Authors

Is Patient Satisfaction Influenced by the Intensity of Medical Resource Use by Their Physicians?

Patient satisfaction does not seem to be influenced by the intensity of medical resource use by their physicians.

Healthy Pregnancy Program in a National Managed Care Organization: Evaluation of Satisfaction and Health Behavior Outcomes

ACO Contracting With Private and Public Payers: A Baseline Comparative Analysis

The authors find 51% of accountable care organizations have private payer contracts, which are more likely than public contracts to include downside risk and upfront payments.

Aspirin after Myocardial Infarction: Patient Experience in a Managed Care Setting

Case-Mix Adjustment for Diabetes Indicators: A Systematic Review

A systematic review of the impact and rationale for the selection of adjustment factors (case-mix factors) used to describe performance in diabetes care.

Representativeness of Dipeptidyl-Peptidase-4 Inhibitor Cardiovascular Outcomes Trials

Given the growing prevalence of type 2 diabetes (T2D) and its contribution to cardiovascular disease, cardiovascular outcomes trials should aim to be more representative of the average patient with T2D.

Measures of ED Utilization in a National Cohort of Children

Through analysis of multistate Medicaid data, this study identifies differences in 2 commonly used measures of emergency department (ED) utilization, ED visit count and ED reliance.

Impact of Clinical Training on Recruiting Graduating Health Professionals

A business case is made for medical centers to offer high-quality clinical training experiences to recruit graduating health professionals.

Current and Emerging Therapies to Prevent Hereditary Angioedema Attacks

Evaluation of Anemia

Can Psychological Interventions Meet the New Demands of Healthcare?

Colony-Stimulating Factor Prescribing Patterns in Patients Receiving Chemotherapy for Cancer

We linked health insurance records to cancer registry data to analyze colony-stimulating factor use, finding wide divergence from that recommended by practice guidelines.

Effect of Antihypertensive Medication Adherence Among Employees With Hypertension

Antihypertensive medication adherence was associated with improvement in certain short-term utilization measures among employees with high prior medical costs.

The Cost of Adherence Mismeasurement in Serious Mental Illness: A Claims-Based Analysis

This study demonstrates that common pharmacy claims-based measures underestimate the effect of actual adherence on inpatient costs among patients with serious mental illness.

Feasibility of Expanded Emergency Department Screening for Behavioral Health Problems

This feasibility study of expanded emergency department screening identified a high prevalence of behavioral health conditions. Screening was successfully integrated into emergency visit idle times.

Heroin and Healthcare: Patient Characteristics and Healthcare Prior to Overdose

An analysis of administrative claims showed increasing rates of heroin overdose among an insured population and opportunities for interventions during healthcare encounters before overdose.

Improving the Sensitivity of Cervical Cytology: What Are the Issues?

Impact of Chest Radiography Screening on Healthcare Spending

Using Financial Incentives to Improve the Care of Tuberculosis Patients

Patients enrolled in the tuberculosis pay-for-performance program received more comprehensive ambulatory care with slightly lower costs and a higher treatment success rate.

How Acceptable Are Financial Incentives and Written Feedback for Improving Hypertension Control? Perspectives from Physicians, Clinic Administrators, and Patients

Managed Care Market Share and Cesarean Section Rates in the United States: Is There a Link?

Introduction

Geographic Access to Endocrinologists for Florida's Publicly Insured Children With Diabetes

Enrollment, claims, and spatial data are used to demonstrate the importance of outreach strategies for families in rural areas who have children with diabetes. Spatial barriers, alone, do not fully elucidate racial/ethnic disparities in pediatric diabetes for street-level location. (For Tables and the Figure, please access the PDF on the last page.)

Relationship Between Quality Improvement Processes and Clinical Performance

This study examines the clinical effects of care management and quality improvement interventions implemented by physician groups on pay-for-performance success.

Quantitative and Cost Evaluation of Three Antiglaucoma Beta-Blocker Agents: Timoptic-XE7 versus Two Generic Levobunolol Products

Predictive Factors of Discharge Navigation Lag Time

Examination of factors associated with discharge lag time and how this metric plays an important role in managing hospital throughput.

Molecular Testing Patterns in Metastatic Non—Small Cell Lung Cancer

Assessment of the timing of histologic and molecular testing indicates that testing occurred prior to treatment initiation for most patients with metastatic non—small cell lung cancer.

Emergency Department Visit Classification Using the NYU Algorithm

This article assesses a classification tool for categorizing emergency department visits as emergent and nonemergent.

LACE+ Index as a Predictor of 90-Day Plastic Surgery Outcomes

Patients with higher LACE+ index scores have significantly greater risk of unplanned readmission, emergency department visits, and reoperation after plastic surgery.

Managed Care Reflections: Insights From Richard J. Gilfillan, MD; and Donald M. Berwick, MD, MPP

To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes reflections from a thought leader on what has changed over the past 3 decades and what’s next for managed care. The February issue features a retrospective by Richard J. Gilfillan, MD, former director of the Center for Medicare and Medicaid Innovation; and Donald M. Berwick, MD, MPP, former administrator of CMS.