Authors
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Improving BP Control Through Electronic Communications: An Economic EvaluationHome blood pressure (BP) monitoring and use of secure webbased tools to manage care collaboratively with pharmacists is a cost-effective way to improve BP control.
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Treatment of Acute Lymphoblastic Leukemia in Adolescents and Young AdultsAdolescent and young adults (AYA) constitute a distinct population amongst patients with cancer. Historically, AYA patients with ALL treated along pediatric-inspired protocols had better outcomes compared to those treated on standard "adult type" regimens.
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Effects of Telephone Counseling on Antipsychotic Adherence and Emergency Department UtilizationA telehealth nursing program used psychological counseling techniques to improve antipsychotic medication adherence, leading to reduced emergency department utilization in a managed Medicaid population.
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Meeting the Measure: Improving ADHD Care in the Medical HomeQuality improvement methodology was implemented to ensure that patients receiving medications for attention-deficit/hyperactivity disorder (ADHD) returned for an appointment within 30 days of initiating medication.
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Impact of Predictive Model-Directed End-of-Life Counseling for Medicare BeneficiariesA telephonic counseling program, directed by a predictive model, reduced end-of-life costs by 4.5% within 2 Medicare Health Support pilot programs.
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Geographic Correlation Between Large-Firm Commercial Spending and Medicare SpendingTraditional Medicare and the large-firm commercial sector have a positive correlation in hospital utilization, but a lack of correlation in spending.
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Racial Disparities in Lipid Control in Patients With DiabetesAfrican Americans with diabetes are less likely than whites to be treated with lipid-lowering agents, have their medication altered, or reach LDL-C goal.
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Patients' Perspectives of Care Management: A Qualitative StudyRisk-stratified care management is a cornerstone of patient-centered medical home models, but studies on patients’ perspectives of it are scarce. We explored patients’ experiences with care management, what they found useful, and what needs improvement.
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CVD Risk in Prostate Cancer: Future Directions in CareClosing out their discussion on cardiovascular disease in prostate cancer, experts share their hopes for future evolution of the treatment landscape.
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Out-of-Pocket Costs and Prescription Reversals With Oral LinezolidAssociations between out-of-pocket costs and prescription reversals, as well as impact of reversals on rehospitalizations and healthcare costs, were examined among patients prescribed oral linezolid.
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The Transfer of Uninsured Patients From Academic to Community Primary Care SettingsThis article describes a program to coordinate the care of an inner-city uninsured population at an academic health center.
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Hospital Readmission Among Participants in a Transitional Case Management ProgramCostly new breast cancer therapies augment the significant burden this disease places on healthcare resources, but in context they may still provide value to society.
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Using Applied Machine Learning to Predict Healthcare Utilization Based on Socioeconomic Determinants of CareThis study demonstrates that it is possible to generate a highly accurate model to predict inpatient and emergency department utilization using data on socioeconomic determinants of care.
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What Are the Potential Savings From Steering Patients to Lower-Priced Providers? A Static AnalysisSteering patients who visit providers with above-median prices to their market’s median-priced provider would save 42%, 45%, and 15% of laboratory, imaging, and durable medical equipment spending, respectively.
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Strategies for Identifying and Channeling Patients for Depression Care ManagementThis article examines screening strategies for possible depression in the context of a care management program for chronically ill Medicare recipients.
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Predicting Adherence Trajectory Using Initial Patterns of Medication FillingInitial medication filling during the first 2 to 4 months following initiation of a statin strongly predicted adherence patterns during the following year.
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Abolishing Coinsurance for Oral Antihyperglycemic Agents: Effects on Social Insurance BudgetsA coinsurance rate decrease can result in increased adherence to oral antihyperglycemic agents and improved clinical outcomes and cost savings for the healthcare system.
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Amazon Pharmacy: Distraction or Disruption?After years of anticipation, Amazon Pharmacy launched in November 2020. The question is now: Is this market entry a disruption, a distraction, or something in between?
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Managed Care Reflections: A Q&A With Jan E. Berger, MD, MJTo mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The January issue features a conversation with longtime editorial board member Jan E. Berger, MD, MJ, the CEO of Health Intelligence Partners.
