citation Impact (citeScore): 1
Number of Followers: 11  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 1088-0224 - ISSN (Online) 1936-2692
Published by Managed Care and Healthcare Comm Homepage  [1 journal]
  • Costs associated with long-acting insulin analogues in patients with
           diabetes.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Despite higher drug costs, the real-world overall medical costs of LAIAs are not significantly different from those of NPH in patients with diabetes. The findings may be helpful for formulary decision making for patients with diabetes in a cost-constrained environment. PMID: 30020738 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • A gray area for reimbursement: medical foods for non-inborn errors of
           metabolism.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Most reviewed non-IEM MFs lack evidence to support their safety and efficacy. These non-IEM MFs do not abide by FDA draft guidance, as they do not address a distinct nutritional requirement for a disease and yet often have a National Drug Code or "Rx only" label. Consequently, these products do not meet the statutory definition of an MF. We recommend that CAWCS and other payers not provide insurance coverage for non-IEM MFs until more scientific evidence supports their safety, efficacy, and use for nutritional need of a disease. PMID: 30020739 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • Disease-modifying antirheumatic drug initiation among patients newly
           diagnosed with rheumatoid arthritis.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Only slightly more than half of patients initiated RA therapy within 12 months of diagnosis in this commercially insured population. PMID: 30020740 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • Cost per response analysis of strategies for chronic immune
           thrombocytopenia.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: In adults with chronic ITP, romiplostim represents an efficient way to achieve response, with lower costs per response than eltrombopag; both romiplostim and eltrombopag had lower costs per response than watch and rescue. PMID: 30020741 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • 5-ASA to sulfasalazine drug switch program in patients with ulcerative
           colitis.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: A pharmacist-administered drug switch program in patients with UC was significantly more difficult than anticipated, with questionable achievement of cost savings. This experience suggests that future drug switches and studies should focus on patient preferences for drug switching, as this may have implications for switching from brand name to biosimilar drugs. PMID: 30020742 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • Direct oral anticoagulant prescription trends, switching patterns, and
           adherence in Texas Medicaid.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Texas Medicaid prescription data show a gradual increase in DOAC use with a rapid increase in prescription expenditures. Further exploration of the causes of higher switch rates among DOAC initiators compared with warfarin initiators and nonadherence to DOACs is needed to understand the challenges related to DOAC adoption in practice and to improve patient outcomes. PMID: 30020743 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • Two-year adherence and costs for biologic therapy for rheumatoid
           arthritis.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Adherence to the first bDMARD was suboptimal even in effectively treated patients, suggesting opportunities to improve adherence in patients with RA initiating biologics. PMID: 30020744 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • Cost of biologic treatment persistence or switching in rheumatoid
           arthritis.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Patients with RA who switched biologic therapy incurred higher 1-year total postswitch healthcare costs compared with patients who were persistent on the index biologic. Healthcare costs were lowest for patients who started on etanercept, particularly those who persisted on etanercept. PMID: 30020745 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • Impact of medical and/or pharmacy reimbursement on adult vaccination
           rates.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS:  Among members with commercial health insurance, HZV and PV rates were significantly higher among those whose insurance covered vaccinations under both medical and pharmacy benefits, compared with members whose insurance covered vaccines under the medical benefit only. Pharmacy-based vaccination coverage from commercial health insurance plans may help improve adult vaccination rates. PMID: 30020746 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • Modeling the impacts of restrictive formularies on patients with HIV.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS:  Less restrictive formulary designs, which allow patients with HIV to initiate potentially safer and more efficacious regimens based on their proclivity to AEs, yield better outcomes and reduce costs. PMID: 30020747 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • Treatment patterns among adults with ADHD receiving long-acting therapy.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS:  Among US adults with ADHD treated with LA medications, LA CT was associated with significantly lower adherence and persistence compared with LA monotherapy. PMID: 30020748 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • Insights on site-of-care cancer research: both quality and cost
           information are necessary to guide policy.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Patel K, Fendrick AM The implementation of alternative payment models that successfully capture clinical heterogeneity-without adding unacceptable levels of administrative complexity-may be equally (if not more) important than site-neutral payment policies. PMID: 30020749 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • Value-based health insurance design: how much does socioeconomic status
           matter'
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Sherman BW, Addy C Socioeconomic status (SES), an important determinant of individual health status, has not been widely incorporated into employer benefits strategies. Recent research has characterized significant differences in healthcare utilization patterns and cost among workers in different wage categories, raising the possibility that SES does influence individual healthcare utilization behaviors. In particular, SES may have appreciable impact on the effectiveness of benefits tactics, including value-based insurance design (VBID). This paper sets forth a hypothesis that low wage status negatively influences individual receptivity to VBID offerings, which may blunt the impact of current VBID initiatives. In contrast, high-wage earners may already be complian...
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • The development of diabetes complications in GP-centered healthcare.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: The results of the present study indicate that GP-centered healthcare is associated with a delay in the occurrence of serious diabetes complications and reduces the risk of diabetes complications. This may be because GP-centered care is associated with improved coordination of care. PMID: 30020751 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • Differences in spending on provider-administered chemotherapy by site of
           care in Medicare.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Chemotherapy drug spending per Medicare beneficiary was lower in HOPDs than in physician offices, driven by less frequent use of chemotherapy in HOPDs. As the site of provider-administered chemotherapy shifts from physician offices to HOPDs, continuing assessment of cancer care spending by site of care is necessary. PMID: 30020752 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • Examining differential performance of 3 medical home recognition programs.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Heterogeneous changes in beneficiary utilization, quality, and expenditures by recognition type may be explained by differences in recognition criteria, evaluation processes, and documentation requirements. PMID: 30020753 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • Prices for physician services in Medicare Advantage versus traditional
           Medicare.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: After analyzing claims for common physician services, we find that employer-sponsored MA plans pay prices that are similar to TM rates. This holds even as the generosity of MA plan payment changes. Similarity between MA and TM prices appears to be stable over time, despite recent policy changes. Our findings emphasize the important role that TM plays in the MA market and that TM payment changes could have a spillover effect on MA prices and spending. PMID: 30020754 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • Forgotten patients: ACO attribution omits those with low service use and
           the dying.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Attribution approaches that more fully capture unattributable patients with low service use and patients near the end of life should be considered to reward population health efforts and improve end-of-life care. PMID: 30020755 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • Postdischarge engagement decreased hospital readmissions in Medicaid
           populations.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Postdischarge engagement, against the backdrop of multifaceted MCO-implemented interventions, was associated with significantly reduced hospital readmissions in at-risk Medicaid subjects. Reduced likelihood of readmissions was observed at both the enterprise-wide and plan levels in a manner proportional to the frequency of engagement, a novel reported outcome for this population. PMID: 30020756 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • ACOs with risk-bearing experience are likely taking steps to reduce
           low-value medical services.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: In the first year of implementation, just one-third of ACOs had taken steps to reduce the use of low-value medical services. Safety-net ACOs and those with little experience as a risk-bearing organization need more time and support from healthcare payers and the Choosing Wisely campaign to prioritize the reduction of overuse. PMID: 30020757 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • Trends in primary care encounters across professional roles in PCMH.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: This study demonstrated the feasibility of capturing care delivered by a full complement of team members using routinely collected data. Findings suggest that the proportions of care delivered by non-PCP clinicians were sensitive to a change in care delivery model. As team-based care models expand, availability and use of metrics that account for care by all team members are critical for inferring clinician-related effects on outcomes. PMID: 30020758 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • Inpatient placement: associations with mortality, cost, and length of
           stay.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Patients admitted to the primary unit had a lower LOS with higher costs of care. There was a trend toward improved mortality, although it was not statistically significant. PMID: 30020759 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Jul 2018 00:00:00 +010
       
  • The complexities of biosimilars and the regulatory approval process.
    • Authors: The American Journal of Managed Care
      Abstract: In this report, various factors are addressed to improve the knowledge of biosimilars, including clinical, manufacturing, and cost considerations. PMID: 29957908 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • Opportunities and challenges in biosimilar uptake in oncology.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Dolan C There are now 10 approved biosimilars in the United States, including 3 oncology drugs, and at least 16 others in late-stage development. The introduction of competition into the biologic space launches a new era in the treatment of cancer, possibly increasing access to the extremely costly biologics. The most important and influential stakeholders for biosimilar acceptance and usage are healthcare providers, such as pharmacists and physicians, as well as patients. Gaining their support requires extensive education, postmarketing pharmacovigilance, resolving concerns about immunogenicity, and allowing interchangeability and substitution. Patients require education on the basic definition of biosimilars versus generic drugs, how biosimilars are tested and a...
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • From the editors: bringing the Joslin Clinical Guidelines to the diabetes
           care community.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Ganda OP, Gabbay RA PMID: 29938992 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • Joslin Diabetes Center Clinical Oversight Committee.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Ganda OP, Gabbay RA PMID: 29938993 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • CHAPTER 1. Clinical guideline for adults with diabetes.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Hafida S, Ganda OP, Gabbay RA, Members of the Joslin Clinical Oversight Committee PMID: 29938994 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • CHAPTER 2. Clinical nutrition guideline for overweight and obese adults
           with type 2 diabetes (T2D) or prediabetes, or those at high risk for
           developing T2D.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Hamdy O, Ganda OP, Maryniuk M, Gabbay RA, Members of the Joslin Clinical Oversight Committee PMID: 29938995 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • CHAPTER 3. Guideline for detection and management of diabetes in
           pregnancy.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Brown FM, Anderson-Haynes SE, Blair E, Serdy S, Halprin E, Feldman A, O'Brien KE, Ghiloni S, Suhl E, Rizzotto JA, Ganda OP, Gabbay RA, Members of the Joslin Clinical Oversight Committee PMID: 29938996 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • CHAPTER 4. Guideline for the care of the older adult with diabetes.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Munshi M, Blair E, Ganda OP, Gabbay RA, Members of the Joslin Clinical Oversight Committee PMID: 29938997 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • CHAPTER 5. Clinical guideline for pharmacological management of adults
           with type 2 diabetes.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Ganda OP, Segal A, Blair E, Beaser R, Gaglia J, Halprin E, Gabbay RA, Members of the Joslin Clinical Oversight Committee PMID: 29938998 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • Initial results of a lung cancer screening demonstration project: a local
           program evaluation.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Important considerations in LCS are accurate identification of eligible patients, balancing invitation approaches with resource constraints, and establishing standardized methods for tracking numerous small lung nodules and incidental findings detected by LDCT. PMID: 29939501 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • Prevalence and predictors of hypoglycemia in South Korea.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Patients with a history of hypoglycemia or receiving combined antidiabetic therapy must be appropriately managed to achieve optimal glycemic control without significant risk of hypoglycemia. PMID: 29939502 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • Physician practice variation under orthopedic bundled payment.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Considerable physician practice variation was observed under bundled payment at BHS and decreased to a greater degree for implant costs than institutional PAC provider utilization or total episode payments. Institutional PAC provider utilization and total episode payments were associated with physician volume and quality. Although some organizational strategies achieve gains by reducing physician practice variation, variation reduction is not an absolute requisite for success under bundled payment. PMID: 29939503 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • A longitudinal examination of the asthma medication ratio in children.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: AMR-based risk assignment is relatively stable over time. Three-month AMR calculation periods appear to provide the most accurate assessment of risk. Children with missing AMRs likely have inactive asthma and are at the lowest risk for emergent asthma visits. PMID: 29939504 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • Simply delivered meals: a tale of collaboration.
    • Authors: The American Journal of Managed Care
      Abstract: We report the results of the 2-year intervention in terms of 30-day hospital readmission rates and cost measures (ie, return on investment and cost savings).Of the 622 MMC patients who received SDM during the 24 months, the 30-day readmission rate was 10.3% (compared with the 16.6% 30-day rate of hospital readmission at baseline [ie, before the adoption of CCTP]) for all-cause readmissions. The cost savings for reduced readmissions were $212,160. The return on investment was 387%, or a benefit-cost ratio of $3.87 for every $1.00 spent on meals. Programs such as SDM may reduce the rate of hospital readmission among high-risk older adults and, thereby, yield lower healthcare costs. PMID: 29939505 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • Identifying children at risk of asthma exacerbations: beyond HEDIS.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Population health registries and quality measurement may benefit from using a claims-based definition of pediatric patients at risk of asthma exacerbations that is not as restrictive as the HEDIS persistent asthma criteria. PMID: 29939506 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • Placement of selected new FDA-approved drugs in Medicare Part D
           formularies, 2009-2013.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: We found significant heterogeneity in formulary placement and restrictions for 33 new drugs in the Part D marketplace between 2009 and 2013. Further research is necessary to determine whether this pattern applies to other drug classes. PMID: 29939507 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • Cost sharing for antiepileptic drugs: medication utilization and health
           plan costs.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Increases in beneficiaries' OOP costs led to higher overall spending and lower PDC. PMID: 29939508 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • Assessing markers from ambulatory laboratory tests for predicting
           high-risk patients.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: The addition of laboratory risk markers can significantly improve the identification of high-risk patients using models that include age, gender, and a limited number of morbidities; however, models that use comprehensive risk measures may be only marginally improved. PMID: 29939509 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • Satisfaction with care after reducing opioids for chronic pain.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Overall, reducing opioid use for chronic pain is not associated with lower patient satisfaction scores, but encounters with unassigned providers may be associated with slightly lower satisfaction when opioids are reduced. PMID: 29939510 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Fri, 01 Jun 2018 00:00:00 +010
       
  • Impact of emergency physician-provided patient education about alternative
           care venues.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: ED utilization subsequent to a low-acuity ED visit decreased after a brief post-ED education intervention by an EP explaining alternative venues of care for future medical needs. Response to the method of communication (phone vs mail) varied significantly by patient age. PMID: 29851439 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Tue, 01 May 2018 00:00:00 +010
       
  • Monitoring the hepatitis C care cascade using administrative claims data.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: With validated case-finding algorithms, insurance claims data can be used to describe and monitor portions of the HCV care cascade. Although nearly all enrollees with HCV were engaged in HCV care, only half received treatment, indicating that even commercially insured enrollees may find it challenging to access treatment. PMID: 29851440 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Tue, 01 May 2018 00:00:00 +010
       
  • Characteristics and medication use of veterans in Medicare Advantage
           plans.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Providers both inside and outside of the VA should consider that substantial information about the medication use of veterans may be unavailable in their healthcare systems' electronic records. PMID: 29851441 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Tue, 01 May 2018 00:00:00 +010
       
  • Impact of formulary restrictions on medication intensification in diabetes
           treatment.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Part D formulary restrictions on sole-source brand name NIADs had little impact on patterns of treatment intensification for T2D among LIS recipients enrolled in Medicare Part D plans in 2012. PMID: 29851442 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Tue, 01 May 2018 00:00:00 +010
       
  • Rural hospital transitional care program reduces Medicare spending.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: The estimated $5.4 million in savings from this intervention more than offset the costs of the $1.1 million funding for the award. Although other studies have found that care transitions programs can improve outcomes, this study was unique in the size of the impacts relative to the low-touch intervention and the location in a small rural healthcare system. PMID: 29851443 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Tue, 01 May 2018 00:00:00 +010
       
  • Increasing hepatitis C screening in a large integrated health system:
           science and policy in concert.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: HCV screening has been increasing in our healthcare system, more so since June 2013 and among the birth cohort. The availability of efficacious therapies and coverage policies coincident with the USPSTF recommendations may have facilitated access to screening and treatment in ways that were absent at the time of the 2012 CDC recommendations. Health systems must also be poised to make resources available to clinicians and patients in order to incentivize screening. Future research should inform a better understanding of incentives and barriers to screening and linkage to care from all stakeholder perspectives. PMID: 29851444 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Tue, 01 May 2018 00:00:00 +010
       
  • Changes in specialty care use and leakage in Medicare accountable care
           organizations.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Leakage of specialty care changed minimally in the MSSP, suggesting ineffective efforts to reduce leakage. MSSP participation was associated with decreases in new specialty visits among primary care-oriented ACOs. PMID: 29851445 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Tue, 01 May 2018 00:00:00 +010
       
  • Understanding factors associated with readmission disparities among Delta
           region, Delta state, and other hospitals.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Disparities in 30-day readmissions for the study conditions among Delta region, Delta state, and other hospitals were reduced under the Hospital Readmissions Reduction Program (HRRP). However, community factors that are not currently used for adjustment in HRRP were associated with readmission ratios. Revisions of HRRP should consider including community characteristics in risk adjustment models. PMID: 29851446 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Tue, 01 May 2018 00:00:00 +010
       
  • Nevada's Medicaid expansion and admissions for ambulatory care-sensitive
           conditions.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: This analysis provides evidence that Medicaid expansion may have limited potential to reduce the disparities in rates of hospital admissions for ACSCs. In Nevada, additional efforts might be needed to improve access to outpatient care and reduce preventable admissions. PMID: 29851447 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Tue, 01 May 2018 00:00:00 +010
       
  • Introduction of cost display reduces laboratory test utilization.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: The results support cost awareness and cost charge as means of reducing laboratory utilization. However, the outcome varies with the setting. PMID: 29851448 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Tue, 01 May 2018 00:00:00 +010
       
  • Introduction to the opioid epidemic: the economic burden on the healthcare
           system and impact on quality of life.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Hagemeier NE Opioid analgesics are commonly used to treat acute and chronic pain; in 2016 alone, more than 60 million patients had at least 1 prescription for opioid analgesics filled or refilled. Despite the ubiquitous use of these agents, the effectiveness of long-term use of opioids for chronic noncancer pain management is questionable, yet links among long-term use, addiction, and overdose deaths are well established. Because of overprescribing and misuse, an opioid epidemic has developed in the United States. The health and economic burdens of opioid abuse on individuals, their families, and society are substantial. Part 1 of this supplement will provide a background on the burden of pain and the impact of opioid abuse on individuals, their families, and soci...
      PubDate: Tue, 01 May 2018 00:00:00 +010
       
  • Current and emerging options to combat the opioid epidemic.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Kominek C Today's management of chronic pain presents a challenging clinical dilemma. Although clinicians wish to relieve a patient's suffering, they must do so without undertreating the pain or contributing to the drug abuse problem. Following a steady rise in opioid prescription rates from 2006 to 2012, increased national attention for the obioid abuse epidemic likely contributed to the decline in prescribing rates from 2012 to 2016. Although opioids have helped many patients, they are also associated with adverse events and a growing national crisis of misuse, abuse, and overdose. PMID: 29851450 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Tue, 01 May 2018 00:00:00 +010
       
  • The role of managed care professionals and pharmacists in combating opioid
           abuse.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Moberg K Substance misuse is a critical and costly public health problem in the United States. Data as of 2016 show 11,517 cases of opioid analgesic misuse, with the majority (6924 cases) related to hydrocodone misuse. Substance misuse impacts our society significantly with high costs related to healthcare, crime, and lost productivity. Opioid analgesic pain relievers are one of the most prescribed classes of medications and are among the most common drugs related to misuse. Increases in emergency department visits of over 200% have been associated with a dramatic surge in written prescriptions for opioid pain relievers. Mortality with opioid misuse has increased dramatically, with 2016 statistics demonstrating 42,249 deaths from any opioid; 15,469 heroin-related ...
      PubDate: Tue, 01 May 2018 00:00:00 +010
       
  • A retrospective real-world study of dapagliflozin versus other oral
           antidiabetic drugs added to metformin in patients with type 2 diabetes.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: In current US clinical practice, patients receiving D + M ± OAD had greater reductions in important clinical outcomes of T2D-A1C level, weight loss, and blood pressure-versus patients receiving M + OAD. This study supports the use of dapagliflozin as add-on therapy to metformin with or without other OADs for patients with T2D. PMID: 29693359 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Apr 2018 00:00:00 +010
       
  • Eligibility varies among the 4 sodium-glucose cotransporter-2 inhibitor
           cardiovascular outcomes trials: implications for the general type 2
           diabetes US population.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: There were considerable differences in the proportions of US adults with T2D who met the eligibility criteria for these studies.The DECLARE-TIMI 58 trial criteria were the most generalizable to the US T2D population. PMID: 29693360 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Apr 2018 00:00:00 +010
       
  • Generalizability of glucagon-like peptide-1 receptor agonist
           cardiovascular outcome trials enrollment criteria to the US type 2
           diabetes population.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Most adults with T2D in the United States would have qualified for enrollment into at least 1 of the GLP-1 RA CVOTs evaluated. EXSCEL had the most generalizable eligibility criteria of these trials and ELIXA the least. PMID: 29693361 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Apr 2018 00:00:00 +010
       
  • Comparison of low-dose liraglutide use versus other GLP-1 receptor
           agonists in patients without type 2 diabetes.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: In patients without a T2D diagnosis, LD-L use was significantly greater than that with other GLP-1 RAs within 6 months after approval of HD-L; differences persisted until the end of the study. Increased payer scrutiny of appropriate LD-L use is warranted. PMID: 29693362 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Apr 2018 00:00:00 +010
       
  • Edaravone in the treatment of amyotrophic lateral sclerosis: efficacy and
           access to therapy - a roundtable discussion.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Brooks BR, Jorgenson JA, Newhouse BJ, Shefner JM, Agnese W Amyotrophic lateral sclerosis (ALS) is a progressive and fatal neuromuscular disease affecting approximately 5 out of every 100,000 individuals living in the United States. ALS is associated with 50% mortality within 30 months of initial symptom onset. The rarity of the disease, along with the significant inter- and intra-patient variability in clinical course and a lack of reliable biomarkers, have rendered the development of effective agents to treat ALS a challenge. Because oxidative stress is considered a contributing factor to ALS onset and progression, drugs that eliminate free radicals may protect motor neurons from damage potentially caused by free-radical and oxidative stress. Edaravone is an anti...
      PubDate: Sun, 01 Apr 2018 00:00:00 +010
       
  • Delivering on the value proposition of precision medicine: the view from
           healthcare payers.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Kogan JN, Empey P, Kanter J, Keyser DJ, Shrank WH A long-held assumption and expectation has been that genomics-based precision medicine will provide clinicians with the tools and therapies they need to consistently deliver the right treatment to the right patient while simultaneously reducing waste and yielding cost savings for health systems. The pace of discovery within the field of precision medicine has been remarkable, yet optimal uptake of new genetic tests and genetically targeted therapies will occur only if payers recognize their value and opt to cover them. Coverage decisions require clear evidence of clinical effectiveness and utility and an understanding of how adoption will impact healthcare costs and utilization within a payer's network. Research in...
      PubDate: Sun, 01 Apr 2018 00:00:00 +010
       
  • Cost sharing and branded antidepressant initiation among patients treated
           with generics.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: In MDD, patients and clinicians who dutifully adhere to guidelines requiring a trial of first-line medication may ultimately require therapy with alternate agents to achieve adequate disease control. A "reward the good soldier" benefit design would lower cost sharing for higher-tier evidence-based therapies when clinically indicated. Results suggest that narrowing the gap in cost sharing between branded and generic medications following a trial of a generic agent might improve access to second-line treatment in MDD. PMID: 29668208 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Apr 2018 00:00:00 +010
       
  • The well-being of long-term cancer survivors.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Although patients with cancer experience diminished well-being in the short term across a variety of measures, in the long term, cancer survivors do as well as or better than US residents of similar age and demographic characteristics. This finding is striking given that one might expect long-term cancer survivors to do worse than similar individuals without a history of cancer. PMID: 29668209 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Apr 2018 00:00:00 +010
       
  • Care coordination for children with special needs in Medicaid: lessons
           from Medicare.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: States and Medicaid managed care organizations have many options for designing effective care coordination programs for CSHCN. Their choices should account for the diversity of conditions among CSHCN, families' capacity to coordinate care, and social determinants of health. PMID: 29668210 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Apr 2018 00:00:00 +010
       
  • A payer-provider partnership for integrated care of patients receiving
           dialysis.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Promising trends were observed among members participating in this payer-provider care partnership with respect to both clinical and economic outcomes. This suggests that collaborations with shared incentives may be a valuable approach for patients with ESRD. PMID: 29668211 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Apr 2018 00:00:00 +010
       
  • Progress of diabetes severity associated with severe hypoglycemia in
           Taiwan.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: This study demonstrated that rapid progression of diabetes complications was associated with higher risk of severe hypoglycemia. It is imperative that treating physicians identify patients with acute worsening of diabetes severity and provide proper hypoglycemia education and prevention care. PMID: 29668212 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Apr 2018 00:00:00 +010
       
  • Physician and patient tools to improve chronic kidney disease care.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: A combined program of EHR tools and patient engagement improved some areas of CKD care, but substantial gaps remain. PMID: 29668213 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Apr 2018 00:00:00 +010
       
  • Financial burden of healthcare utilization in consumer-directed health
           plans.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: CDHP enrollment led to a significant increase in financial burden associated with healthcare utilization, especially for those with lower incomes and those with chronic conditions. PMID: 29668214 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Sun, 01 Apr 2018 00:00:00 +010
       
  • Limited distribution networks stifle competition in the generic and
           biosimilar drug industries.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Karas L, Shermock KM, Proctor C, Socal M, Anderson GF A limited distribution network (LDN) restricts the distribution channel for a pharmaceutical drug to 1 or a very small number of distributors. This strategy may allow for more effective allocation of drugs in shortage and is purported to help ensure the safe distribution of high-risk drugs to small patient populations. However, in recent years, some drug companies, including Turing Pharmaceuticals, have used LDNs to prevent generic and biosimilar companies from accessing samples of drug products necessary to perform testing required by the FDA for generic and biosimilar drug applications. LDNs also hamper provider access to pharmaceuticals and facilitate price gouging. This paper synthesizes existing knowledge ...
      PubDate: Sun, 01 Apr 2018 00:00:00 +010
       
  • Provider and patient burdens of obtaining oral anticancer medications.
    • Authors: The American Journal of Managed Care
      Abstract: We examined barriers to initiation of OAMs in 116 patients with prostate or kidney cancer (149 unique prescriptions). We found that the median time from initial prescription to prior authorization was 3 days and the median time from initial prescription to patient receipt of drug was 12 days. Seventy-three percent of all prescriptions required 2 or more phone calls by clinic staff and 40% required 5 or more calls. Of 107 prescriptions with data available, 54% utilized financial assistance; these required significantly more phone calls (P = .0001) and led to a longer median time to drug obtainment (P = .003) compared with those that did not require financial assistance. In those prescriptions with both initial and final co-pay information available, the initial out-of-pocket mean and med...
      PubDate: Sun, 01 Apr 2018 00:00:00 +010
       
  • Rising out-of-pocket costs threaten an already vulnerable population: an
           introduction to the PAN Foundation and AJMC collaborative supplement.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Klein D This supplement showcases the winning papers from the PAN Challenge, which aimed to foster conversations about how to rein in out-of-pocket costs to eliminate barriers between patients and their critical medical treatments. PMID: 29620812 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • Ensuring access to prescription medications in the post-ACA healthcare
           access landscape: the essential role of FQHCs in the safety net for the
           underinsured.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Despite changes in the healthcare access landscape due to the ACA, underinsured populations remain prevalent and the need for financial assistance with medications persists. FQHCs are uniquely situated to provide access to these essential services. Further policy and funding efforts, such as expansion of 340B programs, could assist FQHCs in fulfilling the role of prescription safety-net providers. PMID: 29620813 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • Impact of trained oncology financial navigators on patient out-of-pocket
           spending.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Providing financial navigation training to staff at hospitals and cancer centers can significantly benefit patients through decreased OOP expenditures and also mitigate financial losses for healthcare institutions. PMID: 29620814 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • A descriptive study of patients receiving foundational financial
           assistance through local specialty pharmacies.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: The facilitation of treatment by GDF and Walgreens LSPs may be the key to many patients receiving their treatment and maintaining medication persistence. GDF co-pay assistance helped cover most out-of-pocket costs associated with medications and aided with travel expenses for patients, especially in the area of oncology. For many patients, this meant reducing the significant financial barriers to accessing care and facilitating the necessary treatment for their chronic or life-altering disease. Without this assistance, many patients would simply not have been able to meet the expected medication persistence and thus would have received suboptimal treatment. PMID: 29620815 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • Introduction to basal insulin therapy: clinical management of diabetes.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Gonzalvo JD Diabetes is a series of metabolic conditions associated with many serious comorbidities, such as heart disease and stroke, peripheral arterial disease and lower-extremity amputations, retinopathy, nephropathy, and peripheral neuropathy. The American Diabetes Association, the American Association of Clinical Endocrinologists, and the International Diabetes Federation recommend that individuals with diabetes be as near to normoglycemic as possible. There are many glycemic management barriers among patients, such as cost, patient perceptions, and clinical inertia. Advancements in the treatment of diabetes with novel pharmacotherapeutic products have changed the therapeutic landscape of diabetes. Newer longer-acting insulin products that closely resemble e...
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • Evaluating the managed care implications of longer-acting basal insulin
           analog therapies.
    • Authors: The American Journal of Managed Care
      Abstract: This article spotlights the outcomes of the phase 3 clinical trials for these newer formulations, as well as more recent meta-analyses and real-world studies. It also highlights the implications for managed care plans as they move to add these insulins to their formularies. PMID: 29620817 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • Incorporating value into physician payment and patient cost sharing.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Song Z, Navathe AS, Emanuel EJ, Volpp KG The United States is simultaneously moving toward value-based payments for populations and precision medicine for individuals. During this evolution, innovations in payment and delivery that enhance tailoring of treatments to individuals while improving the value of care are needed. We propose one such innovation that would allow physician payment and patient cost sharing to better reflect the value of care by allowing the appropriateness of a service for a given patient in a given clinical situation to play a more meaningful role in the design of such incentives. We introduce the idea of a payment modifier, based on indication and appropriateness, and discuss its advantages and challenges to implementation. PMID: 29553...
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • False-positive mammography and its association with health service use.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Providers should discuss the implications of mammography findings at the time of screening to help mitigate potential detrimental effects and promote appropriate engagement in health services. PMID: 29553275 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • Development and implementation of an academic cancer therapy stewardship
           program.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Our cancer therapy stewardship program yielded many useful insights into how our physicians face challenging clinical situations. It also helped to improve overall clinical quality and patient care by emphasizing the importance of value-based care and evidence-based medicine. Expanding this program will likely lead to many interesting experiments aimed at improving medical education and research, patient safety outcomes, and clinical quality. PMID: 29553276 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • Overuse and insurance plan type in a privately insured population.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Neither HDHPs nor HMO plans, with their closed networks and referral requirements, consistently reduced overuse, although HMO plans were never associated with higher rates of overuse. As policy makers seek levers for reducing low-value healthcare utilization, health insurance plan features may prove a valuable target, although the effect may be complicated by other factors. PMID: 29553277 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • Patients discharged from the emergency department after referral for
           hospitalist admission.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: A majority of patients discharged from the ED after referral for hospitalist admission did not return to the ED within 30 days, and the 30-day hospitalization rate was low. Our data suggest that hospitalists can safely aid patients by reducing the costs and adverse outcomes associated with unnecessary hospitalization. PMID: 29553278 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • Trends in opioid and nonsteroidal anti-inflammatory use and adverse
           events.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Opioid use declined following implementation of the OSI, whereas NSAID use remained constant. Rates of AEs were higher among opioid users, which provides additional rationale for efforts to use NSAIDs for pain management when appropriate. PMID: 29553279 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • Ambulatory care-sensitive emergency visits among patients with medical
           home access.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Patients with ACSCs often presented to the ED without contacting their medical home. Frequently, the ED is the most appropriate location given symptoms at presentation. PMID: 29553280 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • Assessing medical home mechanisms: certification, asthma education, and
           outcomes.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: HCHs were associated with better asthma care and outcomes. Asthma education with AAPs also was associated with better outcomes despite being a minority of HCHs' total effect. These findings suggest that HCHs improve outcomes partially via increased care management activity, but also via other mechanisms (eg, electronic health records, registries). PMID: 29553281 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • Patient-reported denials, appeals, and complaints: associations with
           overall plan ratings.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Lower ratings from patients reporting complaints and denied care may notably affect the overall 0-10 CAHPS ratings of Medicare Advantage plans. Our results suggest that beneficiaries may attribute the actions that lead to complaints or denials to plans more than to the care they received. Successful complaint resolution and utilization management review might eliminate most deficits associated with complaints and denied care, consistent with the service recovery paradox. High rates of complaints and denied care might identify areas that need improved utilization management review, customer service, and quality improvement. Among those reporting being denied care, filing an appeal was not associated with lower patient ratings of plan or care. PMID: 29553282 [PubMed - in pro...
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • Improving quality of care in oncology through healthcare payment reform.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: The effective pairing of quality initiatives with healthcare reimbursement structures will likely be key to the long-term success of such APMs. PMID: 29553283 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • Considerations for the cost-effective management of hepatic
           encephalopathy.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Flamm SL Hepatic encephalopathy (HE) is a neuropsychiatric complication commonly associated with liver disease, namely cirrhosis. The inability of the liver to metabolize ammonia results in a buildup of ammonia, which can cross the blood-brain barrier and cause significant neurocognitive impairment. Up to 80% of patients with cirrhosis will experience HE and a large proportion of these patients are at high risk of recurrent HE. There are several factors to consider when developing a cost-effective approach to managing HE, such as patient compliance, the adverse event (AE) profile of drug therapy, efficacy of drug therapy, and relative cost-benefits of drug therapy. Pharmacologic agents used for HE treatment and prevention are commonly associated with gastrointesti...
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • Influenza in older patients: a call to action and recent updates for
           vaccinations.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Wilhelm M Influenza affects millions of people in the United States each year. Older patients are particularly at risk for infection, hospitalization, and death due to influenza-related complications, such as pneumonia. One of the best ways to avoid becoming ill is to have the annual influenza vaccination. Unfortunately, immunization rates are poor in the older adult population, at about 65% each year. Vaccine effectiveness in this population is reduced because of lower seroconversion rates that arise from poorer immunologic response to vaccination. Several new influenza vaccines that have been introduced to the market in recent years attempt to boost immune response, including high-dose formulations and adjuvanted and recombinant vaccines. Managed care pharmacist...
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • Managed care considerations and economic implications of vaccination
           practices.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Nowalk MP Influenza is an acute viral respiratory disease caused by the influenza A and B viruses. The epidemiologic characteristics of influenza are in constant flux as the viruses mutate frequently, and the subsequent spread of illness depends on the affected population's susceptibility to the new antigens. These viral mutations necessitate frequent updates to the annual seasonal influenza vaccine. Those most at risk for serious complications of influenza are young children and elderly persons. Although influenza vaccination rates are highest among adults 65 years or older, vaccine effectiveness in this age group is often less than among younger persons. Thus, vigilance in efforts to increase vaccine uptake is warranted through a concerted effort across the enti...
      PubDate: Thu, 01 Mar 2018 00:00:00 +010
       
  • Leveraging benefit design for better diabetes self-management and A1C
           control.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: We found a statistically significant correlation between cost sharing for testing strips and better A1C control for patients using insulin medication. Lower cost sharing for testing strips can remove a barrier to diabetes self-management and may lead to improved glycemic control at the population level. Future efforts should study the potential benefits of reducing diabetic complications and associated cost savings. PMID: 29461848 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Feb 2018 00:00:00 +010
       
  • Claims-based risk model for first severe COPD exacerbation.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: This claims-based risk model can predict the likelihood of first severe COPD exacerbation. The CTR could also potentially be used to target populations at greatest risk for severe exacerbations. This could be relevant for providers and payers in approaches to prevent severe exacerbations and reduce costs. PMID: 29461849 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Feb 2018 00:00:00 +010
       
  • Development of a tailored survey to evaluate a patient-centered
           initiative.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: We developed reliable instruments to evaluate the essential elements of a patient-centered care initiative at an academic medical center, which minimized patient burden and maximized the response rate. PMID: 29461850 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Feb 2018 00:00:00 +010
       
  • Impact of telephonic comprehensive medication reviews on patient outcomes.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Although study results have shown telephonic CMRs to be an effective way to enhance patient care and reduce healthcare expenditures, the components of telephonic MTM programs that make them most effective and the population on which they have the greatest impact are unknown. Moving forward, further evaluation of these programs is necessary to determine which specific factors, such as access to patient electronic health records, patient follow-up frequency, and the use of collaborative practice agreements, are most vital to improving patient outcomes. PMID: 29461851 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Feb 2018 00:00:00 +010
       
  • Variation in markups on outpatient oncology services in the United States.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: High markups exist for oncology services, and further legislation is needed to protect patients from highly variable pricing and to address disparities in access to high-quality cancer care. PMID: 29461852 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Feb 2018 00:00:00 +010
       
  • Community navigators reduce hospital utilization in super-utilizers.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Community navigators can reduce subsequent hospital utilization in super-utilizers. Expansions of this model should examine the model's effectiveness in other populations and outcomes. PMID: 29461853 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Feb 2018 00:00:00 +010
       
  • Data breach locations, types, and associated characteristics among US
           hospitals.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Hospitals should conduct routine audits to allow them to see their vulnerabilities before a breach occurs. Additionally, information security systems should be implemented concurrently with health information technologies. Improving access control and prioritizing patient privacy will be important steps in minimizing future breaches. PMID: 29461854 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Feb 2018 00:00:00 +010
       
  • ACA Marketplace premiums and competition among hospitals and physician
           practices.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Premiums for FFM plans were higher in markets with greater concentrations of hospitals and physicians but fewer insurers. Higher premiums make health insurance less affordable for people purchasing unsubsidized coverage and raise the cost of Marketplace premium tax credits to the government. PMID: 29461855 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Feb 2018 00:00:00 +010
       
  • Cost-effectiveness of collaborative care for depression and PTSD in
           military personnel.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Despite its higher costs, CACT appears to be a cost-effective strategy relative to OUC for managing PTSD and depression in the MHS. PMID: 29461856 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Feb 2018 00:00:00 +010
       
  • Pricing of monoclonal antibody therapies: higher if used for cancer'
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: The annual price of mAb therapies is about $100,000 higher in oncology and hematology than in other disease states. PMID: 29461857 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Thu, 01 Feb 2018 00:00:00 +010
       
  • Evidence-based management of irritable bowel syndrome with diarrhea.
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Pimentel M Irritable bowel syndrome (IBS), a complex disorder of the gastrointestinal tract, is characterized by abdominal pain associated with defecation or changes in stool form or frequency. IBS is associated with substantial burden, including direct medical costs and indirect costs. Direct costs associated with IBS in the United States have been estimated to exceed $1 billion. However, indirect costs, such as negative effect on quality of life (QOL) and work productivity, are difficult to quantify. There are 3 main subtypes: IBS with prominent diarrhea (IBS-D), IBS with constipation, and IBS with mixed symptoms of both constipation and diarrhea. A number of pharmacologic agents have been used to treat IBS-D despite lack of approval by the FDA for this indicati...
      PubDate: Mon, 01 Jan 2018 00:00:00 +010
       
  • Bridging the digital divide: mobile access to personal health records
           among patients with diabetes.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Mobile-ready PHRs may increase access among patients facing a digital divide in computer use, disproportionately reaching racial/ethnic minorities and lower SES patients. Nonetheless, even with a mobile-optimized and app-accessible PHR, differences in PHR use by race/ethnicity and SES remain. Continued efforts are needed to increase equitable access to PHRs among patients with chronic conditions. PMID: 29350505 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Mon, 01 Jan 2018 00:00:00 +010
       
  • Electronic health record "super-users" and "under-users" in ambulatory
           care practices.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: To achieve the broader benefits of the EHR and health IT, health systems and policy makers need to identify and address barriers to full use of health IT functionalities. PMID: 29350506 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Mon, 01 Jan 2018 00:00:00 +010
       
  • Hospital participation in Meaningful Use and racial disparities in
           readmissions.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Hospital participation in MU reduced disparities in 30-day readmissions for African American Medicare beneficiaries. PMID: 29350507 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Mon, 01 Jan 2018 00:00:00 +010
       
  • The health information technology special issue: has IT become a mandatory
           part of health and healthcare'
    • Authors: The American Journal of Managed Care
      Abstract:
      Authors : Reider J The 7th annual Health Information Technology (IT) issue provides a window into how health IT tools are working well, how they may not be working as intended, and what we can do to continue making progress toward optimal use of technology to accomplish our shared goals: better health, better care experience, and lower per capita cost. PMID: 29350508 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Mon, 01 Jan 2018 00:00:00 +010
       
  • Measuring overuse with electronic health records data.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: The use of EHR data, both extracted and manually abstracted, provides an opportunity to more accurately and reliably identify overuse of low-value healthcare services. PMID: 29350509 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Mon, 01 Jan 2018 00:00:00 +010
       
  • Electronic sharing of diagnostic information and patient outcomes.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Hospital sharing of EHR data with providers within their system is associated with better patient mortality, whereas sharing data with providers outside their system is associated with worsened patient mortality. Improving communication between hospitals using different EHR systems may be more crucial than simply expanding data sharing. PMID: 29350510 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Mon, 01 Jan 2018 00:00:00 +010
       
  • A cost-effectiveness analysis of cardiology eConsults for Medicaid
           patients.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: These findings suggest that eConsults are associated with total cost savings to payers due principally to reductions in the cost of cardiac outpatient procedures. PMID: 29350511 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Mon, 01 Jan 2018 00:00:00 +010
       
  • Electronic health record problem lists: accurate enough for risk
           adjustment'
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Inaccuracies in EHR problem list-based comorbidity data can lead to incorrect determinations of case mix. Such data should be validated prior to application to risk adjustment. PMID: 29350512 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Mon, 01 Jan 2018 00:00:00 +010
       
  • Racial/ethnic variation in devices used to access patient portals.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Although racial/ethnic minority enrollees were less likely to access the online patient portal overall, a greater proportion of black and Hispanic users accessed the patient portal with mobile devices than did non-Hispanic white users. The rapid spread of mobile devices among racial/ethnic minorities may help reduce variation in online patient portal use. Mobile device use may represent an opportunity for healthcare organizations to further engage black and Hispanic enrollees in online patient portal use. PMID: 29350513 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Mon, 01 Jan 2018 00:00:00 +010
       
  • Hospitalized patients' and family members' preferences for real-time,
           transparent access to their hospital records.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: These study findings provide empiric evidence to hospital decision-makers regarding patient and family preferences for 21st-century hospital-based communication systems. PMID: 29350514 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Mon, 01 Jan 2018 00:00:00 +010
       
  • Improving risk stratification among veterans diagnosed with prostate
           cancer: impact of the 17-gene prostate score assay.
    • Authors: The American Journal of Managed Care
      Abstract: CONCLUSIONS: Men who receive GPS testing are more likely to utilize AS within the year post diagnosis, regardless of age, race, and NCCN risk group. Median GPS was similar across racial groups and AO exposure groups, suggesting similar biology across these groups. The GPS assay may be a useful tool to refine risk assessment of PCa and increase rates of AS among clinically and biologically low-risk patients, which is in line with guideline-based care. PMID: 29337486 [PubMed - in process] (Source: The American Journal of Managed Care)
      PubDate: Mon, 01 Jan 2018 00:00:00 +010
       
 
 
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