Laura Joszt, MA

Senator Rand Paul, R-Kentucky, provides his plan to replace the Affordable Care Act, which includes expanding the use of health savings accounts and allowing health insurance to be sold and purchased across state lines.

A new healthcare reform legislation was introduced Monday by Bill Cassidy, MD, R-Louisiana, and Susan Collins, R-Maine. The proposed Patient Freedom Act would not fully repeal the Affordable Care Act (ACA), but instead, would place more power in the hands of the states by giving them the option of staying with the ACA or choosing another option.

The US District Court for the District of Columbia has blocked the Aetna-Humana merger on the grounds it is anticompetitive.

With the Affordable Care Act poised to become repealed, or at least changed, researchers sought to understand the health and healthcare utilization of people at risk to lose their insurance.

After his inauguration, President Donald J. Trump signed an executive order ordering federal agencies to ease the burden of his predecessor’s landmark healthcare law.

Despite being up to 15 times more likely to be HIV positive, people with bipolar disorder, schizophrenia, and major depression with psychosis aren’t much more likely than the general population to be tested for the virus.

The abortion rate in the United States hit a historic low in 2014 with 2 likely contributing factors: improved access to contraceptives and increased restrictions to abortion services.

Among the 9 new orphan drugs approved by the FDA in 2016 were 3 treatments for rare diseases that, so far, had no approved treatments: Duchenne muscular dystrophy, spinal muscular atrophy, and severe hepatic veno-occlusive disease.

Since patients with COPD often have other comorbidities, researchers sought to understand patient adherence to maintenance COPD medications and adherence to treat other chronic conditions.

The continued segmentation of the US healthcare system has resulted in a majority of spending on behavioral health disorders being attributed to treatment of the physical comorbidities.

Researchers have found that accountable care organizations with a higher proportion of minority patients tend to score worse on Medicare’s quality performance measures.

Rising healthcare expenditures, leading to increased consumer cost sharing, is a top concern in healthcare that crosses party lines. In a new commentary in JAMA Internal Medicine, A. Mark Fendrick, MD, and Michael E. Chernew, PhD, co-editors-in-chief of The American Journal of Managed Care, highlighted the need for a “smarter” deductible.

As the team at CMS prepares to hand the reins over to the next administration, Andy Slavitt, acting administrator of CMS, took the time to speak with Mandi Bishop, MA, CEO of Aloha Health, in the latest podcast of Managed Care Cast about what he learned in his role and what the next administration should keep in mind.

An increasing prevalence of type 2 diabetes and poor glycemic control among youth in the United States has highlighted the need for early detection of prediabetes.

Caring at home for children with special healthcare needs brings high costs to families. A study by researchers at the University of Southern California, Boston Children’s Hospital, and RAND Corp., placed the uncompensated medical cost at nearly $36 billion annually.

January 1, 2017, marks the beginning of a new way of being paid in Medicare. And while the final rule of MACRA was released in October, and many providers and practices are still trying to parse out what it will mean to them.

Although chronic obstructive pulmonary disease (COPD) remains a leading cause of death around the world, the reason for why patients with COPD lose the ability to repair damage to their lungs is poorly defined. However, researchers at the Helmholtz Zentrium München may now have an idea of why this happens.

More than half of Americans may be satisfied with the total cost they pay for healthcare, but cost remains the biggest issue people have with healthcare overall in the United States.

During the December Managed Care Cast hosted by Patricia Salber, the guest was Joe Antos, PhD, resident scholar at the American Enterprise Institute, who discussed potential changes to healthcare and the realities of repeal and replace under President-elect Donald J. Trump’s administration.

Articles on physicians with business degrees, a popular diabetes drug, and alcohol as an antidepressant may not seem to have a lot in common, but they were popular on social media in 2016.

CMS is moving full-steam ahead with the transition to value-based care. On Tuesday, the agency announced 3 new bundled payment models in cardiac care, an expansion on the Comprehensive Care for Joint Replacement Model, and the highly anticipated new track in the Medicare Shared Savings Program.

Along with the peer-review research, journal articles, and news coverage, The American Journal of Managed Careâ„¢ (AJMCâ„¢) has a robust multimedia component that brings together stakeholders from across the healthcare industry to discuss important topics in the world of managed care and delve deeper into topics.

Two former executives at a generic pharmaceutical company have been charged with being involved with price-fixing, bid-rigging, and customer allocation conspiracies. The charges are the first that have resulted from a 2-year investigation of the generic drug industry.

In general, older adults (over the age of 55) in the United States tend to have a higher well-being compared with the broader adult population. Older Americans have better eating habits, fewer financial worries, and more community pride.

In Hennepin County, Minnesota, which has one-fifth of the state’s population, the government has worked with the healthcare system to create a different way to care for people.

The United States is in the midst of an opioid epidemic that has been responsible for a 200% increase in deaths due to overdose of heroin or an opioid pain reliever since 2000. Guidelines provide clinicians with ways to identify patients at risk of opioid use disorder and best practices of prescribing opioids.

During the keynote speech at the inaugural conference of The National Center for Complex Health and Social Needs, Geoffrey Canada, president of the Harlem Children's Zone, discussed the challenge of addressing health disparities in poor communities.

Creating effective interventions to care for complex populations and making them available is only half the battle. That was the lesson gleaned from a workshop session at The National Center for Complex Health and Social Needs’ Putting Care at the Center conference, held December 7-9 in Philadelphia, Pennsylvania.

During the first plenary session of Putting Care at the Center, the inaugural conference of The National Center for Complex Health and Social Needs, panelists discussed building new models to care for high-need, high-cost patients.

Value-based insurance design (VBID) is one of just a few areas that has bipartisan support, and now the concept of VBID is being brought to TRICARE, the healthcare program of the United States Department of Defense Military Health System.