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The Drug Price Iceberg: More Than Meets the Eye

When it comes to the political iceberg of drug prices, there is more than meets the eye. Policies that reduce prices but do not lower consumers’ out-of-pocket costs will not address the main challenge facing most Americans.

Option Pricing: A Flexible Tool to Disseminate Shared Savings Contracts

By pricing options that protect providers from downside risk,health plans can more clearly evaluate different shared savings contracts and expand them to smaller providers.

Patient Consultation in a Managed Care Setting: Guiding Pharmacy into the Future

Twitter Accounts Followed by Congressional Health Staff

Disseminating timely and relevant research findings to policy makers is a national priority to inform health policy decisions. Social media is a novel tool to bridge the communication gap.

Rising Out-of-Pocket Costs Threaten an Already Vulnerable Population: An Introduction to the PAN Foundation and AJMC® Collaborative Supplement

This supplement showcases the winning papers from the PAN Challenge, which aimed to foster conversations about how to rein in out-of-pocket costs to eliminate barriers between patients and their critical medical treatments.

Preventive Drug Lists as Tools for Managing Asthma Medication Costs

Findings of this qualitative interview study suggest promise, but also challenges, with regard to using preventive drug lists to help families manage asthma medication costs.

Effects of Documentation-Based Decision Support on Chronic Disease Management

A trial of electronic note–based decision support showed small effects on management of patients with heart disease and diabetes, mostly because it was infrequently used.

Utilization and Effectiveness of a Weight-Based Heparin Nomogram at a Large Academic Medical Center

Implications of an SSRI Generic Step Therapy Pharmacy Benefit Design: An Economic Model in Anxiety Disorders

The Opioid Epidemic, Neonatal Abstinence Syndrome, and Estimated Costs for Special Education Services

Redefining and Reaffirming Managed Care for the 21st Century

Innovations are powering the evolution of patient-centered care, and health plans are at the center of this innovation story.

The Role of Advanced Technologies in Improving Diabetes Outcomes

This article reviews underlying barriers to health care access and discusses how a value-based diabetes care model could improve patient outcomes and reduce long-term costs.

Diagnosis and Management of Group A Streptococcal Pharyngitis: A Practice Guideline

The Financial Impact of Team-Based Care on Primary Care

Although team-based care improved cardiovascular disease risk factors, it had a negative financial impact on a primary care practice.

Challenges With Judging and Interpreting a Drug’s Launch Price

This commentary explains why comparing a launch price with a value-based price from a cost-effectiveness analysis requires further examination.

Prevalence and Predictors of Hypoglycemia in South Korea

The prevalence and predictors of hypoglycemia in South Korean patients with type 2 diabetes were evaluated using a nationwide healthcare database.

Care Models for Complex Patients Face Barriers to Wider Adoption

While care models are being designed to improve outcomes and reduce costs for complex needs patients, there is only modest evidence of their impact and there are a number of barriers to wider adoption of these care models in practice.

True "Meaningful Use": Technology Meets Both Patient and Provider Needs

A qualitative study of patient and provider perspectives regarding the after-visit summary and the patient portal features of the electronic health record.

Hospitalization Risk in Patients with Schizophrenia Treated with Dose-Equivalent Antipsychotics

Return on Investment for Bariatric Surgery

Immunoglobulin Potency and Purity Considerations for Patients With Primary Immunodeficiency

Process and Outcome of Outpatient Management of Heart Failure: A Comparison of Cardiologists and Primary Care Providers

Clinical Efficacy: A Cost Containment Weapon for the 21st Century

Mitigating cost increases through preemptive care and clinical efficacy to reduce the disease burden of clinically at-risk patients.

Review of Veterans Health Administration Telemedicine Interventions

A review of exemplary VHA-sponsored telemedicine interventions indicates that telemedicine can efficiently address patient healthcare needs.

Reducing Barriers to Medication Access and Adherence for ACA and Medicaid Participants: A Peer-to-Peer, Community-Based Approach

How peer-to-peer, community support programs can educate and empower patients to become more adherent to treatments, which will improve outcomes and reduce healthcare costs.

Reasons for Emergency Department Use: Do Frequent Users Differ?

Frequent emergency department (ED) users gave similar reasons for using the ED rather than a clinic compared to other patients, including concerns around convenience, access, and quality.

Trends in Opioid and Nonsteroidal Anti-Inflammatory Use and Adverse Events

Opioid use incidence and prevalence rates decreased with implementation of an opioid safety initiative, whereas nonsteroidal anti-inflammatory drug rates remained constant. Rates of adverse events were higher among opioid users.