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Management: Managed Care

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Total 148 results found since Jan 2013.

Introduction to basal insulin therapy: clinical management of diabetes.
Abstract Diabetes is a series of metabolic conditions associated with many serious comorbidities, such as heart disease and stroke, peripheral arterial disease and lower-extremity amputations, retinopathy, nephropathy, and peripheral neuropathy. The American Diabetes Association, the American Association of Clinical Endocrinologists, and the International Diabetes Federation recommend that individuals with diabetes be as near to normoglycemic as possible. There are many glycemic management barriers among patients, such as cost, patient perceptions, and clinical inertia. Advancements in the treatment of diabetes wi...
Source: The American Journal of Managed Care - March 1, 2018 Category: Health Management Authors: Gonzalvo JD Tags: Am J Manag Care Source Type: research

Associations of CAHPS Composites With Global Ratings of the Doctor Vary by Medicare Beneficiaries’ Health Status
This study examines whether the association of care coordination with global ratings of one’s personal doctor varies by number of chronic conditions and self-rated health. Study Design: We used nationally representative Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey data to evaluate care coordination, doctor communication, getting needed care, getting care quickly, count of 6 chronic conditions (angina, cancer, chronic obstructive pulmonary disease, diabetes, heart attack, stroke), self-rated general health (5-point scale, poor to excellent, scored linearly), and interactions among the...
Source: Medical Care - July 13, 2018 Category: Health Management Tags: Brief Reports Source Type: research

The development of diabetes complications in GP-centered healthcare.
CONCLUSIONS: The results of the present study indicate that GP-centered healthcare is associated with a delay in the occurrence of serious diabetes complications and reduces the risk of diabetes complications. This may be because GP-centered care is associated with improved coordination of care. PMID: 30020751 [PubMed - in process]
Source: The American Journal of Managed Care - July 1, 2018 Category: Health Management Authors: Karimova K, Uhlmann L, Hammer M, Guethlin C, Gerlach FM, Beyer M Tags: Am J Manag Care Source Type: research

Economic modelling of costs associated with outcomes reported for type 2 diabetes mellitus (T2DM) patients in the CANVAS and EMPA-REG cardiovascular outcomes trials.
CONCLUSIONS: Models assumed independent, non-recurrent outcomes and were restricted to medical costs directly associated with the trial-reported events. The reductions in CVD events in T2DM patients reported for both CANVAS and EMPA-REG project to a positive cost avoidance for these events in an MCO population. The analysis did not include an assessment of the impact on total cost, as the costs associated with adverse events, drug utilization or other clinical outcomes were not examined. PMID: 30575426 [PubMed - as supplied by publisher]
Source: Journal of Medical Economics - December 23, 2018 Category: Health Management Tags: J Med Econ Source Type: research

Medicare's bundled payment model did not change skilled nursing facility discharge patterns.
CONCLUSIONS: Hospital participation in BPCI was not associated with changes in the number of SNF partners or in discharge concentration relative to non-BPCI hospitals. More research is needed to understand how hospitals are responding to bundled payment incentives and specific practices that contribute to improvements in cost and quality. PMID: 31318505 [PubMed - in process]
Source: The American Journal of Managed Care - June 30, 2019 Category: Health Management Authors: Zhu JM, Navathe A, Yuan Y, Dykstra S, Werner RM Tags: Am J Manag Care Source Type: research

Two New Drugs Help Relieve Sickle-Cell Disease. But Who Will Pay?
Adakveo and Oxbryta could be revolutionary treatments, but each costs about $100,000 per year and must be taken for life.
Source: NYT Health - December 7, 2019 Category: Consumer Health News Authors: Gina Kolata Tags: Drugs (Pharmaceuticals) Health Insurance and Managed Care Sickle Cell Anemia Prices (Fares, Fees and Rates) Stroke Clinical Trials Hemoglobin Food and Drug Administration Novartis AG Global Blood Therapeutics Source Type: news

Sickle cell disease: current treatment and emerging therapies.
Abstract Sickle cell disease (SCD) is among the most common genetic diseases in the United States, affecting approximately 100,000 people. In the United States, SCD is characterized by a shortened life expectancy of only about 50 years in severe subtypes, significant quality-of-life impairments, and increased healthcare utilization and spending. SCD is characterized by chronic hemolytic anemia, vaso-occlusion, and progressive vascular injury affecting multiple organ systems. The pathophysiology is directly related to polymerization of deoxygenated hemoglobin, leading to a cascade of pathologic events including ery...
Source: The American Journal of Managed Care - October 31, 2019 Category: Health Management Authors: Neumayr LD, Hoppe CC, Brown C Tags: Am J Manag Care Source Type: research

Cardiorespiratory coupling in cetaceans; a physiological strategy to improve gas exchange? RESEARCH ARTICLE
A. Fahlman, S. Miedler, L. Marti-Bonmati, D. Ferrero Fernandez, P. Munoz Caballero, J. Arenarez, J. Rocho-Levine, T. Robeck, and A. Blawas In the current study we used transthoracic echocardiography to measure stroke volume (SV), heart rate (fH), and cardiac output (CO) in adult bottlenose dolphins (Tursiops truncatus), a male beluga calf (Delphinapterus leucas, body mass [Mb] range: 151-175 kg), and an adult female false killer whale (Pseudorca crassidens, estimated Mb: 500-550 kg) housed in managed care. We also recorded continuous electrocardiogram (ECG) in the beluga, bottlenose dolphin, false killer whale, killer whal...
Source: Journal of Experimental Biology - July 16, 2020 Category: Biology Authors: Fahlman, A., Miedler, S., Marti-Bonmati, L., Fernandez, D. F., Caballero, P. M., Arenarez, J., Rocho-Levine, J., Robeck, T., Blawas, A. Tags: RESEARCH ARTICLE Source Type: research

Hypertrophic cardiomyopathy considerations for the managed care pharmacist
Am J Manag Care. 2021 Apr;27(6 Suppl):S118-S125. doi: 10.37765/ajmc.2021.88629.ABSTRACTHypertrophic cardiomyopathy (HCM) is often seen in patients as an autosomal dominant genetic heart disease with a variable clinical course. It is characterized by left ventricular hypertrophy, and with some patients, there is no evidence of a genetic etiology or presence of HCM in family members. Young age at diagnosis and the presence of a pathogenic or likely pathogenic sarcomere variant predict greater lifelong risk for stroke, heart failure, ventricular arrhythmia, atrial fibrillation, or mortality. Most individuals affected with HCM...
Source: The American Journal of Managed Care - April 16, 2021 Category: Health Management Authors: Patty Taddei-Allen Source Type: research

COVID-19 Exposed the Faults in America ’s Elder Care System. This Is Our Best Shot to Fix Them
For the American public, one of the first signs of the COVID-19 pandemic to come was a tragedy at a nursing home near Seattle. On Feb. 29, 2020, officials from the U.S. Centers for Disease Control and Prevention (CDC) and Washington State announced the U.S. had its first outbreak of the novel coronavirus. Three people in the area had tested positive the day before; two of them were associated with Life Care Center of Kirkland, and officials expected more to follow soon. When asked what steps the nursing home could take to control the spread, Dr. Jeff Duchin, health officer for Seattle and King County, said he was working w...
Source: TIME: Health - June 15, 2021 Category: Consumer Health News Authors: Abigail Abrams Tags: Uncategorized Aging COVID-19 feature franchise Magazine TIME for Health Source Type: news

Empiric segmentation of high-risk patients: a structured literature review
CONCLUSIONS: Empiric segmentation can yield clinically relevant groups of patients with complex medical needs. Segmentation results are context dependent, suggesting the need for careful design and interpretation of segmentation models to ensure that results can inform clinical care and program design in the target setting.PMID:35139299 | DOI:10.37765/ajmc.2022.88752
Source: The American Journal of Managed Care - February 9, 2022 Category: Health Management Authors: Jonathan Arnold Joshua Thorpe Janke Mains-Mason Ann-Marie Rosland Source Type: research