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Generalized Cost-Effectiveness Analysis to Assess Treatment Value in Hepatitis C 评估丙型肝炎治疗价值的广义成本效益分析
The American journal of managed care Pub Date : 2023-12-01 DOI: 10.37765/ajmc.2023.89468
{"title":"Generalized Cost-Effectiveness Analysis to Assess Treatment Value in Hepatitis C","authors":"","doi":"10.37765/ajmc.2023.89468","DOIUrl":"https://doi.org/10.37765/ajmc.2023.89468","url":null,"abstract":"","PeriodicalId":267832,"journal":{"name":"The American journal of managed care","volume":"477 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139019617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhancing the e-Consult: Empowering Efficient and Collaborative Care 加强电子咨询：增强高效协作医疗的能力
The American journal of managed care Pub Date : 2023-12-01 DOI: 10.37765/ajmc.2023.89465
{"title":"Enhancing the e-Consult: Empowering Efficient and Collaborative Care","authors":"","doi":"10.37765/ajmc.2023.89465","DOIUrl":"https://doi.org/10.37765/ajmc.2023.89465","url":null,"abstract":"","PeriodicalId":267832,"journal":{"name":"The American journal of managed care","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138989109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pharmacists and Transitions of Care From Emergency Department to Home 药剂师与从急诊科到家庭的护理过渡
The American journal of managed care Pub Date : 2023-12-01 DOI: 10.37765/ajmc.2023.89473
{"title":"Pharmacists and Transitions of Care From Emergency Department to Home","authors":"","doi":"10.37765/ajmc.2023.89473","DOIUrl":"https://doi.org/10.37765/ajmc.2023.89473","url":null,"abstract":"","PeriodicalId":267832,"journal":{"name":"The American journal of managed care","volume":"244 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139019887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Amid Concerns, Will Practices Take Part in the Enhancing Oncology Model? 在担忧中，实践是否会参与强化肿瘤学模式?
The American journal of managed care Pub Date : 2023-04-01 DOI: 10.37765/ajmc.2023.89364
{"title":"Amid Concerns, Will Practices Take Part in the Enhancing Oncology Model?","authors":"","doi":"10.37765/ajmc.2023.89364","DOIUrl":"https://doi.org/10.37765/ajmc.2023.89364","url":null,"abstract":"","PeriodicalId":267832,"journal":{"name":"The American journal of managed care","volume":"125 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117340200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A value proposition for pragmatic clinical trials. 实用临床试验的价值主张。
IF 3.2
The American journal of managed care Pub Date : 2022-09-01 DOI: 10.37765/ajmc.2022.89224
Lorella Palazzo, Leah Tuzzio, Greg E Simon, Eric B Larson
{"title":"A value proposition for pragmatic clinical trials.","authors":"Lorella Palazzo,&nbsp;Leah Tuzzio,&nbsp;Greg E Simon,&nbsp;Eric B Larson","doi":"10.37765/ajmc.2022.89224","DOIUrl":"https://doi.org/10.37765/ajmc.2022.89224","url":null,"abstract":"<p><p>The authors examine the origin, benefits, and challenges of pragmatic clinical trials to assess the ultimate value of this research design.</p>","PeriodicalId":267832,"journal":{"name":"The American journal of managed care","volume":" ","pages":"e312-e314"},"PeriodicalIF":3.2,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40368226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From Research to Health Care Delivery, Patt’s Versatility Is Cited by ASCO 从研究到医疗保健服务，帕特的多才多艺被ASCO引用
The American journal of managed care Pub Date : 2022-07-01 DOI: 10.37765/ajmc.2022.89193
{"title":"From Research to Health Care Delivery, Patt’s Versatility Is Cited by ASCO","authors":"","doi":"10.37765/ajmc.2022.89193","DOIUrl":"https://doi.org/10.37765/ajmc.2022.89193","url":null,"abstract":"","PeriodicalId":267832,"journal":{"name":"The American journal of managed care","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115008648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ASCO Highlights Patel for Career With “Many Roles” ASCO强调Patel的职业生涯“多种角色”
The American journal of managed care Pub Date : 2022-07-01 DOI: 10.37765/ajmc.2022.89192
{"title":"ASCO Highlights Patel for Career With “Many Roles”","authors":"","doi":"10.37765/ajmc.2022.89192","DOIUrl":"https://doi.org/10.37765/ajmc.2022.89192","url":null,"abstract":"","PeriodicalId":267832,"journal":{"name":"The American journal of managed care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122657884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pierce Looks to the Future of Trial Diversity, Reflecting on Current and Historical Barriers 皮尔斯展望审判多样性的未来，反思当前和历史的障碍
The American journal of managed care Pub Date : 2022-07-01 DOI: 10.37765/ajmc.2022.89194
{"title":"Pierce Looks to the Future of Trial Diversity, Reflecting on Current and Historical Barriers","authors":"","doi":"10.37765/ajmc.2022.89194","DOIUrl":"https://doi.org/10.37765/ajmc.2022.89194","url":null,"abstract":"","PeriodicalId":267832,"journal":{"name":"The American journal of managed care","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133434492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Disparities in health care use among low-salary and high-salary employees. 低薪和高薪雇员在医疗保健使用方面的差异。
The American journal of managed care Pub Date : 2022-05-01 DOI: 10.37765/ajmc.2022.89148
Benjamin Ukert, Stephen Esquivel-Pickett, Manish Oza, A. DeVries, G. Sylwestrzak
{"title":"Disparities in health care use among low-salary and high-salary employees.","authors":"Benjamin Ukert, Stephen Esquivel-Pickett, Manish Oza, A. DeVries, G. Sylwestrzak","doi":"10.37765/ajmc.2022.89148","DOIUrl":"https://doi.org/10.37765/ajmc.2022.89148","url":null,"abstract":"OBJECTIVES\u0000To examine how health care utilization and spending vary for low-income employees compared with high-income employees enrolled in an employer-sponsored high-deductible health plan (HDHP).\u0000\u0000\u0000STUDY DESIGN\u0000We use commercial medical claims data and administrative human resource data from a large employer between 2014 and 2018. We link the administrative data, which include details on salary and other benefit choices, to each employee in each year with medical claims. Our variables of interest include medical spending and utilization outcomes grouped into different care settings.\u0000\u0000\u0000METHODS\u0000Using multivariate regressions, we estimate the association between salary buckets and health care utilization and spending, controlling for demographic characteristics, comorbidities of employees, human resource health plan benefits, and geography.\u0000\u0000\u0000RESULTS\u0000Employees earning less than $75,000 show lower rates of utilization and spending on preventive measures, such as outpatient visits and prescription drugs, while having higher rates of utilization of preventable and avoidable emergency department visits and inpatient stays, resulting in lower overall health care spending among lower-salary employees.\u0000\u0000\u0000CONCLUSIONS\u0000Low-salary employees enrolled in HDHPs have higher rates of acute care utilization and spending but lower rates of primary care spending compared with high-salary employees. Results suggest that HDHPs discourage routine physician-patient care among low-salary employees.","PeriodicalId":267832,"journal":{"name":"The American journal of managed care","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124456526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Characteristics of home-based care provided by accountable care organizations. 由负责任的护理机构提供的家庭护理的特点。
The American journal of managed care Pub Date : 2022-05-01 DOI: 10.37765/ajmc.2022.89150
R. Mechanic, J. Perloff, A. Stuck, C. Crowley
{"title":"Characteristics of home-based care provided by accountable care organizations.","authors":"R. Mechanic, J. Perloff, A. Stuck, C. Crowley","doi":"10.37765/ajmc.2022.89150","DOIUrl":"https://doi.org/10.37765/ajmc.2022.89150","url":null,"abstract":"OBJECTIVES\u0000To describe the use of home-based services in accountable care organizations (ACOs).\u0000\u0000\u0000STUDY DESIGN\u0000Cross-sectional analysis of 2019 ACO survey.\u0000\u0000\u0000METHODS\u0000We analyzed surveys completed by 151 ACOs describing the characteristics of home-based care programs serving high-need, high-cost patients. We linked survey results to publicly available information about ACO characteristics, governance, and risk model participation.\u0000\u0000\u0000RESULTS\u0000Twenty-five percent of respondent ACOs had formal home-based care programs, 25% offered occasional home visits, and 17% were actively developing new programs. Home-based primary care was the most common program type. Half of programs were established within the past 3 years. The programs utilized multidisciplinary care teams, but two-thirds had fewer than 500 visits annually. Funding sources included direct billing for services, health system subsidies, and ACO shared savings. A majority of respondents expressed interest in expanding services but were concerned about their ability to demonstrate a return on investment (ROI), which was reported as a major or moderate challenge by three-quarters of respondents.\u0000\u0000\u0000CONCLUSIONS\u0000ACOs deliver a diverse array of home-visit services including primary care, acute medical care, palliative care, care transitions, and interventions to address social determinants of health. Many services provided are not billable, and therefore ACO leaders are hesitant to fund expansions without strong evidence of ROI. Expanding Medicare ACO home-visit waivers to all risk-bearing ACOs and covering integrated telehealth services would improve the financial viability of these programs.","PeriodicalId":267832,"journal":{"name":"The American journal of managed care","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133353977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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