{"title":"Getting tools used: lessons learned from successful decision support tools unrelated to health care.","authors":"Jenny Minott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>(1) The success of decision support tools outside of health care derives from focusing on decisions important to consumers, tailoring content to consumers' concerns and needs, and sponsorship by an independent, trusted organization with a business model that supports sustained marketing and refinement. (2) Current approaches to decision support tools within health care will benefit from basing future efforts on a clearer understanding of the interests and capacities of target audiences, as well as providing information that aligns with both the timing and range of decisions health care consumers face. In addition, there must be a thoughtful approach to building consumer trust accompanied by a long-term funding commitment or revenue model that will enable decision support tools to become a familiar, expected aspect of health care</p>","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"12 5","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28323102","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}
{"title":"How valid are the assumptions underlying consumer-driven health plans?","authors":"Jenny Minott","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Key findings: </strong>(1) While consumer-driven health plans (CDHPs) do encourage information seeking behavior, these plans attract individuals who are already activated consumers. (2) The financial incentives inherent in CDHPs cause consumers to decrease utilization of both high and low priority services.(3) Individuals enrolled in high-deductible CDHPs are most likely to discontinue lipid lowering and antihypertensive drugs after enrolling in a CDHP.(4) There is no significant difference in initiation of generic drug use across health plans, with the exception of antidepressants.</p>","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"12 4","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2009-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28229556","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}
{"title":"Is health information technology associated with patient safety in the United States?","authors":"Michael E Gluck","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Key findings: </strong>(1) Estimates using national data provide tentative evidence of a positive relationship between health information technology (HIT) and clinical quality. Electronic medical records (EMRs) are associated with a statistically significant aversion of two post-operative infections per year at the average U.S. acute care hospital. (2) The study found no significant relationships for two other types of HIT - nurse charting and picture archiving communication systems (PACS) - or for two other measures of patient safety - post-operative hemorrhages/hematomas and post-operative pulmonary embolism/deep vein thrombosis (DVT) - which could reflect either the true value of the HIT or limitations of the study.</p>","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"12 3","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28229555","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}
{"title":"Changes in drug utilization for seniors without prior prescription drug insurance.","authors":"Nicole Hudson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>(1) After the passage of the Medicare Modernization Act, a majority of individuals without previous prescription drug coverage obtained coverage under Medicare Part D. (2) Among previously uninsured seniors, utilization of prescription drugs increased with the introduction of Medicare Part D. There was rapid uptake of newly marketed generics. (3) Dual eligibles had little change in prescription utilization or rates of switching between drugs after the implementation of Part D. Out-of-pocket spending was significantly reduced for this population.</p>","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"12 2","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2009-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28053572","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}
{"title":"Measuring partnerships in public health.","authors":"Megan Ix","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>(1) Community-based organizations, public health departments, and direct service health care providers tend to dominate public health collaboratives. (2) Three dimensions for assessing the value of a partner are power and influence, active involvement, and resources. (3) Two important factors in developing positive and successful public health collaboratives are trust among partners and reciprocity.</p>","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"12 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2009-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28048619","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}
{"title":"Reducing the administrative burden of health care quality reporting.","authors":"Megan Ix","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Key findings: </strong>(1) While quality performance measurement and reporting have the potential to improve the quality of health care and reduce costs, these activities can pose a significant administrative and financial burden on participating hospitals. (2) Hospitals are adopting a variety of strategies to manage quality measurement and reporting demands. (3) Better coordination may be the key to successful quality reporting.</p>","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"11 10","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39990948","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}
{"title":"Medicare spending on HMOs and stand-alone drug plans: what is it worth to beneficiaries?","authors":"Bonnie J Austin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>(1) Medicare beneficiaries value the expansion of stand-alone prescription drug plans more than they value the expansion of HMOs. (2) The addition of subsidized stand-alone prescription drug plans generates nine times as much value per government dollar as the increase in payments to HMOs.</p>","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"11 8","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27861440","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}
{"title":"Should healthy Medicare beneficiaries postpone enrollment in Part D?","authors":"Marie Federowicz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>(1) Total lifetime expected out-of-pocket costs are minimized if healthy 65-year-old Medicare beneficiaries enroll in Part D immediately upon eligibility rather than waiting until they contract a drug-intensive condition. (2) The savings from early enrollment are greater for females than for males. (3) The late enrollment penalty for Medicare Part D provides an important incentive for early enrollment, and eliminating the late enrollment penalty would create a significant cost advantage for postponed enrollment, especially for men.</p>","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"11 9","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27861441","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}
{"title":"Informing the debate: are single specialty hospitals more cost efficient than full-service hospitals?","authors":"Jenny Minott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>(1) Overall, single specialty hospitals (SSHs) are not more cost efficient than competing, full-service, acute care hospitals. (2) There was not a significant difference between cardiac SSH and full-service hospital cost inefficiency. (3) There was a significant difference between orthopedic/surgical SSH and full-service hospital cost inefficiency.</p>","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"11 7","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2008-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27861439","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}
{"title":"The Medicaid undercount: real or perceived bias in estimates of coverage in general population surveys?","authors":"Bonnie J Austin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"11 6","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27688295","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}