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Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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At least 1,153 records · Page 64Linked to original sources
PubMed2005

Physicians view use of EMRs as part of new business model.

Physician adoption of electronic medical records will be swift over the next several years, says the chief medical officer with Geisinger Health System. Read about how Geisinger is improving patient care and reducing per member per month costs using EMRs.

Ambulatory Care Information Systems↗
PubMed2005

Budget impact of tegaserod on a managed care organization formulary.

We sought to develop a budget impact model that assesses the economic effect of adding tegaserod for the management of irritable bowel syndrome (IBS) with constipation to the formulary of a managed care organization (MCO). The model estimates the per patient economic impact and the per member, per month (PMPM) economic impact of patients 6 months before and 6 months after the initiation of tegaserod. Resource utilization data, taken from medical and pharmacy administrative claims data, were based on a retrospective, longitudinal study of 3365 patients administered tegaserod through a large, geographically diverse MCO. Costs were estimated for 2 patient subgroups, women with IBS and other gastrointestinal (GI) diagnoses. Sensitivity analyses were performed by varying several model input parameters. The base-case model resulted in an incremental PMPM budget impact associated with the use of tegaserod of 0.01 dollars. Total per patient budget impact (for all resources, including tegaserod) for a 6-month period was 274.34 dollars for women with IBS and 301.84 dollars for women with other GI diagnoses. Overall, 25.9% (29.0% for women with IBS group and 21.9% for women with other GI diagnoses group) of the cost of tegaserod was offset by decreases in resource utilization. Key drivers of post-tegaserod reductions in resource costs were hospital stays, outpatient office visits, emergency department visits, endoscopic procedures, and nonendoscopic procedures. Tegaserod therapy can decrease GI-related resource utilization, resulting in a significant cost-offset percentage. When the associated budget impact of adding tegaserod to its formulary is absorbed across an entire MCO population, the PMPM impact of tegaserod is small.

Adult↗
PubMed2005

Prescription drug benefits under Part D of the Medicare Modernization Act--the genie's out of the bottle.

With the passage of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 came the creation of the Medicare Part D prescription drug benefit, which takes effect in January 2006. In this brief, we discuss the new Part D benefit, including who is eligible, the basic benefit, benefits for low-income individuals and coordination with other prescription drug coverage.

Decision Support Techniques↗