Press Releases

Research appearing in the annual health IT issue of The American Journal of Managed Care® highlights the value of machine learning to predict who will use healthcare and how electronic health records cannot solve all problems.

National Kidney Foundation and CareFirst partnered for the first time on landmark study

Young adults, JDRF’s CEO, researchers discuss long-term impact of the current insulin affordability crisis in Perspectives on Insulin Pricing, a special issue of Evidence-Based Diabetes Management.™

Rising number, cost of drugs for rare disease therapies create new pressure on health plans, researchers report in the October issue of The American Journal of Managed Care®.

Writing in the current issue of The American Journal of Accountable Care®, researchers from The Pennsylvania State University share exploratory findings from Oregon and Pennsylvania regarding their efforts to improve the overall health and well-being of state residents.

Health policy experts writing in the current issue of The American Journal of Managed Care® illustrate efforts that are being tested or considered to improve care for elderly patients, veterans and others, as well as physician-led initiatives to improve stakeholder buy-in for value-based care.

Montefiore Health System will also be working with NeurologyLive™

A California law that limits the size of bills from out-of-network physicians for care delivered in hospitals appears to be protecting patients’ financial liability, but has shifted bargaining leverage in favor of insurance plans and had potential unintended consequences such as encouraging more consolidation among physician practice groups, according to a new RAND Corporation study published in The American Journal of Managed Care®.

Capping patient assistance for specialty prescription drugs may lead to lower medication adherence, according to findings published in The American Journal of Managed Care® (AJMC®). In an accompanying editorial, AJMC®’s co-editor-in-chief calls for a “truce” between drug makers and payers so that cost does not prevent patients from accessing high-value therapies.

Real-time fall detection using SafelyYou’s artificial intelligence-enabled video recording reduced the need for emergency services by a staggering 80% in dementia care facilities, according to research results published in The American Journal of Managed Care®.

The revolution in cancer care cannot happen just in the laboratory—it must also take place among stakeholders who must agree on new models for financing very expensive life-saving therapies. The new issue of Evidence-Based Oncology™ looks at the people trying to change the way we pay for cures and their work.

Graetz’s work highlights the impact of the use of health information technology on care processes and patient outcomes in managed care settings

Proprietary Tool Identifies Best Recovery Setting for Patients Post Discharge, Sheds Light on Power of Episodes in Transforming Healthcare

A Policy article in the May issue of The American Journal of Managed Care® suggests that sequential addition of SGLT2 inhibitors to DPP-4 inhibitors may be considered cost-effective compared with standard treatment using sulfonylurea and insulin for patients with type 2 diabetes who have difficulty maintaining glycated hemoglobin of seven percent or less on metformin alone.

Accompanying editorial calls for further refinements in value-based insurance design to reduce unintended use of low-value care, reports the latest issue of The American Journal of Managed Care®.

Three groups of conditions have been found to impact health score the most, authors from HealthPartners report in the latest issue of The American Journal of Managed Care®.

Some large employers and policy makers advocate for retail competition that relies on providers competing on healthcare performance. Using diabetes care in Minnesota as an example, researchers examined whether the public reporting of care measures encouraged health systems to improve their clinics’ diabetes care performance in the latest issue of The American Journal of Managed Care®.

The issues that plague the rest of the US healthcare system—such as care access and care fragmentation—are also present in Medicaid, according to a series of articles examining various outcomes in multiple states’ Medicaid programs in the current issue of The American Journal of Managed Care®.

Social determinants of health, including stress, social support and environmental hazards, among other factors, impact the lives of patients beyond the clinic door. It is unclear which health system stakeholders should own the responsibilities of improving these health-related measures, yet US payment systems are moving to hold individual providers accountable for associated health improvements. This represents a misalignment of accountability and capability, write two researchers in a viewpoint from the current issue of The American Journal of Accountable Care®.

Noted health policy researcher Dennis P. Scanlon, PhD, heads Center for Health Care and Policy Research at Pennsylvania State University.

A new study published in the latest issue of The American Journal of Managed Care® found that Medicare annual wellness visits were associated with lower overall healthcare costs and improved clinical care quality for senior patients at two of Aledade’s physician-led accountable care organizations.

Research in The American Journal of Managed Care® examines care delivery in physician organizations in California and their experience in value-based payment arrangements.

A recent survey of US payers and biopharmaceutical manufacturers found that consideration of value-based agreements (VBAs) as a coverage and payment tool is increasing and the prevalence of VBAs is far greater than previously thought, according to research published in The American Journal of Managed Care®.

This Trends From the Field article about awareness and adoption of reference-based pricing in The American Journal of Managed Care® comes as the price of medical services is increasingly seen as a driver of the cost of healthcare, even as overall trends level off or stabilize.

A targeted effort to make hospital cesarean delivery rates transparent and understood by women increased their awareness of this important quality measure, but did not drive them to choose hospitals with lower rates, according to a new study in The American Journal of Managed Care®.

The eighth annual issue about health information technology from The American Journal of Managed Care® discusses the work that is being done to fulfill its promise to improve the US healthcare system.

A team of researchers at Massachusetts General Hospital reports in The American Journal of Managed Care that virtual video visits, one form of telehealth visit used at the hospital, can successfully replace office visits for many patients without compromising the quality of care and communication.

Amid public health concerns about the risks of opioid overuse, a recent study in The American Journal of Accountable Care® (AJAC) shows increased economic burden on patients and payers when opioid therapy for noncancer pain continues beyond the initial prescription.

The forces leading to detachment and depersonalization among burned-out primary care physicians are similar to the factors responsible for populist movements—the perception of a rigged system favoring a managerial elite, according to a commentary in the December issue of The American Journal of Managed Care.®

“Super-utilizers,” meaning patients with complex health issues and frequent hospital visits, are becoming a focus of care management programs in an effort to improve patient outcomes. A study published in The American Journal of Managed Care®, and featured on our next Managed Care Cast podcast, found that Medicare fee-for-service patients in four states who fit this category and were enrolled in a high-intensity care management program had 37 percent fewer unplanned hospital readmissions.