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Prescriber compliance with black box warnings in older adult patients.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Administrative claims analysis identified low rates of prescriber compliance with BBWs in managing patients age >or=65 years. Claims analysis may be a cost-effective strategy to monitor prescriber compliance with BBWs in older patients at higher risk. PMID: 19895180 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - November 1, 2009 Category: Health Management Authors: Ricci JR, Coulen C, Berger JE, Moore MC, McQueen A, Jan SA Tags: Am J Manag Care Source Type: journals

Cancer care disparities: research regarding timeliness and potential coordination.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19895181 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - November 1, 2009 Category: Health Management Authors: Haggstrom DA, Carney TJ Tags: Am J Manag Care Source Type: journals

Delayed radiotherapy for breast cancer patients in integrated delivery systems.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Timely RT should be facilitated through physician and patient education, navigation, and notification programs to improve quality of care. Queues for RT appointments should be evaluated on an ongoing basis to ensure adequate access. Future research should examine modifiable barriers to RT timeliness and whether delays impact long-term outcomes. PMID: 19895182 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - November 1, 2009 Category: Health Management Authors: Gold HT, Thwin SS, Buist DS, Field TS, Wei F, Yood MU, Lash TL, Quinn VP, Geiger AM, Silliman RA Tags: Am J Manag Care Source Type: journals

Correlates of prostate-specific antigen testing in a large multiethnic cohort.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: In this insured population for whom financial barriers are minimized, PSA screening varied by race/ethnicity and by other patient and clinical factors, possibly reflecting inconsistencies in prostate cancer screening guidelines. Despite these differences, healthcare providers have a key role in patients' likelihood of undergoing PSA screening. PMID: 19895183 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - November 1, 2009 Category: Health Management Authors: Haque R, Van Den Eeden SK, Jacobsen SJ, Caan B, Avila CC, Slezak J, Sternfeld B, Loo RK, Quinn VP Tags: Am J Manag Care Source Type: journals

The personal financial burden of cancer for the working-aged population.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Changes to the health system need to consider not only how to reduce inappropriate medical utilization but also how to ensure that those diagnosed as having cancer and other serious medical conditions will not be doubly burdened with poor health and high medical expenditures. PMID: 19895184 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - November 1, 2009 Category: Health Management Authors: Finkelstein EA, Tangka FK, Trogdon JG, Sabatino SA, Richardson LC Tags: Am J Manag Care Source Type: journals

Randomized trial of an electronic asthma monitoring system among New York City children.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Electronic devices are being developed to make chronic disease management easier for patients and their families, but they should not be adopted without careful study, including randomized trials, to ascertain their use, costs, and benefits. PMID: 19895185 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - November 1, 2009 Category: Health Management Authors: Jacobson JS, Lieblein A, Fierman AH, Fishkin ER, Hutchinson VE, Rodriguez L, Serebrisky D, Chau M, Saperstein A Tags: Am J Manag Care Source Type: journals

Effectiveness of care coordination and health counseling in advancing illness.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: AICCP improved communication and care delivery, advance planning, and do-not-resuscitate or do-not-intubate orders in a population at risk to use them. AICCP had fewer admissions. Coordination and health counseling seem matched for those coping with advancing illness. PMID: 19895186 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - November 1, 2009 Category: Health Management Authors: Engelhardt JB, Rizzo VM, Della Penna RD, Feigenbaum PA, Kirkland KA, Nicholson JS, O'Keeffe-Rosetti MC, Venohr IM, Reger PG, Tobin DR Tags: Am J Manag Care Source Type: journals

A payer's perspective on the cost effectiveness of gastric bypass surgery.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19895187 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - November 1, 2009 Category: Health Management Authors: Gandjour A Tags: Am J Manag Care Source Type: journals

Cost-sharing and adherence to antihypertensives for low and high adherers.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Cost-sharing had a substantial negative association with adherence among low adherers and little association at higher adherence levels. At a clinical level, physicians should closely monitor adherence to antihypertensive drugs, particularly for patients with multiple comorbidities and those taking multiple drugs. At a health system level, current benefit designs should encourage adherence while limiting the cost burden of drugs for patients with multiple chronic conditions taking multiple drugs. PMID: 19895188 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - November 1, 2009 Category: Health Management Authors: Yoon J, Ettner SL Tags: Am J Manag Care Source Type: journals

Efficiency and its measurement: what practitioners need to know.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: The broad meaning and the value of healthcare efficiency seem uncontroversial, yet any particular application may be confronted with conflicting perspectives and with practical challenges. PMID: 19895189 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - November 1, 2009 Category: Health Management Authors: Romley JA, Hussey PS, de Vries H, Wang MC, Shekelle PG, McGlynn EA Tags: Am J Manag Care Source Type: journals

Bending the curve: effective steps to address long-term healthcare spending growth.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19845419 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - September 30, 2009 Category: Health Management Authors: Antos J, Bertko J, Chernew M, Cutler D, Goldman D, McClellan M, McGlynn E, Pauly M, Schaeffer L, Shortell S Tags: Am J Manag Care Source Type: journals

Impact of compliance with proton pump inhibitors on NSAID treatment.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: In GERD patients receiving NSAIDs, those who were compliant with PPI therapy had a longer NSAID treatment duration and better GI tolerability than those who were noncompliant. PMID: 19845420 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - September 30, 2009 Category: Health Management Authors: Duh MS, Gosselin A, Luo R, Lohoues H, Lewis BE, Crawley JA Tags: Am J Manag Care Source Type: journals

Statin adherence and mortality in patients enrolled in a secondary prevention program.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Although our adherence rates were higher than those previously reported in the literature, statin nonadherence still is associated with higher mortality, demonstrating the need to continue to improve statin adherence in this population. PMID: 19845421 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - September 30, 2009 Category: Health Management Authors: McGinnis BD, Olson KL, Delate TM, Stolcpart RS Tags: Am J Manag Care Source Type: journals

VA pharmacy users: how they differ from other veterans.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Veterans who use VA pharmacy services appear to be more ill than those who do not use VA pharmacy services. In addition, the VA appears to be a safety net for uninsured veterans who have mental health problems. PMID: 19845422 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - September 30, 2009 Category: Health Management Authors: Aspinall SL, Banthin JS, Good CB, Miller GE, Cunningham FE Tags: Am J Manag Care Source Type: journals

Do patients continue to see physicians who are removed from a PPO network?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Substantial copayment differentials may be an effective means of encouraging patients to change physicians. Where they are based on reliable information about provider quality and cost, tiered networks may improve value. PMID: 19845423 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - September 30, 2009 Category: Health Management Authors: Rosenthal MB, Li Z, Milstein A Tags: Am J Manag Care Source Type: journals

Dental care coverage transitions.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Dental insurance is an important factor in the decision to seek dental care. Yet, no dental coverage is provided by Medicare, which provides medical insurance for almost all Americans 65 years and older. This loss of coverage could lead to distortions in the timing of when to seek care, ultimately leading to worse oral and overall health. PMID: 19845424 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - September 30, 2009 Category: Health Management Authors: Manski RJ, Moeller JF, Chen H, St Clair PA, Schimmel J, Magder LS, Pepper JV Tags: Am J Manag Care Source Type: journals

The effect of certificate-of-need laws on hospital beds and healthcare expenditures: an empirical analysis.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Certificate-of-need programs have limited the growth in the supply of hospital beds, and this has led to a slight reduction in the growth of healthcare expenditures. PMID: 19845425 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - September 30, 2009 Category: Health Management Authors: Hellinger FJ Tags: Am J Manag Care Source Type: journals

Healthcare reform with a safety net: lessons from San Francisco.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Public hospital safety net systems face constant financial constraints, hindering their ability to provide adequate healthcare services. Many healthcare reform proposals would further weaken these systems by redirecting current safety net resources toward private insurance. Despite or perhaps because of this challenging environment, many successes in improving care for poor and vulnerable populations have been pioneered in safety net systems. San Francisco, California, is implementing several innovative programs to strengthen the financial viability of its healthcare safety net while also attempting to improve the acce...
Source: The American Journal of Managed Care - September 30, 2009 Category: Health Management Authors: Bindman AB, Chen A, Fraser JS, Yee HF, Ofman D Tags: Am J Manag Care Source Type: journals

Delivering vaccines: a case study of the distribution system of Vaccines for Children.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Although the VMBIP was implemented to save costs, this study finds that during the VMBIP's initial implementation timeline, providers experienced longer delivery delays and a higher probability of a VFC stockout. PMID: 19845427 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - September 30, 2009 Category: Health Management Authors: Shafrin JT, Fontanesi JM Tags: Am J Manag Care Source Type: journals

Office manager and nurse perspectives on facilitators of adult immunization.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: In addition to race and age, visit length and the nurses' vaccination status were associated with adult vaccination rates. Quality improvement initiatives for adult vaccination might include strengthening social influence of providers and/or ensuring that adequate time is scheduled for preventive care. PMID: 19845428 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - September 30, 2009 Category: Health Management Authors: Nowalk MP, Tabbarah M, Hart JA, Fox DE, Raymund M, Wilson SA, Zimmerman RK, Tags: Am J Manag Care Source Type: journals

Preventing myocardial infarction and stroke with a simplified bundle of cardioprotective medications.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: A simplified method for bundling fixed doses of a generic statin and an ACEI/ARB was successfully implemented in a large, diverse population in an integrated healthcare delivery system, reducing the risk of hospitalization for MI and stroke. PMID: 19817511 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - September 30, 2009 Category: Health Management Authors: Dudl RJ, Wang MC, Wong M, Bellows J Tags: Am J Manag Care Source Type: journals

Effects of a Medicaid prior authorization policy for pregabalin.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Although the PA was shown to effectively control access to pregabalin, the overall effect was an increase in the use of opioids and alternative pain management therapies associated with increased disease-related healthcare costs. PMID: 19817512 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - September 30, 2009 Category: Health Management Authors: Margolis JM, Johnston SS, Chu BC, Onukwugha E, Hvidsten K, Alvir J, Rossi JG, Mullins CD Tags: Am J Manag Care Source Type: journals

Designing programs for populations with chronic care needs: a blanket or a quilt?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19747020 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - August 31, 2009 Category: Health Management Authors: Sidorov J Tags: Am J Manag Care Source Type: journals

Effect of a managed care disease management program on diabetes care.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Implementation of a disease management program was associated with substantial improvements in processes and outcomes of diabetes care over 6 years. Although secular trend likely contributed somewhat, improvement in other measures was significantly associated with duration of enrollment in the health plan, making secular trend an unlikely explanation for all of our findings. PMID: 19747021 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - August 31, 2009 Category: Health Management Authors: McEwen LN, Hsiao VC, Nota-Kirby EM, Kulpa GJ, Schmidt KG, Herman WH Tags: Am J Manag Care Source Type: journals

Prior authorization to improve testing of glycosylated hemoglobin in a managed care setting.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Prior authorization has been successfully implemented in the managed care setting studied to obtain 100% performance of a laboratory test necessary to monitor drug therapy outcomes in patients with diabetes mellitus. When PA is implemented as a quality assurance strategy, its revocation should be accompanied by continuing education efforts designed to maintain optimal adherence to recommendations for appropriate care. PMID: 19747022 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - August 31, 2009 Category: Health Management Authors: Kahan NR, Waitman DA, Blackman S, Vardy DA Tags: Am J Manag Care Source Type: journals

Diabetes care quality: insurance, health plan, and physician group contributions.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: All factors studied contribute to diabetes quality results. Reporting both physician group performance and health plan performance may offer a greater opportunity to improve care than reporting only health plan or only physician group results. PMID: 19747023 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - August 31, 2009 Category: Health Management Authors: Amundson GM, O'Connor PJ, Solberg LI, Asche SE, Woods RC, Parker ED, Crain AL Tags: Am J Manag Care Source Type: journals

Type 2 diabetes mellitus in China: a preventable economic burden.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: The results indicated that T2DM consumes a large portion of healthcare expenditures and will continue to place a heavy burden on health budgets in the future. Preventive intervention, screening, and treatment strategies may effectively decrease the incidence and complications of diabetes and therefore save costs. PMID: 19747024 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - August 31, 2009 Category: Health Management Authors: Wang W, McGreevey WP, Fu C, Zhan S, Luan R, Chen W, Xu B Tags: Am J Manag Care Source Type: journals

Cost-effectiveness of Roux-en-Y gastric bypass in type 2 diabetes patients.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Under base-case assumptions, Roux-en-Y gastric bypass is cost-effective in the treatment of T2DM in the United States with an ICER below $50,000 per QALY gained. Sensitivity analyses indicated that bariatric surgery is not cost-effective over shorter time horizons, or if the negative quality-of-life impact of increased body mass index is ignored. PMID: 19747025 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - August 31, 2009 Category: Health Management Authors: Ikramuddin S, Klingman D, Swan T, Minshall ME Tags: Am J Manag Care Source Type: journals

Suboptimal identification of obesity by family physicians.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Family physicians failed to identify most obese and overweight patients, as seen by lack of BMI documentation and concordant diagnoses in the medical problem list. Determination of BMI by physicians in family practice is of utmost importance, and its incorporation into medical care should be optimized. PMID: 19747026 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - August 31, 2009 Category: Health Management Authors: Melamed OC, Nakar S, Vinker S Tags: Am J Manag Care Source Type: journals

Patient adherence: a blind spot in cost-effectiveness analyses?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Few CEAs modeled suboptimal medication adherence. As CEAs are meant to model "real world" costs and effects of interventions, investigators would do well to explicitly consider medication adherence in the future. PMID: 19747027 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - August 31, 2009 Category: Health Management Authors: Rosen AB, Spaulding AB, Greenberg D, Palmer JA, Neumann PJ Tags: Am J Manag Care Source Type: journals

Toyota production system quality improvement initiative improves perioperative antibiotic therapy.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: The use of TPS methods resulted in a QI intervention that was associated with an increase in appropriate perioperative antibiotic therapy among surgical patients, without affecting LOS. PMID: 19747028 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - August 31, 2009 Category: Health Management Authors: Burkitt KH, Mor MK, Jain R, Kruszewski MS, McCray EE, Moreland ME, Muder RR, Obrosky DS, Sevick MA, Wilson MA, Fine MJ Tags: Am J Manag Care Source Type: journals

Medicare Part D: selected issues for plan sponsors, pharmacists, and beneficiaries in 2009.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Various refinements and clarifications to the benefit have been made to date; however, opportunities for improvement remain. The availability of Part D data will allow researchers to determine the impact of drugs on overall health outcomes and costs for Medicare beneficiaries. PMID: 19747029 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - August 31, 2009 Category: Health Management Authors: Stubbings J, Depue RJ Tags: Am J Manag Care Source Type: journals

Are there unintended consequences of step-therapy programs?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19747030 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - August 31, 2009 Category: Health Management Authors: Cox ER, Seiz BJ Tags: Am J Manag Care Source Type: journals

Patient-centered medical home demonstration: a prospective, quasi-experimental, before and after evaluation.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: A PCMH redesign can be associated with improvements in patient experience, clinician burnout, and quality without increasing overall cost. PMID: 19728768 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - August 31, 2009 Category: Health Management Authors: Reid RJ, Fishman PA, Yu O, Ross TR, Tufano JT, Soman MP, Larson EB Tags: Am J Manag Care Source Type: journals

Burden of Alzheimer's disease and association with negative health outcomes.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Persons with AD have higher odds of experiencing a fracture, being hospitalized, and requiring other acute care medical services than those without AD. The disease also is associated with a higher prevalence of common chronic conditions. PMID: 19670951 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - July 31, 2009 Category: Health Management Authors: Malone DC, McLaughlin TP, Wahl PM, Leibman C, Arrighi HM, Cziraky MJ, Mucha LM Tags: Am J Manag Care Source Type: journals

Distal upper and lower limb fractures associated with thiazolidinedione use.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Patients with diabetes using thiazolidinediones, regardless of type, had higher proportions of distal upper and lower limb fractures compared with those not using thiazolidinediones. Fracture proportions were higher among women and increased with age. PMID: 19670952 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - July 31, 2009 Category: Health Management Authors: Jones SG, Momin SR, Good MW, Shea TK, Patric K Tags: Am J Manag Care Source Type: journals

Outcomes of patients discharged from pharmacy-managed cardiovascular disease management.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: This study demonstrated that LDL-C measures can remain controlled in most patients discharged from a cardiac disease management program. PMID: 19670953 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - July 31, 2009 Category: Health Management Authors: Olson KL, Delate T, Rasmussen J, Humphries TL, Merenich JA, Tags: Am J Manag Care Source Type: journals

Cost comparison of peritoneal dialysis versus hemodialysis in end-stage renal disease.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Among patients with ESRD, PD patients are less likely than HD patients to be hospitalized in the year following initiation of dialysis. They also have significantly lower total healthcare costs. PMID: 19670954 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - July 31, 2009 Category: Health Management Authors: Berger A, Edelsberg J, Inglese GW, Bhattacharyya SK, Oster G Tags: Am J Manag Care Source Type: journals

Cost evaluation of a coordinated care management intervention for dementia.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Although this analysis of a dementia care management intervention did not demonstrate a significant cost offset, the intervention may represent a worthwhile approach to improving the quality of care and health outcomes for patients with dementia and their caregivers. PMID: 19670955 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - July 31, 2009 Category: Health Management Authors: Duru OK, Ettner SL, Vassar SD, Chodosh J, Vickrey BG Tags: Am J Manag Care Source Type: journals

Can a nationwide media campaign affect antibiotic use?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: A media campaign aimed at changing patient behavior can contribute to reducing the rate of inappropriate antibiotic use. PMID: 19670956 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - July 31, 2009 Category: Health Management Authors: Hemo B, Shamir-Shtein NH, Silverman BG, Tsamir J, Heymann AD, Tsehori S, Friedman NL Tags: Am J Manag Care Source Type: journals

Medicare part D after 2 years.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Coverage under Part D is comparable to that under non-Part D plans with respect to key features that are likely to be important to Medicare beneficiaries--access to medications and out-of-pocket costs. Nonetheless, concerns remain over drug pricing and gaps in coverage. The government should continue to monitor the competitiveness of the Part D market to ensure it meets the diverse needs of Medicare beneficiaries. PMID: 19670957 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - July 31, 2009 Category: Health Management Authors: Joyce GF, Goldman DP, Vogt WB, Sun E, Jena AB Tags: Am J Manag Care Source Type: journals

Cost minimization of medicare part D prescription drug plan expenditures.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Targeted community outreach services to Medicare Part D beneficiaries can help optimize patient selection of a PDP, thereby resulting in lower out-of-pocket expenditures. PMID: 19670958 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - July 31, 2009 Category: Health Management Authors: Patel RA, Lipton HL, Cutler TW, Smith AR, Tsunoda SM, Stebbins MR Tags: Am J Manag Care Source Type: journals

Guided care and the cost of complex healthcare: a preliminary report.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Initial introduction of GC into primary care practices may be associated with less use of expensive health services and a net savings in healthcare costs among older patients with several chronic health conditions. Final results from the remaining 2 years of this ongoing study will be published in 2011. PMID: 19670959 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - July 31, 2009 Category: Health Management Authors: Leff B, Reider L, Frick KD, Scharfstein DO, Boyd CM, Frey K, Karm L, Boult C Tags: Am J Manag Care Source Type: journals

A telephone-based intervention for increasing the use of osteoporosis medication: a randomized controlled trial.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: The use of osteoporosis medication among women with newly diagnosed osteoporosis may be significantly improved by a simple intervention based on monthly telephone follow-up. Overall use of osteoporosis medication in this trial may have been increased by a systemwide initiative to improve osteoporosis care conducted concurrently with the trial. (ClinicalTrials.gov Identifier: NCT00145067.). PMID: 19659407 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - July 31, 2009 Category: Health Management Authors: Waalen J, Bruning AL, Peters MJ, Blau EM Tags: Am J Manag Care Source Type: journals

A multiattribute decision model for bipolar disorder: identification of preferred mood-stabilizing medications.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: The use of a MADM may be a beneficial tool to assist in making formulary or preferred therapeutic agent decisions. PMID: 19589006 [PubMed - as supplied by publisher] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - July 11, 2009 Category: Health Management Authors: Suehs BT, Bettinger TL Tags: Am J Manag Care Source Type: journals

Impact of workplace health services on adherence to chronic medications.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Integrated workplace primary care and pharmacy services are one way to increase medication adherence. These services have the potential not only to save healthcare dollars, but also improve the lives of chronically ill patients. PMID: 19589007 [PubMed - as supplied by publisher] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - July 11, 2009 Category: Health Management Authors: Sherman BW, Frazee SG, Fabius RJ, Broome RA, Manfred JR, Davis JC Tags: Am J Manag Care Source Type: journals

Lipid profile changes associated with changing available formulary statins: removing higher potency agents.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Removing higher potency statins from the formulary did not ignificantly change a population's fasting lipid panel except for a significant increase in high-density lipoprotein. Although multiple factors may have contributed to this effect, the results of this investigation suggest that changing formulary statins will not alter the surrogate lipoprotein markers associated with poor cardiovascular outcomes. PMID: 19589008 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - June 30, 2009 Category: Health Management Authors: Longyhore DS, Stockton CM, Thomas MR Tags: Am J Manag Care Source Type: journals

Adherence to osteoporosis medications after patient and physician brief education: post hoc analysis of a randomized controlled trial.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: The educational intervention did not significantly improve medication compliance or persistence with osteoporosis drugs. PMID: 19589009 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - June 30, 2009 Category: Health Management Authors: Shu AD, Stedman MR, Polinski JM, Jan SA, Patel M, Truppo C, Breiner L, Chen YY, Weiss TW, Solomon DH Tags: Am J Manag Care Source Type: journals

Automated messaging to improve compliance with diabetes test monitoring.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: The pairing of automated letters and telephone calls in any order was more effective than any single intervention in promoting compliance with diabetes monitoring tests. The relative cost of the letter-call and call-letter approaches to outreach should be considered to determine which is preferred in any given situation. PMID: 19589010 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - June 30, 2009 Category: Health Management Authors: Derose SF, Nakahiro RK, Ziel FH Tags: Am J Manag Care Source Type: journals

Medicaid beneficiaries with congestive heart failure: association of medication adherence with healthcare use and costs.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Healthcare costs among Medicaid beneficiaries with CHF would be lower if more patients were adherent to prescribed medication regimens. Researchers should reconsider whether a binary threshold for adherence is sufficient to examine the association of adherence with outcomes and healthcare costs. PMID: 19589011 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - June 30, 2009 Category: Health Management Authors: Esposito D, Bagchi AD, Verdier JM, Bencio DS, Kim MS Tags: Am J Manag Care Source Type: journals