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Sacubitril/Valsartan in Medicare Alternative Payment ModelsOptimizing utilization of sacubitril/valsartan for treatment of heart failure could improve provider performance in the Bundled Payments for Care Improvement initiative and the Medicare Shared Savings Program.
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Potential Role of Comanagement in Rescue of Surgical PatientsMedical comanagement of patients who had perioperative complications was associated with lower mortality, suggesting that comanagement may facilitate effective rescue.
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Development of a Financial Literacy Course for Patients With Newly Diagnosed CancerThis paper describes results from a patient survey regarding treatment-related financial experiences and interest in a financial literacy course.
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Assessment and Potential Determinants of Compliance and Persistence to Antiosteoporosis Therapy in ItalyThis analysis of antiosteoporosis therapy shows that 75% of patients have inadequate drug coverage and that adherence is strongly associated with age and administration regimen.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
