Peer-Reviewed Articles from Managed Care


Teaching Residents Established Guidelines And Standards of Care To Strengthen Their Cost-Containment Practices

A program that outlined the concepts of evidence-based medicine improved residents’ knowledge about treatment costs

Greg P. Marconi, MD; Alan L. Nager, MD, MHA


Opioid Use Patterns and Health Care Resource Utilization in Patients Prescribed Opioid Therapy With and Without Constipation

Findings of this retrospective database study further emphasize the importance of effectively managing the side effects of opioid pain therapy and achieving optimum clinical and economic outcomes, thus improving the quality of care

Shrividya Iyer, PhD; Keith L. Davis, MA; Sean Candrilli, PhD


Impact of 17P Usage on NICU Admissions In a Managed Medicaid Population — A Five-Year Review

Mary V. Mason, MD, MBA; Amy Poole-Yaeger, MD; Cathie R. Krueger, RN, BSN; Kara M. House, MBA; Brad Lucas, MD, MBA


A Claims-Based View of Health Care Charges And Utilization for Commercially Insured Patients with Osteoarthritis

Jeffrey D. Dunn, PharmD, MBA; Michael W. Pill, PharmD


Effect of Social Work Intervention On Hospital Discharge Transition Planning In a Special Needs Population

Alan Adler, MD, MS; Craig Lipkin, MS; Lisa Cooper, MSW; Michael Agolino, MSW; Violet Jones, RN


Hypertension Epidemiology and Economic Burden: Refining Risk Assessment To Lower Costs

Jerome D. Cohen, MD


Effect of Patient Medication Cost Share on Adherence and Glycemic Control

Higher cost sharing decreases adherence to oral diabetes drugs and worsens glucose levels

Jacquelyn Hunt, PharmD, MS, BCPS; Yelena Rozenfeld, MPH; Rahul Shenolikar, BS Pharm, PhD


Evaluating the Tools Used to Assess the Medical Home

Nine instruments were reviewed based on the extent that they measured the four attributes of primary care. Only one fully met the recommended criteria.

Rebecca A. Malouin, PhD, MPH; Barbara Starfield, MD, MPH; Martin Jose Sepulveda, MD


Barriers to Breast Cancer Screening In a Managed Care Population

Sharp Health Plan wanted to increase mammography screening for its at-risk female population. Thirty percent of at-risk members were non-adherent. Members’ reasons for avoiding screening were examined.

Sandra R. Parkington, MPH, RN; Nora Faine, MD, MPH; Marcia C. Nguyen; Michelle T. Lowry, MPH; Poorva A. Virginkar


Effect of Drug Therapy on HEDIS Measurements of HbA1c Control In Diabetes Patients

Gary Bazalo, MS, MBA; Richard Weiss, MS; Nathaniel Clark, MD; Berhanu Alemayehu, PhD; Felicia Forma

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