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Authors

Chantell Sell, PharmD
Latest Article

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

Out-of-pocket costs of diabetes medications other than insulin can be quite high for individuals with employer-sponsored health insurance.

Andrew Kraftson, MD
Latest Article

Understanding Insurance Coverage Policies for Incretin Mimetics for Weight Management

The high cost of incretin mimetics for weight management limits insurance coverage and potentiates variation in utilization management strategies to control near-term spending.

Shreya Huilgol, BA
Shreya Huilgol, BA
Latest Article

Learning Health System Characteristics and Burnout in Primary Care

Higher clinician and staff perceptions of learning-oriented clinic environments were associated with lower burnout, suggesting that learning-health-system characteristics support workforce well-being in primary care.

Mikaela M. Sifuentes, PhD
Latest Article

Remote Monitoring Saves Costs in Outpatient Negative Pressure Wound Therapy

Health insurance records of patients using negative pressure wound therapy (NPWT) revealed lower adjusted 90-day wound-related costs with remote therapy monitoring vs NPWT alone.

Aaron Y. Lee, MD, MSCI
Aaron Y. Lee, MD, MSCI

Aaron Y. Lee, MD, MSCI, professor and chairman of opthalmology and visual sciences, Washington University School of Medicine.

Latest Article

AI Moves From Evaluation to Implementation at AAO 2026

Experts highlight AI adoption, sustained-release glaucoma therapies, and concerns about Medicare payment and rural access.

Henry Han, MD
Latest Article

Diagnosis Patterns and Stress Testing Trends After Implementing High-Sensitivity Troponin Assay

This study found that switching from a conventional troponin assay to a high-sensitivity troponin assay resulted in changes to diagnosis patterns and stress testing trends.

David Weber Hood, MS
Latest Article

Journey to Anticoagulant Access Following Payer Rejection of Apixaban

Formulary restrictions can create treatment barriers for patients with atrial fibrillation, including unnecessary delays in treatment and prescription abandonment, with vulnerable populations at greater risk.

Mary Ann Chapman, PhD
Latest Article

Utilization Management and Physician Burnout

This survey assesses physician experiences with utilization management and burnout and investigates whether there is a link between them.

Wei Yang, MD
Latest Article

Challenges of Fracture Risk Assessment in Asian and Black Women

Differences in bone density and FRAX fracture risk scores among Black and Asian women yield greater discordance in fracture risk estimation compared with White women.

Courtney Benjamin Wolk, PhD
Latest Article

Impact of the Collaborative Care Model on Medical Spending

Modest spending on integrated mental health services in primary care, facilitated by use of new collaborative care billing codes, did not increase overall health care costs.

Jinghua He, PhD
Latest Article

Impact of Delayed Adoption of Novel Atrial Fibrillation Treatments

Using direct oral anticoagulants as a case study, the authors examined how delayed adoption of novel treatments could impact patient health outcomes and cost.

Matthew J. DePuccio, PhD, MS
Latest Article

Approaches for Overcoming Barriers to Cross-Sector Data Sharing

The authors identified challenges to cross-sector data sharing and the approaches used to overcome these challenges in the Mid-Ohio Farmacy, a partnership to address food insecurity.

Sun-Kyeong Park, PhD
Latest Article

Hospital Outcomes of Male Breast Cancer in the United States

This is the first study to estimate the hospital lengths of stay and costs of male breast cancer at the US population level.

Sydney M. Dy, MD
Latest Article

Medicare Advantage Coverage Restrictions for the Costliest Physician-Administered Drugs

Four large Medicare Advantage insurers manage access to expensive physician-administered drugs with a combination of prior authorization, step therapy, and Part D formulary design.

Robert J. Rocchio, PharmD
Latest Article

Behavior-Based Diabetes Management: Impact on Care, Hospitalizations, and Costs

The Diabetes Care Rewards program offers a business case for health plans to promote engagement through use of contingent incentives, thus improving health outcomes and lowering costs.

Sara Turbow, MD, MPH
Latest Article

Association Between Interhospital Care Fragmentation, Readmission Diagnosis, and Outcomes

In this analysis of the National Readmissions Database, the authors investigated the association between interhospital fragmentation of care, reason for readmission, and patient outcomes.

Kathryn A. Hasenstab, MEM, BME
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.

Daniel Rivera Rivera, MD
Latest Article

Making Obesity Care Affordable: Patient Views on Deprescribing GLP-1 RAs

Most surveyed individuals with obesity support lower-cost options for weight maintenance, which would allow better coverage for injectable incretin mimetics for weight management during active weight loss.

Trista M. Benítez, MPH
Latest Article

Inappropriate Wrist MRI: Did Guidelines Have an Impact?

This article analyzes the use of MRI in a national sample of patients with wrist pain before and after consensus guideline publication.

Diane L. Seger, RPh
Latest Article

A Machine Learning Technology for Addressing Medication-Related Risk in Older, Multimorbid Patients

A novel machine learning system effectively stratifies emergency department use and hospitalization risk of older patients with multimorbidity who take multiple medications and provides appropriate medication recommendations.

Eva Luo, MD, MBA

Head of Clinical Innovations at CityBlock Health

Latest Article

Contributor: Addressing Physician Burnout—Work-Life Balance and Traditional Workplace Improvement Interventions

Initiatives to address physician burnout should be prioritized in a post-pandemic world, with physician shortages affecting the country.

Mamta Thawal, BSc
Latest Article

Covishield India: Demystifying Myths Through an Early Multicenter Safety Study

This was a multicenter study carried out in India to study the adverse and systemic effects of the indigenously developed Covishield vaccine.

Zain Ahmed, MD
Latest Article

Telehealth User Experiences During COVID-19: A Case Study of Outpatient Cardiovascular Clinics Affiliated With a Large Academic Practice

In cardiovascular clinics during COVID-19, notable barriers to successful telehealth use included obtaining diagnostic information needed to deliver high-quality care and technology-related challenges for patients.

Jason Swartz, MBOE
Latest Article

Managing Total Knee Replacement Under Value-Based Payments

This article describes the approach that a large primary care group at risk for value-based payments chose to deploy in managing clinical and financial outcomes of knee osteoarthritis jointly with orthopedic surgeons.

Urvish Jain
Latest Article

Value Realization: An Unattained Challenge for Integrated Practice Units

As value realization eludes integrated practice units (IPUs), the authors examine 6 key value drivers for IPU teams to competitively drive volumes and hone their multidisciplinary competencies.

Sarah Beck, MDiv
Latest Article

Subjective and Objective Impacts of Ambulatory AI Scribes

Although the vast majority of physicians using an artificial intelligence (AI) scribe perceived a reduction in documentation time, those with the most actual time savings had higher relative baseline levels of documentation time.

Yochai Eisenberg, PhD
Latest Article

Reply to “Industry-Informed Perspectives on the Benefits of Rideshare-Based Medical Transportation”

The authors of “Rideshare Transportation to Health Care: Evidence From a Medicaid Implementation” respond to a letter to the editor.

Steven E. Goldberg, MD, MBA
Latest Article

Health Care Utilization and Cost of Diagnostic Testing for Respiratory Infections

Syndromic reverse transcriptase–polymerase chain reaction tests for respiratory infections were associated with lower health care resource utilization and costs, implicating potential for improved value in patient care.

Sarah McLarty, PharmD
Latest Article

Provider and Patient Insights Into the Cancer Care Journey

A survey was conducted to determine opportunities to aid primary care providers and patients in the difficult journey of an oncology patient.

Abraham Homer, MS
Latest Article

Virtual Reality Is a Game-Changer During Blood Draws for Pediatric Patients With SMA

In honor of Spinal Muscular Atrophy (SMA) Awareness Month, Abraham Homer, MS, the gaming technology supervisor and creative technologist at Children's Hospital Colorado, shared how virtual reality transformed care for patients with SMA.