Authors

Experience with a Managed Care Approach to HIV Infection: Effectiveness of an Interdisciplinary Team

Step-Up Care Improves Impairment in Uncontrolled Asthma: An Administrative Data Study

Significant clinically meaningful improvements in asthma impairment are documented by administrative data for 1 year after initiation of step-up care in patients with uncontrolled asthma.

Claims Identification of Patients With Severe Cancer-Related Symptoms

The authors established a claims-based mechanism for identifying patients with lung cancer with more severe patient-reported cancer-related symptoms who could benefit from engagement with health care programs.

Managed Care Reflections: A Q&A With Hoangmai H. Pham, MD, MPH

To mark the 30th anniversary of The American Journal of Managed Care® (AJMC®), each issue in 2025 will include a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The April issue features a conversation with Hoangmai H. Pham, MD, MPH, a member of AJMC’s editorial board and the president and CEO of the Institute for Exceptional Care (IEC).

Review of Recent US Cost Estimates of Revascularization

Access to Primary and Dental Care Among Adults Newly Enrolled in Medicaid

Nearby provider supply did not affect identification of usual sources of primary or dental care among new Medicaid enrollees. Strategies to improve access are needed.

Nursing Facilities and Managed Care

Provider Organization Performance Assessment Utilizing Diabetes Physician Recognition Program

Retrospective chart review to assess the impact of the Diabetes Physician Recognition Program showed that most patients achieved control levels recommended by national treatment guidelines.

Financial Incentives for Quality in Breast Cancer Care

We present findings about the prevalence and predictors of financial incentives for quality reported by oncologists and surgeons in Los Angeles County, California.

Trends in Public Perceptions of Electronic Health Records During Early Years of Meaningful Use

During the early years of the "meaningful use" program, surveys found decreases in both optimism and concerns about electronic health records.

Use of Ineffective or Unsafe Medications Among Members of a Medicare HMO Compared to Individuals in a Medicare Fee-for-Service Program

Primary Care Capacity as Insurance Coverage Expands: Examining the Role of Health Information Technology

Primary care physicians using more health information technology were less likely to accept new patients.

The Economic Benefit for Family/General Medicine Practices Employing Physician Assistants

Role of Insurance, Income, and Affordability in Human Papillomavirus Vaccination

Compared with insured adults, uninsured adults in California had less knowledge of the human papillomavirus vaccine and were less likely to be vaccinated.

Finasteride Versus Dutasteride: A Real-world Economic Evaluation

Evidence-Based Diabetes Protocol Development: Approaches and a Case Study

Growth in Health Information Exchange With ACO Market Penetration

Hospitals that participate in accountable care organizations (ACOs) expand their health information exchange networks as a result, but hospitals in markets with existing ACO infrastructure can expand more quickly.

A Strategic Plan for Integrating Cost-effectiveness Analysis Into the US Healthcare System

A panel composed of medical and pharmacy directors expressed strong support for a greater role for cost-effectiveness analysis in US health policy decisions.

Diabetes Diagnosis, Resource Utilization, and Health Outcomes

Costs of Asthma Among US Working Adults

Among a working population, patients with asthma experienced significantly higher direct medical costs and modestly higher work loss than patients without asthma.

The Vermedx® Diabetes Information System Reduces Healthcare Utilization

This analysis of paid claims from a physician hospital organization demonstrates that the Vermedx Diabetes Information System improves healthcare costs for adults with diabetes.

A Statewide Collaboration to Monitor Diabetes Quality Improvement Among Wisconsin Health Plans

Access to Primary and Dental Care Among Adults Newly Enrolled in Medicaid

Nearby provider supply did not affect identification of usual sources of primary or dental care among new Medicaid enrollees. Strategies to improve access are needed.

Impact of Health Reform on Young Adult Prescription Medication Utilization

The dependent coverage provision was associated with an increase in total and private expenditures and a decrease in out-of-pocket medication expenditures paid, especially among higher-income groups.

Economic Outcomes Associated with the Use of Risperidone in a Naturalistic Group Practice Setting

Patients' Adoption of and Feature Access Within Electronic Patient Portals

We found race and age disparities not only in who adopted patient portal technology but also in which features were accessed by those who were adopters.

Recommendations for Improving Adherence to Type 2 Diabetes Mellitus Therapy- Focus on Optimizing Insulin-Based Therapy

Innovations in Attention-Deficit/Hyperactivity Disorder Pharmacotherapy: Long-acting Stimulant and Nonstimulant Treatments

Impact of Trained Oncology Financial Navigators on Patient Out-of-Pocket Spending

Hospitals that used trained financial navigators were able to provide financial assistance for their patients with cancer, providing access to care that would otherwise be unaffordable.

Association of Income and Prescription Drug Coverage With Generic Medication Use Among Older Adults With Hypertension