Early Lessons on Bundled Payment at an Academic Medical Center.

Introduction: Orthopaedic care is shifting to alternative payment models. We examined whether New York University Langone Medical Center achieved savings under the Centers for Medicare and Medicaid Services Bundled Payments for Care Improvement initiative.

Methods: This study was a difference-in-differences study of Medicare fee-for-service patients hospitalized from April 2011 to June 2012 and October 2013 to December 2014 for lower extremity joint arthroplasty, cardiac valve procedures, or spine surgery (intervention groups), or for congestive heart failure, major bowel procedures, medical peripheral vascular disorders, medical noninfectious orthopaedic care, or stroke (control group).

A qualitative evaluation of patient-perceived benefits and barriers to participation in a telephone care management program.

Purpose: To examine why high-risk individuals targeted for a telephone care management program participated at low rates.

Design: Study design consisted of qualitative, semistructured interviews.

Setting: The setting was a large national insurer's telephone-based care management program.

Patient ratings of case managers in a medical home: associations with patient satisfaction and health care utilization.

Background: Case managers are employed in medical homes to coordinate care for clinically complex patients.

Objective: To measure the association of patient perceptions of case manager performance with overall satisfaction and subsequent health care utilization.

Design: Retrospective cohort study.

Effects of transdermal nicotine on episodic memory in non-smokers with and without schizophrenia.

Rationale: Nicotinic agonists may improve attention and memory in humans and may ameliorate some cognitive deficits associated with neuropsychiatric disorders such as schizophrenia.

Materials And Methods: We investigated the effects of a single dose of nicotine on episodic memory performance in 10 adults with schizophrenia and 12 healthy controls. Participants were nonsmokers in order to avoid confounding effects of nicotine withdrawal and reinstatement on memory.

The effects of transdermal nicotine on cognition in nonsmokers with schizophrenia and nonpsychiatric controls.

Abundant evidence indicates that the neuronal nicotinic acetylcholine receptor (nAChR) system is integral to regulation of attentional processes and is dysregulated in schizophrenia. Nicotinic agonists may have potential for the treatment of cognitive impairment in this disease. This study investigated the effects of transdermal nicotine on attention in individuals with schizophrenia (n=28) and healthy controls (n=32).