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https://www.readbyqxmd.com/read/28898374/behavioral-economics-and-health-insurance-reform-reply
#1
Jonathan Skinner, Kevin G Volpp
No abstract text is available yet for this article.
September 12, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28817301/patients-views-of-a-behavioral-intervention-including-financial-incentives
#2
Judy A Shea, Aderinola Adejare, Kevin G Volpp, Andrea B Troxel, Darra Finnerty, Karen Hoffer, Thomas Isaac, Meredith Rosenthal, Thomas D Sequist, David A Asch
OBJECTIVES: Clinical trials are increasingly testing the effectiveness of paying patients' financial incentives for achieving desired clinical outcomes. Some researchers and providers are concerned that patient financial incentives will harm the doctor-patient relationship. How patients feel about these approaches, and these trials, is largely unknown. This study examined patients' perceptions of a compound behavioral and financial incentive intervention used in a large multicenter trial to lower low-density lipoprotein cholesterol (LDL-C), including their perceptions of benefits and challenges and the study's effect on patients' relationship with their primary care physicians (PCPs)...
June 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/28751176/the-effect-of-interactive-reminders-on-medication-adherence-a-randomized-trial
#3
Hengchen Dai, David Mao, Kevin G Volpp, Heather E Pearce, Michael J Relish, Victor F Lawnicki, Katherine L Milkman
Expanding on evidence that interventions to improve health are more effective when informed by behavioral science, we explore whether reminders designed to harness behavioral science principles can improve medication adherence. We conducted a randomized controlled trial with 46,581 U.S. participants with commercial or Medicare Advantage insurance from Humana. Participants were randomly assigned to one of four experimental conditions. Participants in the usual care condition only received standard mailings that the insurer usually sends...
July 24, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28734830/active-choice-and-financial-incentives-to-increase-rates-of-screening-colonoscopy-a-randomized-controlled-trial
#4
Shivan J Mehta, Jordyn Feingold, Matthew Vandertuyn, Tess Niewood, Catherine Cox, Chyke A Doubeni, Kevin G Volpp, David A Asch
Behavioral economic approaches could increase uptake for colorectal cancer screening. We performed a randomized controlled trial of 2245 employees to determine whether an email containing a phone number for scheduling (control), an email with the active choice to opt in or opt out (active choice), or the active choice email plus a $100 incentive (financial incentive) increased colonoscopy completion within 3 months. Higher proportions of participants in the financial incentive group underwent screening (3.7%) than in the control (1...
July 19, 2017: Gastroenterology
https://www.readbyqxmd.com/read/28654972/effect-of-electronic-reminders-financial-incentives-and-social-support-on-outcomes-after-myocardial-infarction-the-heartstrong-randomized-clinical-trial
#5
RANDOMIZED CONTROLLED TRIAL
Kevin G Volpp, Andrea B Troxel, Shivan J Mehta, Laurie Norton, Jingsan Zhu, Raymond Lim, Wenli Wang, Noora Marcus, Christian Terwiesch, Kristen Caldarella, Tova Levin, Mike Relish, Nathan Negin, Aaron Smith-McLallen, Richard Snyder, Claire M Spettell, Brian Drachman, Daniel Kolansky, David A Asch
Importance: Adherence to medications prescribed after acute myocardial infarction (AMI) is low. Wireless technology and behavioral economic approaches have shown promise in improving health behaviors. Objective: To determine whether a system of medication reminders using financial incentives and social support delays subsequent vascular events in patients following AMI compared with usual care. Design, Setting, and Participants: Two-arm, randomized clinical trial with a 12-month intervention conducted from 2013 through 2016...
August 1, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28639106/time-to-selected-quit-date-and-subsequent-rates-of-sustained-smoking-abstinence
#6
George L Anesi, Scott D Halpern, Michael O Harhay, Kevin G Volpp, Kathryn Saulsgiver
In efforts to combat tobacco dependence, most smoking cessation programs offer individuals who smoke the choice of a target quit date. However, it is uncertain whether the time to the selected quit date is associated with participants' chances of achieving sustained abstinence. In a pre-specified secondary analysis of a randomized clinical trial of four financial-incentive programs or usual care to encourage smoking cessation (Halpern et al. in N Engl J Med 372(22):2108-2117, doi: 10.1056/NEJMoa1414293 , 2015), study participants were instructed to select a quit date between 0 and 90 days from enrollment...
June 21, 2017: Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/28627929/design-of-the-hptn-065-tlc-plus-study-a-study-to-evaluate-the-feasibility-of-an-enhanced-test-link-to-care-plus-treat-approach-for-hiv-prevention-in-the-united-states
#7
Theresa Gamble, Bernard Branson, Deborah Donnell, H Irene Hall, Georgette King, Blayne Cutler, Shannon Hader, David Burns, Jason Leider, Angela Fulwood Wood, Kevin G Volpp, Kate Buchacz, Wafaa M El-Sadr
Background/Aims HIV continues to be a major public health threat in the United States, and mathematical modeling has demonstrated that the universal effective use of antiretroviral therapy among all HIV-positive individuals (i.e. the "test and treat" approach) has the potential to control HIV. However, to accomplish this, all the steps that define the HIV care continuum must be achieved at high levels, including HIV testing and diagnosis, linkage to and retention in clinical care, antiretroviral medication initiation, and adherence to achieve and maintain viral suppression...
August 2017: Clinical Trials: Journal of the Society for Clinical Trials
https://www.readbyqxmd.com/read/28384693/replacing-the-affordable-care-act-lessons-from-behavioral-economics
#8
Jonathan S Skinner, Kevin G Volpp
No abstract text is available yet for this article.
May 16, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28337690/using-active-choice-within-the-electronic-health-record-to-increase-influenza-vaccination-rates
#9
Mitesh S Patel, Kevin G Volpp, Dylan S Small, Craig Wynne, Jingsan Zhu, Lin Yang, Steven Honeywell, Susan C Day
BACKGROUND: Despite the benefits of influenza vaccination, each year more than half of adults in the United States do not receive it. OBJECTIVE: To evaluate the association between an active choice intervention in the electronic health record (EHR) and changes in influenza vaccination rates. DESIGN: Observational study. PATIENTS: Adults eligible for influenza vaccination with a clinic visit at one of three internal medicine practices at the University of Pennsylvania Health System between September 2010 and March 2013...
July 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28329124/sleep-and-alertness-in-medical-interns-and-residents-an-observational-study-on-the-role-of-extended-shifts
#10
Mathias Basner, David F Dinges, Judy A Shea, Dylan S Small, Jingsan Zhu, Laurie Norton, Adrian J Ecker, Cristina Novak, Lisa M Bellini, Kevin G Volpp
Study Objectives: Fatigue from sleep loss is a risk to physician and patient safety, but objective data on physician sleep and alertness on different duty hour schedules is scarce. This study objectively quantified differences in sleep duration and alertness between medical interns working extended overnight shifts and residents not or rarely working extended overnight shifts. Methods: Sleep-wake activity of 137 interns and 87 PGY-2/3 residents on 2-week Internal Medicine and Oncology rotations was assessed with wrist-actigraphy...
April 1, 2017: Sleep
https://www.readbyqxmd.com/read/28245653/synchronized-prescription-refills-and-medication-adherence-a-retrospective-claims-analysis
#11
Jalpa A Doshi, Raymond Lim, Pengxiang Li, Peinie P Young, Victor F Lawnicki, Andrea B Troxel, Kevin G Volpp
OBJECTIVES: Medication adherence is often suboptimal, especially among patients on multiple chronic medications. We examined the association between synchronized medication refill schedules-which typically reduce organizational effort and logistical demands-and adherence. STUDY DESIGN: Retrospective study among patients enrolled in Medicare Advantage prescription drug plans. METHODS: We used 2012 pharmacy, medical, and enrollment data linked with consumer meta-data for Medicare patients filling 2 or more maintenance prescriptions for antihypertensives, lipid-lowering agents, antidiabetic agents, antidepressants, and/or antiosteoporotic agents...
February 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/28196212/effectiveness-of-medication-adherence-reminders-tied-to-fresh-start-dates-a-randomized-clinical-trial
#12
Hengchen Dai, David Mao, Jason Riis, Kevin G Volpp, Michael J Relish, Victor F Lawnicki, Katherine L Milkman
No abstract text is available yet for this article.
April 1, 2017: JAMA Cardiology
https://www.readbyqxmd.com/read/28007228/using-active-choice-within-the-electronic-health-record-to-increase-physician-ordering-and-patient-completion-of-high-value-cancer-screening-tests
#13
Mitesh S Patel, Kevin G Volpp, Dylan S Small, Craig Wynn, Jingsan Zhu, Lin Yang, Steven Honeywell, Susan C Day
BACKGROUND: High value screening tests such as colonoscopy and mammography can improve early cancer detection but are often underutilized. METHODS: We evaluated an active choice intervention using the electronic health record (EHR) to confirm patient eligibility for colonoscopy or mammography during the patient's clinic visit and prompt the physician and his/her medical assistant to actively choose to "accept" or "cancel" an order for it. We fit multivariate logistic regression models using a difference-in-differences approach to evaluate changes in physician ordering and patient completion of colonoscopy and mammography at the intervention practice compared to two control practices, adjusting for time trends, patient and clinic visit characteristics...
December 2016: Healthcare
https://www.readbyqxmd.com/read/27997663/learning-by-listening-improving-health-care-in-the-era-of-yelp
#14
Raina M Merchant, Kevin G Volpp, David A Asch
No abstract text is available yet for this article.
December 20, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27940063/automated-reminders-and-physician-notification-to-promote-immunosuppression-adherence-among-kidney-transplant-recipients-a-randomized-trial
#15
RANDOMIZED CONTROLLED TRIAL
Peter P Reese, Roy D Bloom, Jennifer Trofe-Clark, Adam Mussell, Daniel Leidy, Simona Levsky, Jingsan Zhu, Lin Yang, Wenli Wang, Andrea Troxel, Harold I Feldman, Kevin Volpp
BACKGROUND: Immunosuppression nonadherence increases the risk for kidney transplant loss after transplantation. Wireless-enabled pill bottles have created the opportunity to monitor medication adherence in real time. Reminders may help patients with poor memory or organization. Provision of adherence data to providers may motivate patients to improve adherence and help providers identify adherence barriers. STUDY DESIGN: Randomized controlled trial. SETTING & PARTICIPANTS: Kidney transplant recipients (n=120) at a single center...
March 2017: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/27932264/physician-attitudes-toward-participating-in-a-financial-incentive-program-for-ldl-reduction-are-associated-with-patient-outcomes
#16
Tianyu Liu, David A Asch, Kevin G Volpp, Jingsan Zhu, Wenli Wang, Andrea B Troxel, Aderinola Adejare, Darra D Finnerty, Karen Hoffer, Judy A Shea
No abstract text is available yet for this article.
September 2017: Healthcare
https://www.readbyqxmd.com/read/27834576/medicare-advantage-issues-insights-and-implications-for-the-future
#17
Paul Cotton, Joseph P Newhouse, Kevin G Volpp, A Mark Fendrick, Susan Lynne Oesterle, Pat Oungpasuk, Ruchi Aggarwal, Gail Wilensky, Kathleen Sebelius
Medicare Advantage: Issues, Insights, and Implications for the Future Paul Cotton, Joseph P. Newhouse, PhD, Kevin G. Volpp, MD, PhD, A. Mark Fendrick, MD, Susan Lynne Oesterle, Pat Oungpasuk, Ruchi Aggarwal, Gail Wilensky, PhD, and Kathleen Sebelius Editorial    S-2 D.B. Nash, and A.Y. Schwartz The History, Impact, and Future of the Medicare Advantage Star Ratings System    S-3 P. Cotton Medicare Advantage and Traditional Fee-For-Service Medicare    S-4 J.P. Newhouse Behavioral Economics: Key to Effective Care Management Programs for Patients, Payers, and Providers    S-5 K...
November 2016: Population Health Management
https://www.readbyqxmd.com/read/27803366/make-the-healthy-choice-the-easy-choice-using-behavioral-economics-to-advance-a-culture-of-health
#18
K G Volpp, D A Asch
Despite great advances in the science and technology of health care, a large gap separates theoretically achievable advances in health from what individuals and populations actually achieve. Human behavior sits on the final common pathway to so many of our health and health care goals, including the prevention and management of illness and the fostering of wellness. Behavioral economics is a relatively new field offering approaches to supplement many of the conventional approaches to improving health behaviors that rely on education or standard economic theory...
May 1, 2017: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27750316/framing-financial-incentives-to-increase-physical-activity-among-overweight-and-obese-adults
#19
Mitesh S Patel, David A Asch, Kevin G Volpp
No abstract text is available yet for this article.
October 18, 2016: Annals of Internal Medicine
https://www.readbyqxmd.com/read/27662223/new-strategies-for-aligning-physicians-with-health-system-incentives
#20
Amol S Navathe, Aditi P Sen, Meredith B Rosenthal, Robert M Pearl, Peter A Ubel, Ezekiel J Emanuel, Kevin G Volpp
No abstract text is available yet for this article.
September 2016: American Journal of Managed Care
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