Authors
Latest:
Prescription Opioid Abuse: Challenges and Opportunities for PayersThis article outlines strategies insurers can use to mitigate their risks related to prescription opioid abuse by members, while addressing this serious public health problem.
Latest:
Transformation Through Collaboration: Horizon's Patient-Centered Program Is Delivering ResultsSince 2011, Horizon Healthcare Services, Inc has collaborated with physicians and hospitals throughout New Jersey to transform healthcare delivery. This article details the early successes and key ingredients of Horizon's patient-centered programs.
Latest:
Association Between Length of Stay and Readmission for COPDAmong patients admitted for chronic obstructive pulmonary disease (COPD) at Veterans Affairs hospitals, hospital-level length of stay was not associated with 30-day readmission.
Latest:
Managed Care Reflections: A Q&A With John Michael O’Brien, PharmD, MPHTo 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 May issue features a conversation with John Michael O’Brien, PharmD, MPH, a member of AJMC’s editorial board and the president and CEO of the National Pharmaceutical Council. This interview has been lightly edited for clarity.
Latest:
Impact of the Coventry Complex Case Management Program in the Kentucky Medicaid PopulationA case management program implemented by Coventry Healthcare in one of the nation's poorest areas produced positive, measurable results among patients with diabetes.
Latest:
The Cost of Adherence Mismeasurement in Serious Mental Illness: A Claims-Based AnalysisThis study demonstrates that common pharmacy claims-based measures underestimate the effect of actual adherence on inpatient costs among patients with serious mental illness.
Latest:
Innovative Approach to Patient-Centered Care Coordination in Primary Care PracticesDescription of a program embedding nonlicensed care coordinators in primary care practices including training, interventions, and the effect of the program on emergency department visits.
Latest:
Language Matters: Talking About Low-Value Healthcare With PatientsEnsuring that patients get high-value care is critical, but value can have different meanings to patients and providers. It is important to know what matters to patients and to use language that reflects those values.
Latest:
Agreement Between Patient-reported Symptoms and Their Documentation in the Medical RecordEffective use of electronic medical record technology requires examination of the communication approaches of both care providers and patients.
Latest:
Measures of ED Utilization in a National Cohort of ChildrenThrough 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.
Latest:
Evaluation of Interdisciplinary Geriatric Transitions of Care on Readmission RatesAn interdisciplinary transitions of care service composed of nurse navigators, pharmacists, and medical providers reduced 30-day hospital readmissions among patients who received all components of the intervention.
Latest:
Improving HCV Cure Rates in HIV-Coinfected Patients - A Real-World PerspectiveThe authors examine real-world hepatitis C virus cure rates with direct-acting antivirals among patients coinfected with HIV.
