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Authors

Amanda C. Chen, MS
Latest Article

Medical Loss Ratio’s Role in the Large Group Insurer Market

The authors used medical loss ratio forms to assess trends in premiums, medical claims, administrative costs, quality improvement, and margins in the large group insurer market.

David Kindig, MD, PhD
Latest Article

Integrating Research, Health Care, and Community at Scale to Address the Population Health Question

The authors discuss the need to repair a house divided among research, health care, and the multisector health community.

M. Ella Lewie, MSW, LSW
Latest Article

Potential Health Literacy Resources for Health Plans: A Narrative Review

Several evidence-based health literacy resources may be beneficial in health plan settings to improve organizational health literacy, personal health literacy, and health equity.

Jingqiu Zhu, FSA, MAAA
Latest Article

Out-of-Pocket Costs for Diabetes Medications in Employer-Sponsored Health Plans

This study found high out-of-pocket costs for branded diabetes medications in employer-sponsored health plans.

Clipper F. Young, PharmD, MPH
Latest Article

Harnessing AI for Population Health: A Call to Action for Policy Makers and Health Care Leaders

The authors detail how artificial intelligence could be used in primary, secondary, and tertiary prevention to improve health outcomes and provide better value-based care.

Patricia Adam, MD, MSPH
Latest Article

Insights Into Patient Portal Engagement Leveraging Observational Electronic Health Data

This analysis of more than 250,000 adults at least 50 years old with chronic conditions showed lower portal use among older, non–English-speaking, and Black patients, underscoring digital health equity gaps.

Joshua K. Johnson, DPT, PhD
Latest Article

High-Intensity Home-Based Rehabilitation in a Medicare Accountable Care Organization

High-intensity home-based rehabilitation (HIHR) may substitute for facility-based postacute rehabilitation. Patients in HIHR had better functional outcomes at lower costs than patients in facility-based care.

Doug Landsittel, PhD
Latest Article

Integrated Care for Chronic Conditions: A Randomized Care Management Trial

The authors sought to understand the differential impact of payer-led community-based care management approaches on stakeholder-oriented outcomes for publicly insured adults with multiple chronic conditions.

James O. Mudd, MD
Latest Article

Temporal Shift in Prevalence of Heart Failure Diagnoses and Comorbidities Within 2 US Integrated Health Systems

The analysis highlighted a shift in heart failure diagnoses, with hypertensive heart disease with and without chronic kidney disease as prevalent diagnoses, underlining coding variability and implications for research.

Devika A. Shenoy, BS
Latest Article

Interventions Addressing Cost-Related Medication Nonadherence in Diabetes: A Scoping Review

Many US patients with diabetes cannot afford their medical care. The authors review the impact of interventions that reduced and/or eliminated diabetes-related costs.

Michael D. Dang, MS
Latest Article

Utilization of Social Determinants Z Codes and Health System Characteristics, 2015-2024

We identify the health system characteristics associated with greater or lesser documentation of patients’ social determinants of health.

Brady P. Horn, PhD
Latest Article

An Assessment of Nurse Practitioner Low-Value Care Use in Primary Care

Primary care nurse practitioners were found to use low-value care at lower or relatively similar rates compared with the general clinician population.

Lauren Madigan, MD

Lauren Madigan, MD, associate professor of dermatology, University of Utah.

Latest Article

Top Reasons Dermatologists Value the AAD 2026 Annual Meeting

Key session speakers and abstract presenters share their highlights of attending AAD 2026.

Marie Bosslett
Latest Article

Intralesional Cemiplimab Shows Promise as a Nonsurgical Alternative for Early-Stage CSCC

A Winter Clinical Miami poster highlights intralesional cemiplimab for early CSCC, showing rapid responses and positive safety vs surgery.

Elena Koundourakis, PhD

Elena Kounourakis, PhD, head of orexin franchise development & neuroscience programs, Takeda.

Latest Article

Oveporexton Shows Gains in Cognition, Sleep Quality in Narcolepsy: Elena Koundourakis, PhD

Elena Koundourakis, PhD, discusses phase 3 trial improvements in cognition, REM normalization, and nighttime sleep quality in patients with narcolepsy.

Pooja Gokhale, PharmD
Latest Article

Cost-Effectiveness Analysis of Ubrogepant, Rimegepant, and Zavegepant for Acute Migraine Treatment vs Usual Care

Based on this analysis, all 3 gepants are not cost-effective compared with usual care for the treatment of acute migraine.

Lianne Granata, PharmD
Latest Article

Collaboration to Transition Members to Preferred Formulary Dipeptidyl-Peptidase-4 Inhibitor

A collaboration between a drug plan and clinical pharmacists led to nearly 50% of members successfully switching to a preferred dipeptidyl-peptidase-4 inhibitor.

Jay S. Pickern, DBA
Latest Article

Prior Authorizations and the Adverse Impact on Continuity of Care

Prior authorizations create substantial administrative and financial burdens on physicians and patients and can disrupt the continuity of care.

Kate Goodrich, MD
Latest Article

First-Time Medicare Advantage Enrollees Demonstrate Increasing Demographic and Clinical Diversity

As Medicare Advantage grows, first-time enrollees demonstrate increasing demographic and clinical diversity, indicating that benefits should be designed to reflect the population’s changing composition.

Aleata Postell

Aleata Postell, SVP of pharmacy business development, CenterWell Pharmacy.

Latest Article

CenterWell Pharmacy Expands Access to Obesity Medications Through Employer Program: Aleata Postell

Aleata Postell discusses CenterWell Pharmacy's partnership with Eli Lilly to dispense FDA-approved obesity management drugs.

Mona Kilany, PhD
Mona Kilany, PhD
Latest Article

Understanding Barriers to Diabetic Eye Care for Alabama’s Underserved Patients

Eye care access for underserved patients with diabetes is limited and poorly understood. We identified barriers and innovative solutions to improve overall care and establish evidence-based practices.

Grace Elsey, PharmD, BCOP
Latest Article

Inflation Reduction Act Impact on the Hematology/Oncology Treatment Landscape

The Inflation Reduction Act introduced Medicare drug price negotiations to reduce treatment costs, enhance access, and potentially reshape prescribing patterns in oncology and hematology.

Jennifer L. Dotson, MD, MPH
Latest Article

The Biosimilar Shift: Trending Infliximab Biosimilar Utilization and Associated Cost Savings for Commercial Insurance

Infliximab biosimilars created price competition causing insurance claims costs for infliximab originator and infliximab biosimilars to decrease, generating significant savings to the health care system.

Monisa Aijaz, MD, PhD
Monisa Aijaz, MD, PhD
Latest Article

Should I Stay, or Should I Go? Provider Considerations for Leaving Medicaid Managed Care Organizations

This qualitative study examines the factors that provider organizations consider when contracting with managed care organizations under North Carolina’s Section 1115 demonstration waiver.

Carla Rodriguez-Watson, PhD, MPH
Latest Article

RAISE: Elevating Person-Centered Data for Healthy Communities

The RAISE program provides awareness and shares comprehensive solutions to address the multifaceted reasons for missing and incomplete data across the real-world data continuum.

Gregory A.Vidal, MD, PhD
Gregory A.Vidal, MD, PhD
Latest Article

Remote Monitoring and Self-Efficacy: Implications for Breast Cancer Survivorship Outcomes

Remote monitoring with tailored texts improved endocrine therapy adherence among breast cancer survivors with low symptom-management self-efficacy, with benefits becoming nonsignificant at higher self-efficacy levels.

Mark Hamelburg, JD
Latest Article

Care Quality Metrics in Medicare During COVID-19 Pandemic

Medicare Advantage outperformed traditional Medicare on clinical quality measures before and during the COVID-19 pandemic; mid-pandemic, however, traditional Medicare narrowed the gap on some in-person screenings.

Alejandra Casillas, MD, MSHS
Latest Article

Digital Health Implementation Among Older Adults: Health Technology Navigators’ Perspectives

Health technology navigators share perspectives on barriers to and facilitators of digital health access for older, linguistically diverse patients in a Los Angeles safety-net system.

Enrique Velazquez Villarreal, MD, PhD, MPH, MS

Enrique Velazquez Villarreal, MD, PhD, MPH, MS, is an assistant professor in the department of integrative translational sciences at City of Hope.

Latest Article

ASCO GI 2026 Recap: Breakthroughs, Community at the Forefront of Gastrointestinal Cancer Research

Presenters shared their personal highlights of attending ASCO GI 2026.

Sabrina McCrear
Sabrina McCrear

Sabrina McCrear is an assistant editor for The American Journal of Managed Care® (AJMC®), which she joined in 2025. She produces written and video content across a range of disease areas and manages social media platforms for The Center for Biosimilars, an AJMC® publication.

Sabrina holds a B.A. in Journalism with a minor in Biology from Howard University in Washington, D.C. You can connect with her on LinkedIn.

Latest Article

mRNA-1283 Lowers COVID-19 Hospitalization Risk in Adults 65 and Older

Nevena Vicic, MSc, discusses first real-world data showing mRNA-1283 protected adults 65 and older from COVID-19 hospitalization in 2025-2026.