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What Are the Potential Savings From Steering Patients to Lower-Priced Providers? A Static AnalysisSteering patients who visit providers with above-median prices to their market’s median-priced provider would save 42%, 45%, and 15% of laboratory, imaging, and durable medical equipment spending, respectively.
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Strategies for Identifying and Channeling Patients for Depression Care ManagementThis article examines screening strategies for possible depression in the context of a care management program for chronically ill Medicare recipients.
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Predicting Adherence Trajectory Using Initial Patterns of Medication FillingInitial medication filling during the first 2 to 4 months following initiation of a statin strongly predicted adherence patterns during the following year.
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Abolishing Coinsurance for Oral Antihyperglycemic Agents: Effects on Social Insurance BudgetsA coinsurance rate decrease can result in increased adherence to oral antihyperglycemic agents and improved clinical outcomes and cost savings for the healthcare system.
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Amazon Pharmacy: Distraction or Disruption?After years of anticipation, Amazon Pharmacy launched in November 2020. The question is now: Is this market entry a disruption, a distraction, or something in between?
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Managed Care Reflections: A Q&A With Jan E. Berger, MD, MJTo mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes 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 January issue features a conversation with longtime editorial board member Jan E. Berger, MD, MJ, the CEO of Health Intelligence Partners.
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Emergency Department Visits in Veterans Affairs Medical FacilitiesThis study examines the frequency of, and risk factors for, unscheduled health service use after an emergency department visit in a national sample of veterans.
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Impact of Emergency Physician–Provided Patient Education About Alternative Care VenuesPostvisit phone education from an emergency physician and/or mailed information about alternative venues of care reduced subsequent emergency department (ED) utilization for low-acuity treat-and-release adult ED patients.
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Medicaid Beneficiaries With Congestive Heart Failure: Association of Medication Adherence With Healthcare Use and CostsHigher medication adherence among Medicaid beneficiaries with congestive heart failure was associated with lower healthcare utilization and lower costs, and the relationship to costs was graded.
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Colorectal Cancer Screening Use Among Insured Primary Care PatientsColorectal cancer screening use was similar in 2 divergent primary care populations. Colonoscopy was the most frequently used modality; FOBT was used inconsistently.
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Scaling Lean in Primary Care: Impacts on System PerformanceLean redesigns in primary care improved workflow efficiencies, physician productivity, and overall satisfaction among patients, physicians, and staff, with no adverse effects on clinical quality.
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Managed Care and Cancer Outcomes for Medicare Beneficiaries With DisabilitiesThis study showed better outcomes for disabled Medicare patients with breast cancer but not those with lung cancer when they were enrolled in HMOs.
