Authors

Selective Contracting and Patient Outcomes: A Case Study of Formulary Restrictions for Selective Serotonin Reuptake Inhibitor Antidepressants

Improving BP Control Through Electronic Communications: An Economic Evaluation

Home 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.

Is Occupational Type Related to Obesity Risk?

Sociodemographic characteristics of blue-collar workers may be attributed to the higher rates of obesity and chronic disease seen among them compared with white-collar workers.

Primary Care Diabetes Bundle Management: 3-Year Outcomes for Microvascular and Macrovascular Events

Using a system for primary care management of patients with diabetes may reduce the risk of myocardial infarction, stroke, and retinopathy over a 3-year period.

Tailored Interventions to Introduce Influenza Vaccination

Improving Care Transitions: Complex High-Utilizing Patient Experiences Guide Reform

The authors audited a series of complex patients’ records longitudinally across their institution’s existing care management programs to improve the coordinated functioning of these programs.

Role of Technology Assessment in Health Benefits Coverage for Medical Devices

Care by Cell Phone: Text Messaging for Chronic Disease Management

Cell phone“based text messaging may be used to feasibly support chronic disease management and engagement in diabetes self-care behaviors for some patients.

Fesoterodine: A New Agent for Treating Overactive Bladder

Correspondence regarding, "Mental Disorders in the Primary Care Sector: A Potential Role for Managed Care"

Measuring Financial Toxicity in Cancer Patients

With the rising costs of cancer care, evidence-based tools can help physicians screen patients for financial toxicity.

Adalimumab Persistence for Inflammatory Bowel Disease in Veteran and Insured Cohorts

Veterans with inflammatory bowel disease taking adalimumab appear to be more likely to remain on the drug 1 year after initiation than patients who are privately insured.

Controlling Prescription Drug Expenditures: A Report of Success

Prescribing COX-2s for Patients New to Cyclo-oxygenase Inhibition Therapy

Economic Impact of Irritable Bowel Syndrome: What Does the Future Hold?

Healthcare Use by Veterans Treated for Diabetes Mellitus in the Veterans Affairs Medical Care System

Disease-Modifying Antirheumatic Drug Initiation Among Patients Newly Diagnosed With Rheumatoid Arthritis

Only slightly more than half of patients with newly diagnosed rheumatoid arthritis initiated therapy within 1 year.

The Data Revolution Comes to Healthcare

The American Journal of Managed Care was founded in 1995, during the last period of serious reexamination of how healthcare is paid for and how it's delivered. Nearly 20 years later, after the retreat of the first managed care revolution, per capita healthcare costs have more than doubled, and there is again a strong movement toward payment and delivery system reform.

A Deep Learning Model for Pediatric Patient Risk Stratification

Artificial intelligence based on medical claims data outperforms traditional models in stratifying patient risk.

Variation in Markups on Outpatient Oncology Services in the United States

Charges for oncology services vary widely across hospitals and impose financial burdens. Further legislation is needed to address disparities in access to high-quality cancer care.

Consumer Attitudes Toward Personal Health Records in a Beacon Community

Even in communities with health information technology initiatives, consumer use of personal health records may be limited by the

The Association between Pharmacy Closures and Prescription Drug Use: A Retrospective Analysis of Medicaid Prescription Claims in Iowa

Health Care Resource Utilization Among Patients With T2D and Cardiovascular-, Heart Failure–, or Renal-Related Hospitalizations

Among patients with type 2 diabetes (T2D), concurrent cardiovascular-, heart failure–, or renal-related hospitalization presents significant disease burden leading to poor quality of life.

Strategies for Implementing Best Practices in Independent Physician Associations

The objective of this research was to identify strategies that significantly lower unnecessary inpatient utilization among Medicare beneficiaries with chronic disease.

Patients With Diabetes in Pay-for-Performance Programs Have Better Physician Continuity of Care and Survival

Patients with diabetes who participate in a pay-for-performance program had higher continuity of care index (COCI) scores, and those with high COCI scores had higher survival rates.

Trends in Retail Clinic Use Among the Commercially Insured

Retail clinic use increased dramatically over 3 years, especially among young, healthy, higher income enrollees living close to retail clinics.

Health Plan's Use of Asthma Quality Improvement Projects to Meet NCQA Accreditation Standards

Atypical Presentation and Complications of GERD

Validity of the HEDIS Criteria to Identify Children With Persistent Asthma and Sustained High Utilization