managed care programs

Summary

Summary: Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.

Top Publications

  1. pmc Identifying and characterizing COPD patients in US managed care. A retrospective, cross-sectional analysis of administrative claims data
    Douglas W Mapel
    Lovelace Clinic Foundation, Albuquerque, NM, USA
    BMC Health Serv Res 11:43. 2011
  2. ncbi Quality of care for secondary prevention for patients with coronary heart disease: results of the Hastening the Effective Application of Research through Technology (HEART) trial
    David C Goff
    Public Health Sciences and Internal Medicine, Wake Forest University School of Medicine, Winston Salem, NC 27157 1063, USA
    Am Heart J 146:1045-51. 2003
  3. ncbi Race, gender, and partnership in the patient-physician relationship
    L Cooper-Patrick
    Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
    JAMA 282:583-9. 1999
  4. ncbi Practice patterns for managing Helicobacter pylori infection and upper gastrointestinal symptoms
    Colin W Howden
    Center for Health Economics and Policy, United BioSource Corporation, 7101 Wisconsin Ave, Ste 600, Bethesda, MD 20814, USA
    Am J Manag Care 13:37-44. 2007
  5. pmc Patients' trust in physicians: many theories, few measures, and little data
    S D Pearson
    Center for Ethics in Managed Care, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
    J Gen Intern Med 15:509-13. 2000
  6. pmc Receipt of disease-modifying antirheumatic drugs among patients with rheumatoid arthritis in Medicare managed care plans
    Gabriela Schmajuk
    Stanford University, Department of Medicine, Division of Rheumatology, 1000 Welch Rd, Ste 203, Stanford, CA 94304, USA
    JAMA 305:480-6. 2011
  7. ncbi Predictors of adherence with antihypertensive and lipid-lowering therapy
    Richard H Chapman
    ValueMedics Research, LLC, Arlington, VA, USA
    Arch Intern Med 165:1147-52. 2005
  8. ncbi Prevalence and cost of medication nonadherence in Parkinson's disease: evidence from administrative claims data
    Keith L Davis
    Health Economics, RTI Health Solutions, Research Triangle Park, North Carolina 27709, USA
    Mov Disord 25:474-80. 2010
  9. ncbi Descriptive analysis of the direct medical costs of multiple sclerosis in 2004 using administrative claims in a large nationwide database
    Jeff D Prescott
    Science and Technology, The MCM Group, 108 I Centre Blvd, Marlton, NJ 08053, USA
    J Manag Care Pharm 13:44-52. 2007
  10. ncbi Achieving cholesterol target in a managed care organization (ACTION) trial
    Robert J Straka
    Department of Experimental and Clinical Pharmacology, College of Pharmacy, University of Minnesota, Minneapolis, Minnesota 55455, USA
    Pharmacotherapy 25:360-71. 2005

Detail Information

Publications326 found, 100 shown here

  1. pmc Identifying and characterizing COPD patients in US managed care. A retrospective, cross-sectional analysis of administrative claims data
    Douglas W Mapel
    Lovelace Clinic Foundation, Albuquerque, NM, USA
    BMC Health Serv Res 11:43. 2011
    ..In anticipation of the increasing burden imposed on healthcare systems and payers by patients with COPD, a means of identifying COPD patients who incur higher healthcare utilization and costs is needed...
  2. ncbi Quality of care for secondary prevention for patients with coronary heart disease: results of the Hastening the Effective Application of Research through Technology (HEART) trial
    David C Goff
    Public Health Sciences and Internal Medicine, Wake Forest University School of Medicine, Winston Salem, NC 27157 1063, USA
    Am Heart J 146:1045-51. 2003
    ....
  3. ncbi Race, gender, and partnership in the patient-physician relationship
    L Cooper-Patrick
    Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
    JAMA 282:583-9. 1999
    ..Many studies have documented race and gender differences in health care received by patients. However, few studies have related differences in the quality of interpersonal care to patient and physician race and gender...
  4. ncbi Practice patterns for managing Helicobacter pylori infection and upper gastrointestinal symptoms
    Colin W Howden
    Center for Health Economics and Policy, United BioSource Corporation, 7101 Wisconsin Ave, Ste 600, Bethesda, MD 20814, USA
    Am J Manag Care 13:37-44. 2007
    ..To assess adherence with guidelines for testing and treatment of Helicobacter pylori infection and upper gastrointestinal symptoms...
  5. pmc Patients' trust in physicians: many theories, few measures, and little data
    S D Pearson
    Center for Ethics in Managed Care, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
    J Gen Intern Med 15:509-13. 2000
    ..The gaps identified in our knowledge about trust can help target new efforts to strengthen the methodological basis of work to understand this vital element of medical relationships...
  6. pmc Receipt of disease-modifying antirheumatic drugs among patients with rheumatoid arthritis in Medicare managed care plans
    Gabriela Schmajuk
    Stanford University, Department of Medicine, Division of Rheumatology, 1000 Welch Rd, Ste 203, Stanford, CA 94304, USA
    JAMA 305:480-6. 2011
    ..In 2005, the Healthcare Effectiveness Data and Information Set (HEDIS) introduced a quality measure to assess the receipt of disease-modifying antirheumatic drugs (DMARDs) among patients with rheumatoid arthritis (RA)...
  7. ncbi Predictors of adherence with antihypertensive and lipid-lowering therapy
    Richard H Chapman
    ValueMedics Research, LLC, Arlington, VA, USA
    Arch Intern Med 165:1147-52. 2005
    ..This study was undertaken to describe the patterns and predictors of adherence with concomitant antihypertensive (AH) and lipid-lowering (LL) therapy...
  8. ncbi Prevalence and cost of medication nonadherence in Parkinson's disease: evidence from administrative claims data
    Keith L Davis
    Health Economics, RTI Health Solutions, Research Triangle Park, North Carolina 27709, USA
    Mov Disord 25:474-80. 2010
    ..Efforts to promote medication adherence in PD may lead to cost savings for managed care systems...
  9. ncbi Descriptive analysis of the direct medical costs of multiple sclerosis in 2004 using administrative claims in a large nationwide database
    Jeff D Prescott
    Science and Technology, The MCM Group, 108 I Centre Blvd, Marlton, NJ 08053, USA
    J Manag Care Pharm 13:44-52. 2007
    ..Multiple sclerosis (MS) is chronic and debilitating, afflicts patients in the prime of their lives, and requires costly, decades-long disease management. MS prevalence is increasing, and treatment with new drug therapies is expensive...
  10. ncbi Achieving cholesterol target in a managed care organization (ACTION) trial
    Robert J Straka
    Department of Experimental and Clinical Pharmacology, College of Pharmacy, University of Minnesota, Minneapolis, Minnesota 55455, USA
    Pharmacotherapy 25:360-71. 2005
    ....
  11. pmc Methadone maintenance and state Medicaid managed care programs
    D McCarty
    Brandeis University, USA
    Milbank Q 77:341-62, 274. 1999
    ....
  12. ncbi Effect of increased cost-sharing on oral hypoglycemic use in five managed care organizations: how much is too much?
    Douglas W Roblin
    Research Department, Kaiser Permanente, Atlanta, Georgia 30305, and the Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, USA
    Med Care 43:951-9. 2005
    ..For patients with a chronic disease, increased cost-sharing for medications may lead to unintended consequences, including reduced use of medications essential for control of their disease...
  13. ncbi Pharmacoeconomic evaluation of a pharmacist-managed hypertension clinic
    M P Okamoto
    Department of Pharmacy Practice and Social and Administrative Sciences, Western University of Health Sciences, Pomona, California 91766, USA
    Pharmacotherapy 21:1337-44. 2001
    ..To measure clinical, economic, and humanistic outcomes associated with a pharmacist-managed hypertension clinic compared with physician-managed clinics...
  14. ncbi Dimensions of consumer-assessed quality of Medicare managed-care health plans
    A M Zaslavsky
    Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA
    Med Care 38:162-74. 2000
    ..We sought a more parsimonious description of the reports that can be used in analyses of the distribution and correlates of consumer-assessed quality...
  15. pmc Combining health plan performance indicators into simpler composite measures
    Alan M Zaslavsky
    Health Care Financ Rev 23:101-15. 2002
    ..These summaries are substantively interpretable, internally consistent, and describe the majority of variation among units in the performance scores analyzed...
  16. pmc Overview of the SEER--Medicare Health Outcomes Survey linked dataset
    Anita Ambs
    National Cancer Institute NCI, Bethesda, MD 20892 7344, USA
    Health Care Financ Rev 29:5-21. 2008
    ..This article provides a description of the SEER-MHOS data as a tool to study cancer among Medicare enrollees. In order to highlight the strengths of the database, we also present some descriptive statistics from the database...
  17. pmc Use of health information technology to improve medication adherence
    William M Vollmer
    Center for Health Research, 3800 N Interstate Ave, Portland, OR 97227 1110, USA
    Am J Manag Care 17:SP79-87. 2011
    ....
  18. pmc Assessing treatment effects of inhaled corticosteroids on medical expenses and exacerbations among COPD patients: longitudinal analysis of managed care claims
    Manabu Akazawa
    Department of Health Policy and Administration, University of North Carolina at Chapel Hill, CB 7411, Chapel Hill, NC 27599 7411, USA
    Health Serv Res 43:2164-82. 2008
    ..To assess costs, effectiveness, and cost-effectiveness of inhaled corticosteroids (ICS) augmenting bronchodilator treatment for chronic obstructive pulmonary disease (COPD)...
  19. ncbi Gout medication treatment patterns and adherence to standards of care from a managed care perspective
    Chaitanya A Sarawate
    Health Outcomes Research, HealthCore, Inc, 800 Delaware Ave, Fifth Floor, Wilmington, DE 19801 1366, USA
    Mayo Clin Proc 81:925-34. 2006
    ..To determine allopurinol treatment patterns and adherence to published standards of care for patients with gout...
  20. pmc Undertreatment of COPD: a retrospective analysis of US managed care and Medicare patients
    Barry Make
    National Jewish Health, Denver, CO, USA
    Int J Chron Obstruct Pulmon Dis 7:1-9. 2012
    ..We investigated a large population of patients with chronic obstructive pulmonary disease (COPD) to determine their frequency of medication use and patterns of pharmacotherapy...
  21. pmc Effects of health care cost-containment programs on patterns of care and readmissions among children and adolescents
    T M Wickizer
    Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle 98195 7660, USA
    Am J Public Health 89:1353-8. 1999
    ..This study examined the effects of a utilization management program on patterns of medical care among children and adolescents...
  22. pmc The influence of gatekeeping and utilization review on patient satisfaction
    E A Kerr
    Center for Practice Management and Outcomes Research, VA Medical Center, Ann Arbor, Mich, USA
    J Gen Intern Med 14:287-96. 1999
    ..Health plans and physician groups need to take these factors into account when designing strategies to reduce specialty care use...
  23. ncbi Health plan characteristics and consumers' assessments of quality
    B E Landon
    Harvard Medical School, Beth Israel Deaconess Medical Center, USA
    Health Aff (Millwood) 20:274-86. 2001
    ..Health plans accredited by the National Committee for Quality Assurance did not receive higher scores...
  24. pmc Beneficiary reported experience and voluntary disenrollment in Medicare managed care
    Terry R Lied
    Health Care Financ Rev 25:55-66. 2003
    ..The results demonstrate that voluntary disenrollment rates are strongly related to direct measures of patient experiences with care and are an important complement to other measures of health plan performance...
  25. ncbi Is conventional wisdom wrong? Coverage for substance abuse treatment under Medicaid managed care
    Margaret Maglione
    RAND Corporation, Santa Monica, CA 90401, USA
    J Subst Abuse Treat 30:285-90. 2006
    ..To examine this premise, this study reports on a cross-sectional comparative survey of state Medicaid managed care programs conducted in the year 2000...
  26. ncbi Adherence patterns among patients treated with fixed-dose combination versus separate antihypertensive agents
    Philip P Gerbino
    University of the Sciences in Philadelphia, Philadelphia, PA 19104 4495, USA
    Am J Health Syst Pharm 64:1279-83. 2007
    ....
  27. ncbi Increasing prevalence of gout and hyperuricemia over 10 years among older adults in a managed care population
    Katrine L Wallace
    Health Economics and Outcomes Research, TAP Pharmaceutical Products Inc, Lake Forest, IL 60045, USA
    J Rheumatol 31:1582-7. 2004
    ..To determine whether the prevalence of gout and/or clinically significant hyperuricemia increased in a managed care population over 10 years...
  28. ncbi Health-related quality of life of cancer and noncancer patients in Medicare managed care
    Frank Baker
    Behavioral Research Center, American Cancer Society, Atlanta, Georgia 30329, USA
    Cancer 97:674-81. 2003
    ..The MHOS provided baseline estimates of quality of life of cancer survivors in comparison to a frequency age-matched cohort of noncancer patients...
  29. pmc Cancer, comorbidities, and health-related quality of life of older adults
    Ashley Wilder Smith
    National Cancer Institute NCI, Bethesda, MD 20892 7344, USA
    Health Care Financ Rev 29:41-56. 2008
    ..Negative associations were most pronounced in those with two or more comorbidities and in those diagnosed with cancer within the past year...
  30. ncbi The occupational transformation of the mental health system
    Richard M Scheffler
    Nicholas C Petris Center on Healthcare Markets and Consumer Welfare, School of Public Health, University of California, Berkeley, USA
    Health Aff (Millwood) 22:177-88. 2003
    ..Changes in clinical practice, combined with the continued expansion of managed care into mental health, will largely determine the future composition and supply of the mental health workforce...
  31. ncbi National Committee on Quality Assurance health-plan accreditation: predictors, correlates of performance, and market impact
    Nancy Dean Beaulieu
    Harvard Business School, Baker West 284, Soldiers Field Road, Boston, MA 02163, USA
    Med Care 40:325-37. 2002
    ..However, the differences between accredited and nonaccredited health plans and the impact of accreditation on plan enrollment are not well understood...
  32. ncbi Smoking and functional status among Medicare managed care enrollees
    David R Arday
    Division of Epidemiology and Disease Surveillance, US Army Center for Health Promotion and Preventive Medicine, Washington, DC, USA
    Am J Prev Med 24:234-41. 2003
    ..Whether this occurs among the elderly and disabled Medicare populations is not known. This study assessed the relationships between smoking status and both physical and mental functioning in the Medicare managed-care population...
  33. ncbi Building health plan databases to risk adjust outcomes and payments
    M C Hornbrook
    Center for Health Research, Kaiser Permanente, Northwest Division, Portland, OR 97227 1098, USA
    Int J Qual Health Care 10:531-8. 1998
    ....
  34. ncbi Effects of a prior-authorization policy for celecoxib on medical service and prescription drug use in a managed care Medicaid population
    Daniel M Hartung
    Oregon State University College of Pharmacy, Portland, USA
    Clin Ther 26:1518-32. 2004
    ..Prior authorization (PA) is a poorly studied but commonly employed policy used by health care payers to manage the rising costs of pharmacy benefits...
  35. ncbi Use and impact of an automated telephone outreach system for asthma in a managed care setting
    William M Vollmer
    Center for Health Research, Kaiser Permanente Northwest, Portland, OR 97227, USA
    Am J Manag Care 12:725-33. 2006
    ..To test the ability of an automated telephone outreach intervention to reduce acute healthcare utilization and improve quality of life among adult asthma patients in a large managed care organization...
  36. pmc Getting more for their dollar: a comparison of the NHS with California's Kaiser Permanente
    Richard G A Feachem
    Institute for Global Health, University of California, San Francisco, 94105, USA
    BMJ 324:135-41. 2002
    ..To compare the costs and performance of the NHS with those of an integrated system for financing and delivery health services (Kaiser Permanente) in California...
  37. ncbi The role of health plans in tobacco control
    Marc W Manley
    Blue Cross and Blue Shield of Minnesota, Center for Tobacco Reduction and Health Improvement, Eagan, Minnesota 55121, USA
    Annu Rev Public Health 24:247-66. 2003
    ..We conclude with a new model that can be used to engage health plans in tobacco control efforts and a case study that outlines how one health plan has implemented this new model...
  38. pmc The impact of Medicaid managed care on hospitalizations for ambulatory care sensitive conditions
    Andrew B Bindman
    Primary Care Research Center, University of California, San Francisco, San Francisco, CA 94143 1364, USA
    Health Serv Res 40:19-38. 2005
    ..We also explored whether there was a differential effect of Medicaid managed care by patient's race or ethnicity on the hospitalization rates for ambulatory care sensitive conditions...
  39. ncbi Outcomes and lessons learned from evaluating TRICARE's disease management programs
    Timothy M Dall
    The Lewin Group, Falls Church, VA 22042, USA
    Am J Manag Care 16:438-46. 2010
    ..To share outcomes and lessons learned from an evaluation of disease management (DM) programs for asthma, congestive heart failure (CHF), and diabetes for TRICARE patients...
  40. ncbi Tobacco-control policies in 11 leading managed care organizations: progress and challenges
    Nancy A Rigotti
    Tobacco Research and Treatment Center, Massachusetts General Hospital, Harvard Medical School, Harvard Pilgrim Health Care, Boston 02114, USA
    Eff Clin Pract 5:130-6. 2002
    ..Although evidence-based national guidelines for tobacco-dependence treatment have been available since 1996, translating these guidelines into clinical practice is challenging...
  41. ncbi Quality information and consumer health plan choices
    Nancy Dean Beaulieu
    Harvard University and the National Bureau of Economic Research, Harvard Business School, Boston, MA 02163, USA
    J Health Econ 21:43-63. 2002
    ..The age of the policyholder and the type of policy purchased moderated the effects of plan characteristics on plan choice in ways that may be consequential for adverse selection...
  42. ncbi The financial implications of coverage of smoking cessation treatment by managed care organizations
    Kenneth E Warner
    Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI 48109 2029, USA
    Inquiry 41:57-69. 2004
    ..Quitters gain an average of 7.1 years of life, with a direct coverage cost of dollars 3,417 for each life-year saved. Coverage of cost-effective programs by MCOs should be strongly encouraged...
  43. ncbi Implementation of evidence-based tobacco use cessation guidelines in managed care organizations
    C Barr Taylor
    Department of Psychiatry, Stanford University School of Medicine, CA, USA
    Ann Behav Med 27:13-21. 2004
    ..Although managed care organizations (MCOs) may be optimal settings for implementing tobacco use cessation clinical guidelines, such guidelines remain poorly implemented in many MCO settings...
  44. ncbi Health outcomes. New quality measure for Medicare
    J K Cooper
    Health Care Financing Administration, Baltimore, MD 21244 1850, USA
    Int J Qual Health Care 13:9-16. 2001
    ..A new measurement of health care quality for Medicare beneficiaries has been implemented by the Health Care Financing Administration (HCFA). This paper describes the program, presents baseline data and highlights associated issues...
  45. ncbi The commercial health insurance industry in an era of eroding employer coverage
    James C Robinson
    School of Public Health, University of California, Berkeley, USA
    Health Aff (Millwood) 25:1475-86. 2006
    ..The profitability of the commercial health insurance industry, exceptionally strong over the past five years, will henceforth be linked to the budgetary cycles and political fluctuations of state and federal governments...
  46. pmc Health behaviors and quality of care among Latinos with diabetes in managed care
    Arleen F Brown
    School of Medicine at the University of California, Los Angeles, CA 90095, USA
    Am J Public Health 93:1694-8. 2003
    ..We evaluated whether ethnicity and language are associated with diabetes care for Latinos in managed care...
  47. pmc Addressing tobacco in managed care: results of the 2003 survey
    Carol McPhillips-Tangum
    Experion Healthcare Group, 106 Geneva St, Decatur, GA 30030, USA
    Prev Chronic Dis 3:A87. 2006
    ..Although tobacco control activity in the United States during the past several years has increased dramatically, tobacco use continues to have devastating consequences among all age cohorts...
  48. ncbi Impact of rosuvastatin use on costs and outcomes in patients at high risk for cardiovascular disease in US managed care and medicare populations: A data analysis
    Daniel M Huse
    Thomson Medstat, Ann Arbor, Michigan, USA
    Clin Ther 28:1425-42. 2006
    ..High blood cholesterol is a major modifiable risk factor for coronary heart disease (CHD) and stroke...
  49. ncbi Two-year effects of quality improvement programs on medication management for depression
    J Unutzer
    Center for Health Services Research, Neuropsychiatric Institute, University of California, Los Angeles, 10920 Wilshire Blvd, Suite 300, Los Angeles, CA 90024, USA
    Arch Gen Psychiatry 58:935-42. 2001
    ..Significant underuse of evidence-based treatments for depression persists in primary care. We examined the effects of 2 primary care-based quality improvement (QI) programs on medication management for depression...
  50. ncbi The impact of managed health care in the United States on women with breast cancer and the providers who treat them
    Joretha N Bourjolly
    University of Pennsylvania, School of Social Work, Philadelphia, Pennsylvania 19104, USA
    Cancer Nurs 27:45-54. 2004
    ..Findings from this pilot study, however, reveal that the increasing shift to managed care has resulted in a change in roles for nurses, fragmentation of care, and intangible costs to the patients...
  51. ncbi Disease management 360 degrees: a scorecard approach to evaluating TRICARE's programs for asthma, congestive heart failure, and diabetes
    Wenya Yang
    The Lewin Group, Falls Church, VA 22042, USA
    Med Care 48:683-93. 2010
    ..EVALUATION MEASURES: Patient healthcare utilization, financial, clinical, and humanistic outcomes. Absolute measures were translated into effect size and incorporated into a scorecard...
  52. pmc Why don't diabetes patients achieve recommended risk factor targets? Poor adherence versus lack of treatment intensification
    Julie A Schmittdiel
    Division of Research, Kaiser Permanente Medical Care Program, Oakland, CA, USA
    J Gen Intern Med 23:588-94. 2008
    ..Despite the availability of effective hypertension, hyperlipidemia, and hyperglycemia therapies, target levels of systolic blood pressure (SBP), LDL-cholesterol (LDL-c), and hemoglobin A1c control are often not achieved...
  53. pmc Incremental cardiovascular costs and resource use associated with diabetes: an assessment of 29,863 patients in the US managed-care setting
    Robert J Straka
    Department of Experimental and Clinical Pharmacology, University of Minnesota College of Pharmacy, Minneapolis, MN, USA
    Cardiovasc Diabetol 8:53. 2009
    ..We conducted a retrospective claims database analysis to evaluate incremental cardiovascular costs in diabetic versus non-diabetic patients hospitalized for a cardiovascular event...
  54. pmc Functional health outcomes as a measure of health care quality for Medicare beneficiaries
    A S Bierman
    Center for Outcomes and Effectiveness Research, Agency for Healthcare Research and Quality, Rockville, MD 20852, USA
    Health Serv Res 36:90-109. 2001
    ..To interpret the HOS as a quality measure individual-and plan-level differences in functional status and illness burden, as well as methodologic issues in health status measurement, need to be recognized and addressed...
  55. ncbi Direct medical costs for type 2 diabetes mellitus complications in the US commercial payer setting: a resource for economic research
    Elise M Pelletier
    IMS Consulting Services, Watertown, Massachusetts, USA
    Appl Health Econ Health Policy 6:103-12. 2008
    ..However, the published literature shows great variability across studies in the number and type of sources from which these costs for diabetes are obtained...
  56. ncbi Tobacco control efforts in managed care: what do the doctors think?
    Leif I Solberg
    HealthPartners Research Foundation, Minneapolis, Minn 55440 1524, USA
    Am J Manag Care 10:193-8. 2004
    ....
  57. ncbi Use of geocoding in managed care settings to identify quality disparities
    Allen M Fremont
    RAND Health, Santa Monica, California, USA
    Health Aff (Millwood) 24:516-26. 2005
    ....
  58. ncbi Managed care and the US health care system a social exchange perspective
    David E Grembowski
    Department of Health Services, University of Washington, Seattle 98195 7660, USA
    Soc Sci Med 54:1167-80. 2002
    ..The theoretical and research implications of exchange theory for the comparative study of health care systems are discussed...
  59. ncbi Changing medication use in managed care: a critical review of the available evidence
    Sallie Anne Pearson
    Harvard Medical School, Harvard Pilgrim Health Care, 133 Brookline Ave, 6th Floor, Boston, MA 02215, USA
    Am J Manag Care 9:715-31. 2003
    ..To review the effectiveness of strategies to improve the quality and efficiency of medication use in managed care organizations (MCOs)...
  60. pmc Managed care, access to mental health specialists, and outcomes among primary care patients with depressive symptoms
    David E Grembowski
    Center for Cost and Outcomes Research, Department of Health Services, University of Washington, Seattle, Wash 98195 7660, USA
    J Gen Intern Med 17:258-69. 2002
    ..To determine whether managed care is associated with reduced access to mental health specialists and worse outcomes among primary care patients with depressive symptoms...
  61. ncbi Impact of disease management on health care utilization: evidence from the "Florida: A Healthy State (FAHS)" Medicaid Program
    Abdelmonem A Afifi
    School of Public Health, UCLA, Los Angeles, CA 90095 1772, USA
    Prev Med 44:547-53. 2007
    ..To examine the impact of disease management on utilization of selected health care services...
  62. ncbi Occurrence of secondary ischemic events among persons with atherosclerotic vascular disease
    Barbara G Vickrey
    RAND, Santa Monica, Calif, USA
    Stroke 33:901-6. 2002
    ..We estimated the occurrence of secondary stroke, acute myocardial infarction (AMI), and vascular deaths among 2 large, managed care samples...
  63. pmc Revisiting the relationship between managed care and hospital consolidation
    Robert J Town
    Division of Health Policy and Management, School of Public Health, University of Minnesota, Mayo Mail Code 729, 420 Delaware St SE, Minneapolis, MN 55455, USA
    Health Serv Res 42:219-38. 2007
    ..This paper analyzes whether the rise in managed care during the 1990s caused the increase in hospital concentration...
  64. ncbi Plan choice and changes in access to care over time for SSI-eligible children with disabilities
    Pamela N Roberto
    US Government Accountability Office, USA
    Inquiry 42:145-59. 2005
    ..Possible explanations for the deterioration in access associated with FFS include the lack of case management services, lower reimbursement relative to the partially capitated managed care plan, and provider availability...
  65. ncbi Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders
    Ted E Palen
    Clinical Research Unit, Colorado Permanente Medical Group, PO Box 378066, Denver, CO 80237 8066, USA
    Am J Manag Care 12:389-95. 2006
    ..Few studies have examined the effect of CPOE in combination with decision support tools on prescribing practices in the outpatient setting. Less is known about prescribers' adherence to laboratory monitoring recommendations...
  66. pmc Impact of 3-tier formularies on drug treatment of attention-deficit/hyperactivity disorder in children
    Haiden A Huskamp
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
    Arch Gen Psychiatry 62:435-41. 2005
    ..Many employers and health plans have adopted 3-tier formularies in an attempt to control costs for these and other drugs...
  67. ncbi Failure of Internet-based audit and feedback to improve quality of care delivered by primary care residents
    Steven R Simon
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA
    Int J Qual Health Care 17:427-31. 2005
    ..To determine the effectiveness of Internet-based audit and feedback to physicians to improve care for diabetes and hypertension...
  68. ncbi A randomized controlled trial of test-and-treat strategy for Helicobacter pylori: clinical outcomes and health care costs in a managed care population receiving long-term acid suppression therapy for physician-diagnosed peptic ulcer disease
    James E Allison
    Division of Research, Kaiser Permanente Medical Care Program, Northern California Region, 2000 Broadway, Oakland, CA 94612, USA
    Arch Intern Med 163:1165-71. 2003
    ....
  69. ncbi Managed care organization characteristics and outpatient specialty care use among children with chronic illness
    Elizabeth Shenkman
    Department of Epidemiology and Health Policy Research, Institute for Child Health Policy, University of Florida, 1329 SW 16th St, Room 5130, Gainesville, FL 32608, USA
    Pediatrics 115:1547-54. 2005
    ..Limited information is available about managed care organization (MCO) characteristics that influence outpatient physician specialist use among children with chronic conditions...
  70. pmc Effects of Medicaid managed care programs on health services access and use
    Bowen Garrett
    The Urban Institute, Health Policy Center, Washington, DC 20037, USA
    Health Serv Res 38:575-94. 2003
    ..To estimate the effects of Medicaid managed care (MMC) programs on Medicaid enrollees' access to and use of health care services at the national level...
  71. ncbi Association between prescription burden and medication adherence in patients initiating antihypertensive and lipid-lowering therapy
    Joshua S Benner
    Engelberg Center for Health Care Reform, The Brookings Institution, Washington, DC
    Am J Health Syst Pharm 66:1471-7. 2009
    ..The association between prescription burden and medication adherence in patients initiating antihypertensive and lipid-lowering therapy was studied...
  72. ncbi Receipt of asthma subspecialty care by children in a managed care organization
    Michael Cabana
    Child Health Evaluation and Research CHEAR Unit, Division of General Pediatrics, University of Michigan Health Care System, Ann Arbor 48109 0456, USA
    Ambul Pediatr 2:456-61. 2002
    ..Although proper outpatient asthma management sometimes requires care from subspecialists, there is little information on factors affecting receipt of subspecialty care in a managed care setting...
  73. pmc Managed care, access to specialists, and outcomes among primary care patients with pain
    David E Grembowski
    Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle 98195 7660, USA
    Health Serv Res 38:1-19. 2003
    ..To determine whether managed care controls were associated with reduced access to specialists and worse outcomes among primary care patients with pain...
  74. ncbi Impact of a managed-Medicare physical activity benefit on health care utilization and costs in older adults with diabetes
    Huong Q Nguyen
    Department of Behavioral Nursing and Health Systems, University of Washington, Seattle, WA 98199, USA
    Diabetes Care 30:43-8. 2007
    ..The purpose of this article was to determine the effects of a managed-Medicare physical activity benefit on health care utilization and costs among older adults with diabetes...
  75. ncbi The role of managed care and financing in medical practices: how does psychiatry differ from other medical fields?
    Roland Sturm
    RAND UCLA Center on Managed Care for Psychiatric Disorders, 1700 Main Street, Santa Monica, CA 90401, USA
    Soc Psychiatry Psychiatr Epidemiol 38:427-35. 2003
    ....
  76. doi Adherence with multiple-combination antihypertensive pharmacotherapies in a US managed care database
    Kenneth C Jackson
    Clin Ther 30:1558-63. 2008
    ..The aim of this analysis was to assess the impact of multiple combination therapies on medication possession ratios (MPRs) in an antihypertensive naive population...
  77. ncbi Changes in antibiotic prescribing for children after a community-wide campaign
    Joseph F Perz
    Epidemic Intelligence Service, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, GA, USA
    JAMA 287:3103-9. 2002
    ..Very high levels (>50%) of antibiotic resistance among invasive Streptococcus pneumoniae have been documented in Knox County, Tennessee...
  78. ncbi Validation of data collection for the HEDIS performance measure on chlamydia screening in an MCO
    Feifei Wei
    HealthPartners Research Foundation, PO Box 1524, Minneapolis, MN 55440 1524, USA
    Am J Manag Care 9:585-93. 2003
    ..To determine the validity of calculating the chlamydia Health Plan Employer Data and Information Set (HEDIS) measure using administrative data available in a mixed-model managed care organization (MCO)...
  79. ncbi Satisfaction with services in innovative managed care programs for groups of traditionally underserved individuals with HIV/AIDS: empirical models
    D A Cherin
    Measurement Group, 5811A Uplander Way, Culver City, CA 90230, USA
    Home Health Care Serv Q 19:103-25. 2001
    ..Through the modeling methods, the groups most likely to experience the greatest program satisfaction are identified. In general, all groups were highly satisfied with the programs...
  80. ncbi Serum urate levels and gout flares: analysis from managed care data
    Chaitanya A Sarawate
    Health Outcomes Research, HealthCore, Inc, 800 Delaware Avenue, Wilmington, DE 19801 1366, USA
    J Clin Rheumatol 12:61-5. 2006
    ..The desired serum urate level (SUA) for prevention of gout attacks is widely recommended to be in the subsaturating range, <6.0 mg/dL...
  81. ncbi Validity of the Asthma Control Test completed at home
    Michael Schatz
    Department of Allergy, Kaiser Permanente, San Diego, Calif, USA
    Am J Manag Care 13:661-7. 2007
    ..To provide additional validity data for the Asthma Control TestTM (ACT) using a different criterion measure, setting, and population...
  82. ncbi Switching to gatekeeping: changes in expenditures and utilization for children
    T G Ferris
    Institute for Health Policy, Division of General Medicine, Massachusetts General Hospital for Children and Harvard Medical School, Boston, Massachusetts 02114, USA
    Pediatrics 108:283-90. 2001
    ..Little empirical research describes the impact of switching into a gatekeeping plan on health care expenditures and utilization for children...
  83. ncbi Inequality of access to surgical specialty health care: why children with government-funded insurance have less access than those with private insurance in Southern California
    Edward C Wang
    Department of Otolaryngology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA
    Pediatrics 114:e584-90. 2004
    ....
  84. ncbi A benefit-based copay for prescription drugs: patient contribution based on total benefits, not drug acquisition cost
    A M Fendrick
    Division of General Internal Medicine, Department of Internal Medicine, School of Medicine, University of Michigan, Ann Arbor, MI, USA
    Am J Manag Care 7:861-7. 2001
    ..Implementation of such a system would provide a financial incentive for individuals to prioritize their out-of-pocket drug expenditures based on the value of their medications, not their price...
  85. pmc The impact of managed care on children's access, satisfaction, use, and quality of care
    P W Newacheck
    Institute for Health Policy Studies, San Francisco, CA 94118, USA
    Health Serv Res 36:315-34. 2001
    ..This conclusion is provisional, however, because of limitations in the data set...
  86. ncbi Improving asthma management: one health plan's experience
    Andrew W Green
    Independent Health Association, 511 Farber Lakes Dr, Buffalo, NY 14221, USA agreen independenthealth com
    Am J Manag Care 13:482-5. 2007
    ..To demonstrate that including the patient's perspective of disease control (patient-reported symptoms) in asthma treatment and management decisions improves patient outcomes and reduces healthcare resource utilization...
  87. ncbi Are incentive-based formularies inversely associated with drug utilization in managed care?
    Patrick P Gleason
    Prime Therapeutics, LLC, Eagan, MN 55121 3497, USA
    Ann Pharmacother 39:339-45. 2005
    ..To review recent studies comprehensively assessing the impact of incentive-based multitier formularies on pharmaceutical costs and utilization...
  88. pmc Managed care, professional autonomy, and income: effects on physician career satisfaction
    J J Stoddard
    Center for Studying Health System Change, Washington, DC, USA
    J Gen Intern Med 16:675-84. 2001
    ..The level of career satisfaction derived by physicians from their work is a basic yet essential element in the functioning of the health care system...
  89. ncbi Managed care, consolidation among health care providers, and health care: evidence from mammography
    L C Baker
    Stanford University, USA
    Rand J Econ 30:351-74. 1999
    ..We also find that increases in HMO market share are associated with reductions in costs for mammography and with increases in waiting times for appointments, but not with worse health outcomes...
  90. ncbi Management of multiple sclerosis across managed care and fee-for-service systems
    B G Vickrey
    Department of Neurology, University of California at Los Angeles, 90095 1769, USA
    Neurology 55:1341-9. 2000
    ..To measure and compare care for adults with MS across managed care and fee-for-service (FFS) health systems...
  91. ncbi Physicians' perceptions of managed care: a review of the literature
    Jon B Christianson
    University of Minnesota, USA
    Med Care Res Rev 62:635-75. 2005
    ..The review concludes with suggestions for the conduct of future research on this topic...
  92. ncbi Optimal design features for surveying low-income populations
    Doren D Fredrickson
    Department of Preventive Medicine and Public Health, University of Kansas School of Medicine, Wichita, USA
    J Health Care Poor Underserved 16:677-90. 2005
    ..0001). Using consumer-based preferences significantly increased response rates to this Medicaid satisfaction survey. Raising CAHPS response rates may increase validity of Medicaid consumer satisfaction information...
  93. ncbi A multisite randomized trial of the effects of physician education and organizational change in chronic-asthma care: health outcomes of the Pediatric Asthma Care Patient Outcomes Research Team II Study
    Paula Lozano
    Center for Health Studies, Group Health Cooperative, 1730 Minor Avenue, Seattle, WA 98101, USA
    Arch Pediatr Adolesc Med 158:875-83. 2004
    ..Traditional primary care practice change approaches have not led to full implementation of national asthma guidelines...
  94. ncbi Impact of the Oregon Health Plan on children with special health care needs
    J B Mitchell
    Health Economics Research, Inc, Waltham, Massachusetts 02452, USA
    Pediatrics 107:736-43. 2001
    ..This study compares the managed care experiences of children with and without special care needs in the Oregon Health Plan...
  95. pmc Should the NHS follow the American way?
    Cam Donaldson
    School of Population and Health Sciences, University of Newcastle, Newcastle upon Tyne NE2 4AA
    BMJ 331:1328-30. 2005
  96. ncbi Effects of Medicaid managed care on health care use: infant emergency department and ambulatory services
    E A Alessandrini
    Division of Emergency Medicine, The Children's Hospital of Philadelphia, USA
    Pediatrics 108:103-10. 2001
    ..78) and having a mother who completed high school (OR: 0.67; 95% CI: 0.45, 0.99). CONCLUSIONS: Enrollment in MMC did not alter ED usage patterns when compared with FFSM. Some variation in use of other ambulatory services was detected...
  97. ncbi Psychologists, resist managed care!
    Alejandra Suarez
    Argosy University, Seattle, WA, US
    Am Psychol 59:127-8; discussion 129. 2004
  98. ncbi Enrollee satisfaction with three Florida Medicaid managed care programs
    Hsou Mei Hu
    Health Services Research, Department of Health Services Administration, College of Health Professions, University of Florida, Gainesville, USA
    Manag Care Interface 16:22-8. 2003
    ..Improvements in satisfaction would require different interventions in each of the programs...
  99. ncbi Strategies for integrating Medicare and Medicaid: design features and incentives
    Edward Alan Miller
    University of Michigan, USA
    Med Care Res Rev 60:123-57. 2003
    ..Future efforts would be well served by carefully considering the incentive structures designed into these initiatives and working to improve them in the next generation of Medicare-Medicaid integration efforts...
  100. ncbi Managed care and mental health: personal realities
    Colleen Galambos
    University of Missouri Columbia, School of Social Work, 65211 4470, USA
    J Health Soc Policy 20:1-22. 2004
    ..Implications for social work practice and research are discussed and recommendations for service delivery and evidence-based education are delineated...
  101. ncbi Payment for performance: in sickness and in health. For better or for worse?
    Richard S Goldman
    Renal Medicine Associates, Albuquerque, NM 87106, USA goldmanrenalmed com
    Blood Purif 24:28-32. 2006
    ..Thus, we need to study how CPGs interact with one another in specific patient populations. The updating process for CPGs should include evidence-based statements concerning their impact on real patients with multiple chronic illnesses...

Research Grants82

  1. Infant Screening and Diagnosis of Duchenne Muscular Dys*
    Paul Fernhoff; Fiscal Year: 2007
    ..These data points will be tracked throughout the project. ..
  2. Weight management for improved pregnancy outcomes
    Victor J Stevens; Fiscal Year: 2012
    ..In addition to measures of safety, our secondary analyses will address the feasibility and acceptability of a weight management intervention among obese pregnant women. ..
  3. Reforming Medicare: Beneficiary Choice, Plan Payment, and Accountable Care
    JOHN MICHAEL MCWILLIAMS; Fiscal Year: 2012
    ..McWilliams'ability to achieve the short-term training and research objectives he has proposed as well as his long-term career goal of making lasting contributions as a national leader in aging research. ..
  4. Disparities in Progression to Renal Replacement Therapy
    Stephen F Derose; Fiscal Year: 2011
    ....
  5. Health Systems, Quality of Care, and Outcomes in SLE
    Edward H Yelin; Fiscal Year: 2012
    ..The project could help persons with SLE from low socioeconomic backgrounds by showing that referral to physicians providing high quality care will reduce disparities in outcomes. ..
  6. Immunization Delivery in Obstetrics and Gynecology Settings
    Amanda F Dempsey; Fiscal Year: 2013
    ..S. and will also be used to develop a vaccination implementation plan ("toolkit") to be made available to control practices and obstetrician-gynecologist practices throughout the U.S. ..
  7. The Impact of Coordinating Medicare and Medicaid benefits for the dually-eligible
    Hye Young Jung; Fiscal Year: 2011
    ....
  8. Examining the effect of a provider-delivered intervention among Medicaid smokers
    AMY K FERKETITCH; Fiscal Year: 2010
    ..for a physician office-delivered smoking cessation intervention targeting smokers enrolled in Medicaid Managed Care Programs (MMCPs) in Ohio Appalachia...
  9. Chiropractic Use Patterns, and Their Antecedents and Consequences in Older Adults
    FREDRIC DAVID WOLINSKY; Fiscal Year: 2010
    ....
  10. Statins To Prevent Progression of Glaucoma: The STOP Glaucoma Trial
    Joshua D Stein; Fiscal Year: 2013
    ....
  11. An open-source public domain health risk assessment for use in primary care
    Joseph J Sudano; Fiscal Year: 2013
    ..Aim 3: To engage a local primary care practice based research network (PBRN) in the design and pilot testing of the new HRA as a prelude to a rigorous evaluation of the HRA in primary care to be carried out in a subsequent study. ..
  12. Evaluation of vaccination reminder/recall systems for adolescent patients
    Allison Kempe; Fiscal Year: 2009
    ..The study will provide important information to guide future public health efforts to achieve high rates of immunization in adolescents. ..
  13. Comparative effectiveness of breast imaging modalities: a natural experiment
    Garth H Rauscher; Fiscal Year: 2013
    ....
  14. Obesity Prevention Tailored for Health II
    KIM DANIEL REYNOLDS; Fiscal Year: 2012
    ..Two 24-hour recalls will be completed at each assessment period. BMI and physical activity will be objectively measured through height and weight assessments, and through the use of accelerometry to assess physical activity. ..
  15. Adolescent Vaccination in the Medical Home: Established and Innovative Strategies
    Allison Kempe; Fiscal Year: 2012
    ....
  16. Policy and Demographic Predictors of Medicaid Take-Up Among Non-Elderly Adults
    Benjamin D Sommers; Fiscal Year: 2010
    ..Understanding the causes of low take-up in Medicaid is critical to effective health care reform and to extending coverage to millions of Americans currently without health insurance. ..
  17. Denver Prevention Training Center
    Mark W Thrun; Fiscal Year: 2010
    ....
  18. Prevention of Complications in Hemophilia Through HTCs
    Marilyn J Manco Johnson; Fiscal Year: 2010
    ..This region has strong leadership and a history of successful clinical research that enhances patient care. ..
  19. Comparative effectiveness of breast imaging strategies in community practice
    Bonnie C Yankaskas; Fiscal Year: 2010
    ....
  20. Reducing Disparities in Mental Health Expenditure Among Children in Child Welfare
    Ramesh Raghavan; Fiscal Year: 2013
    ..In the context of health reform, this proposal provides a unique opportunity to examine how disparities among these children can be reduced through Medicaid policy action. ..
  21. Implementation Outcomes of a Health IT Program For Vulnerable Diabetes Patients
    Margaret Anne Handley; Fiscal Year: 2011
    ..This information can inform efforts underway in national health reform, to scale up health IT interventions to off-set growing chronic disease care costs. ..
  22. Northern Manhattan Healthy Heart Initiative
    Olveen Carrasquillo; Fiscal Year: 2012
    ..Hispanics also have many risk factors for heart disease. Our study will determine if community health workers can reduce the risk of heart disease among Caribbean Latinos living in Northern Manhattan. ..
  23. Core_Prospective population-based estimation of influenza vaccine effectiveness a
    Michael L Jackson; Fiscal Year: 2013
    ..abstract_text> ..
  24. BREAST CANCER SURVEILLANCE IN A DEFINED POPULATION
    DIANA SM BUIST; Fiscal Year: 2011
    ..abstract_text> ..
  25. Failure to Utilize Diabetes Health Services Following a Referral
    Andrew John Karter; Fiscal Year: 2010
    ..This project will help us better understand patients who are "falling through the cracks" despite full access to integrated health care, and allow healthcare delivery systems to modify their programs to better serve their membership. ..
  26. Strategies to Vaccinate all Children for Influenza in a Practice Setting
    Allison Kempe; Fiscal Year: 2011
    ....
  27. Overdose Risk Assessment, Counseling and Naloxone Prescription in Health Care
    Ingrid A Binswanger; Fiscal Year: 2013
    ..Together, these aims will lead to the development of a novel intervention which has the potential to reduce fatalities from pharmaceutical opioid overdoses. ..
  28. Computerized Assessment by Remote Examiner System (CARES)
    JAMES P O'HALLORAN; Fiscal Year: 2011
    ..The need to provide otherwise unavailable mental health services to these patients is a pressing disparity that the current project hopes to address. ..
  29. System for Increasing Patient Access to Eye Exams for Diabetic Retinopathy
    Matthew S Muller; Fiscal Year: 2013
    ..If successful, the DLP-Cam's adoption by PCPs will enable widespread, efficient, and sustainable DR screening, thereby reducing barriers to eye care. ..
  30. Differential Effects of Managed Care Models and Competition in Medicaid
    Victoria Perez; Fiscal Year: 2013
    ..From a health economic perspective, the model underlying the empirical analysis extends previous theoretical work on insurer competition within a principal-agent framework. ..
  31. Screening for Youth Alcohol and Drug Use: A Study of Primary Care Providers
    Constance M Weisner; Fiscal Year: 2013
    ..It is innovative in using the EMR to change clinical practice and systematically integrate AOD in PC, and as a platform for collecting research data. ..
  32. Habitual &Neurocogonitive Processes in Adolescent Obesity Prevention
    KIM DANIEL REYNOLDS; Fiscal Year: 2013
    ..Two previously underutilized settings for obesity prevention will be targeted;families and managed care. (End of Abstract) ..
  33. Advancing Spatial Evaluation Methods to Improve Healthcare Efficiency and Quality
    Luc Anselin; Fiscal Year: 2013
    ..abstract_text> ..
  34. Differences in Quality, Cost, and Access between VA and Fee Basis CABG and PCI
    THOMAS MCMILLIN MADDOX; Fiscal Year: 2013
    ....
  35. Explaining Variations in End-of-Life Care Intensity
    Nancy L Keating; Fiscal Year: 2013
    ..4. Understand differences in intensity of EOL care across health system (fee-for-service Medicare, Medicare managed care, VA), and assess patient and physician characteristics and beliefs across systems. ..
  36. Demonstration of a Community System of Care for Medicaid Insured Pregnant Women
    LeeAnne Roman; Fiscal Year: 2013
    ....
  37. Health Services Research &Policy Training Grant
    Helena Temkin-Greener; Fiscal Year: 2012
    ..abstract_text> ..
  38. Integrating Genetic Testing for Lynch Syndrome in a Managed Care Setting
    KATRINA A GODDARD; Fiscal Year: 2013
    ..Many of the findings will be useful in other clinical areas and will be broadly applicable to other health care organizations aiming to improve access to genetic tests for cancers. ..
  39. Cohort Study of Medication Adherence Among Older Adults
    Marie Krousel Wood; Fiscal Year: 2009
    ....
  40. Joint Effect of Malpractice Risk and Financial Incentives on Cardiac Testing
    Steven A Farmer; Fiscal Year: 2013
    ..stress testing limit test overuse, or will they have unintended consequences - either raising cost or degrading care quality?;and (iii) how does the optimal level of malpractice risk vary with the nature of provider reimbursement? ..
  41. Community-Based Diabetes Medical Nutritional Therapy in African American Women
    STEPHANIA T MILLER-HUGHES; Fiscal Year: 2012
    ..It is a critical step in translating and making accessible, via community-based resources, dietary interventions that have the potential to reduce this tremendous disease burden. ..
  42. A comparison of cognitive and dynamic therapy for MDD in community settings
    MARY BETH GIBBONS; Fiscal Year: 2013
    ..If psychodynamic therapy is not inferior to cognitive therapy, the cost of re-training psychotherapists in cognitive therapy may not be warranted. ..
  43. Improved Cardiovascular Risk Reduction to Enhance Rural Primary Care:I-CARE
    BARCEY THURSTON LEVY; Fiscal Year: 2013
    ....
  44. New Evaluation of Guided Care's Effect on Utilization
    Bruce Leff; Fiscal Year: 2010
    ..Finally, we will repeat these analyses on subgroups of patients to determine which patients and which health care delivery environments benefit the most (and the least) from sustained Guided Care. ..
  45. Efficacy of Home-Based Self-Management for Chronic Fatigue
    Fred Friedberg; Fiscal Year: 2012
    ....
  46. The Coverage Gap and Clinical Outcomes in a Medicare Advantage Part D Population
    Obidiugwu Kenrik Duru; Fiscal Year: 2012
    ..The analyses will include patients with no drug coverage during the gap as well as generic-only drug coverage during the gap, and will provide important information about the effect of this policy on this vulnerable population. ..
  47. Effects of State Medicaid Policies On Prenatal Smoking and Infant Health Outcomes
    MARIAN PATRICIA JARLENSKI; Fiscal Year: 2013
    ..The research and training experiences will enable Ms. Jarlenski to achieve her career goal of becoming an independent investigator conducting innovative research to reduce tobacco use during pregnancy in the Medicaid population. ..
  48. UAB K 12 In Comparative Effectiveness Research
    Kenneth G Saag; Fiscal Year: 2010
    ..RELEVANCE: Creating the next generation of well trained comparative effectiveness research is of critical national importance as we seek to improve the effectiveness and efficiency of the delivery of drugs, devices and biologics. ..
  49. Improving Weight Loss Maintenance through Alternative Schedules of Treatment
    Gareth R Dutton; Fiscal Year: 2013
    ..Since successful weight loss maintenance is particularly challenging for many individuals, this research has the potential to improve the long-term weight loss outcomes of obesity interventions. ..
  50. CONCERT-Clinical Effectiveness Research (CONCERT-CER)
    Richard A Mularski; Fiscal Year: 2010
    ..kpchr.org/concert/) proposes to develop a research infrastructure that will accelerate the development and conduct of multi-institutional, multi-disciplinary studies that are responsive to the COPD CER priorities of stakeholders. ..
  51. IRBs: Ethics, Context and Interpretations
    Robert L Klitzman; Fiscal Year: 2011
    ..The book, which my editor at Oxford University Press is extremely interesting in publishing, will focus on IRBs in the US, though exploring these issues, though to a lesser degree, in the developing world as well. ..
  52. Comparative Effectiveness and Outcomes Improvement (CEOI) Center
    ROBERT M contact KAPLAN; Fiscal Year: 2010
    ....
  53. The Association Between Cataract Surgery and Progression of Diabetic Retinopathy
    Joshua D Stein; Fiscal Year: 2013
    ..By elucidating risk factors for DR onset and progression after cataract surgery, we could more closely monitor this "high-risk" subset of patients and study early interventions to reduce DR progression and vision loss. ..
  54. Innovative Diffusion of Comparative Effectiveness Research
    Daniel C Malone; Fiscal Year: 2010
    ..This proposal provides a strategy to increase awareness and adoption of the Agency for Healthcare Research and Quality (AHRQ) Effective Health Care Program's comparative effectiveness research (CER) guides by these committees. ..
  55. UAB T32 In Comparative Effectiveness Research
    Kenneth G Saag; Fiscal Year: 2010
    ....
  56. Cost-Sharing, Use, and Outcomes of Post-Acute Care in Medicare Advantage Plans
    Amal N Trivedi; Fiscal Year: 2013
    ....
  57. ADVancing Innovative Comparative Effectiveness research-cancer diagnostics ADVICE
    Sean D Sullivan; Fiscal Year: 2010
    ....
  58. Medication Adherence and Social Disparities in Diabetes
    Andrew John Karter; Fiscal Year: 2012
    ..Study findings should be generalizable to the 92% of Americans with diabetes who have health insurance, and provide a more comprehensive understanding of medication adherence in diabetes. ..
  59. ADOPTION OF CANCER PAIN GUIDELINES IN MANAGED CARE
    MILDRED SOLOMON; Fiscal Year: 1999
    ..Thus, one important result of this study is that it will provide a rigorous test of a behavior change intervention's impact on patients as well as providers. ..
  60. VHA-Indian Health Service Collaborations in Rural Health: HBPC
    Betty J Kramer; Fiscal Year: 2013
    ..Therefore, the long-term aim of this project is to implement best practice models for co-management of patients across federal healthcare organizations. ..
  61. Evaluation of vaccination reminder/recall systems for adolescent patients
    Peter Szilagyi; Fiscal Year: 2009
    ..This study evaluates the effectiveness of patient reminder/recall in improving both adolescent immunization delivery and the delivery of other critical adolescent preventive services. ..
  62. Disparities in Diabetes Care: Health Plan Focus and Physician Responsiveness
    Connie Mah Trinacty; Fiscal Year: 2013
    ..Trinacty's transition to an independent investigator in the field of health disparities, with a focus on the linkages between systems, providers, and initiatives to reduce disparities for diabetes patients. ..
  63. NRSA Postdoctoral Comparative Effectiveness Development Training Award
    Vincent Mor; Fiscal Year: 2010
    ..Brown University has been training successful post-doctoral fellows in health services research for a quarter century and is poised to extend this effort to the special needs of CER. ..
  64. Managed Care Penetration and Cancer Care
    Nancy Keating; Fiscal Year: 2003
    ..If managed care penetration is negatively associated with the delivery of care, interventions targeted toward policy-makers, providers, and patients will be needed to counteract the effects of market forces. ..
  65. WEST VIRGINIA RURAL MANAGED CARE DEMONSTRATION CENTER
    Hilda Heady; Fiscal Year: 1999
    ....
  66. Medicaid Managed Care for MH Services in Rural Settings
    Cathleen Willging; Fiscal Year: 2003
    ....
  67. MULTI-METHOD ASSESSMENT OF MEDICAID MANAGED CARE
    Howard Waitzkin; Fiscal Year: 2000
    ..This methodologic advance will prove helpful nationally and in other states for the evaluation of future health policy changes. ..
  68. Managed Care and Physician Satisfaction
    David Grembowski; Fiscal Year: 2001
    ..Data Analysis: Multiple regression analysis to determine associations in Aims 1 and 2. ..
  69. OUTCOMES OF A MANAGED CARE COST CONTAINMENT STRATEGY
    Mary Murray; Fiscal Year: 2001
    ..The proposed study is the first to examine the impact on plans of care for hospitalized patients and has implications for hospital providers, payers, clinicians, and policy makers. ..
  70. REGIONALIZATION, MARKET FORCES, AND NEONATAL MORTALITY
    Ciaran Phibbs; Fiscal Year: 2003
    ..abstract_text> ..
  71. PATTERNS AND OUTCOMES OF CARE FOR MEDICAID MENTALLY ILL
    Donald Steinwachs; Fiscal Year: 2001
    ..This project will be undertaken in collaboration with the Maryland Department of Health and Mental Hygiene. ..
  72. MEASURING PATIENT SATISFACTION: LOW LITERACY POPULATIONS
    Judy Shea; Fiscal Year: 2001
    ..Finally, we will randomize eligible enrollees to receive the standard form or one of the alternative versions, to determine how the instruments perform in the typical way in which they would be used. ..
  73. ECONOMICS OF MANAGED BEHAVIORAL HEALTH CARE
    Richard Scheffler; Fiscal Year: 2004
    ..The first project proposed here, in particular, lays out that challenge. ..
  74. QUALITY OF CHRONIC EYE CARE UNDER MANAGED CARE
    Jose Escarce; Fiscal Year: 2000
    ..The results of the project will inform policy debates about the merits of alternative ways to deliver care under managed care. ..
  75. MANAGED MENTAL HEALTH CARE & PATTERNS OF UTILIZATION
    Barbara Dickey; Fiscal Year: 1990
    ..The comparison of two types of managed care programs will provide us with a measure of effect: the length of stay and covered charges per admission and per ..
  76. CONTINUITY & COORDINATION OF MEDICAID CARE
    Andrea Gerstenberger; Fiscal Year: 1992
    ..An examination of the relationship between continuity, coordination, and overall quality and cost of care may also prove interesting...
  77. RURAL RESPONSE TO MEDICARE+CHOICE: CHANGE AND ITS IMPACT
    Keith Mueller; Fiscal Year: 2001
    ..Results of this study will be shared annually with the policy community and others through the publication series of the Rural Policy Research Institute. ..
  78. Medicaid Managed Care & Access to Alcohol Treatment
    Bentson McFarland; Fiscal Year: 2004
    ..The investigators will explore application of hierarchical models and latent variable growth curves to the national data sets. The results will be of considerable interest to state Medicaid and alcohol drug abuse program directors. ..
  79. Older Adults and Specialty Care Use in Managed Care
    Maureen Smith; Fiscal Year: 2002
    ..The proposed research will provide valuable information to clinicians, policymakers and researchers interested in the effects of managed care and health care providers (i.e., hospitals) on acutely-ill older patients. ..
  80. Improving Dispute Resolution in Health Care
    David Studdert; Fiscal Year: 2003
    ..abstract_text> ..
  81. State Mental Health Policy-Making under Managed Care
    Christopher Erb; Fiscal Year: 2006
    ..abstract_text> ..
  82. IMPACT OF MCO POLICY ON QUALITY OF PEDIATRIC ASTHMA CARE
    Bruce Stuart; Fiscal Year: 2000
    ..The findings from this study are expected to shed new light on how restrictive and enabling MCO policies affect quality of care and health outcomes for children with asthma. ..