Medicare-Advantage Prescription drug plans (MA-PDs) and standalone PDPs appear to respond to different incentives for plan design.
Algorithmically generated booking recommendations based on customizable physician assumptions and predictive modeling modestly increased productivity without overburdening physicians in a randomized controlled trial.
A framework for researchers, providers, payers, or public health bodies identifies when it is most critical to distinguish between “average” population and individual patient response.
A recent AJMC study contained overstatements and small but importantly placed errors that have the potential to cause unwarranted on-the-ground cost problems.
CRC screening rates in a large managed care organization were low. Among those screened, use was associated more with physicians’ recommendations than with patient preferences.
This study examined the impact of prior authorization formularies on the likelihood that patients with schizophrenia will be arrested and incarcerated.
The authors found no consistent pattern in the concordance between CER evidence and subsequent utilization patterns.
Most 30-day readmissions are experienced by patients who have multiple hospital stays. Efforts to reduce readmissions must look beyond a single 30-day period.

AJMC Issue List