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Donald Trump's call to "get rid of the artificial lines" references a discussion about the optional federal insurance charter, which has been going on in business circles for more than 15 years.

An emergency department screening and testing program based on birth cohort screening and injectable drug use found a high prevalence of the hepatitis C virus antibody among the cohorts tested, and identified several barriers to clinical implementation of the process.

Older adults in rural areas face a number of barriers to getting treatment for mental health issues, such as generalized anxiety disorder, but the use of telephone-delivered cognitive behavioral therapy can yield significant results.

Results from the CHAARTED trial have found that 6 cycles of chemotherapy combined with ADT early in the treatment of metastatic prostate cancer significantly improved overall survival than with ADT alone.

Households that received financial help for health insurance under the Affordable Care Act are now having tax return issues, which could jeopardize their eligibility for subsidies next year.

Younger patients and those who have been diagnosed less than 5 years are less likely to follow guidelines for regular eye exams, despite the risk of blindness.

AJMC is proud to bring you the first in our series of educational webinars to help our readers and customers better understand some of the trends, challenges and opportunities in the managed care segment

Defining what is "medically necessary" is a judgment call, and patients may lack access to the criteria insurers use to make coverage decisions.

In a study published in the journal Medical Care, authors identify improved outcomes following acute events among enrollees in the STAR+PLUS program.

Safety net hospitals in California are using a car manufacturer's model to improve efficiency while saving on care costs.

With a deadline less than 2 months away, researchers with Workgroup for Electronic Data Interchange found that only 20% of physician practices have started or completed testing for the transition to International Classification of Diseases, 10th Revision.

Half of primary care providers have generally negative views when it comes to the increased reliance on quality metrics to assess their performance, according to a new study from The Commonwealth Fund and Kaiser Family Foundation.

A retrospective study in The Lancet Oncology has identified a strong correlation between reduced risk of endometrial cancer and oral contraceptive agents.

Without nationwide improvements in infection control and antibiotic prescribing, drug-resistant infections and C. difficile are expected to increase, but coordinated efforts could prevent 619,000 infections over 5 years.

Patient safety is often at risk during the emergency department to inpatient physician handoff process, which can be subject to complex challenges.

Using an appointment-based medication synchronization program can improve adherence rates among patients taking chronic medications, according to a new study published in the Journal of Managed Care & Specialty Pharmacy.

Research conducted at the Duke University School of Medicine indicates triple therapy may increase risk of bleeding in geriatric patients with myocardial infarction who have a stent.

In the fourth year of the Hospital Readmissions Reduction Program, which makes hospitals pay closer attention to their patients after discharge, half of the nation's hospitals will be penalized by Medicare because of their readmissions.

A research team at the Barts Cancer Institute in London has identified a 3-protein molecular signature in pancreatic cancer patients.

The discovery could lead to targeted therapy in triple negative breast cancer patients.

A study attempting to characterize the true preventability of venous thromboembolism determined that financial penalties based on the total number of patients who suffer blood clots in the lung or leg may be unfairly imposed.

The diagnosis and management of patients with dementing illnesses can be challenging, but the cost of misdiagnosing dementia as Alzheimer's disease can be as high as $14,000 a year, according to a study published in Alzheimer's & Dementia.

A study published in the American Journal of Preventive Medicine shows that grip strength of young, healthy adults could prove useful in the diagnosis of diabetes and hypertension.

The most recent issue of the CDC's Morbidity and Mortality Weekly Report analyzed the first data available on the functional types of disability in a state-based health survey and determined prevalence of functional disability.

Traditional health plan enrollees are more satisfied with overall health coverage and out-of-pocket costs and are also more likely to recommend their coverage to a friend than individuals with consumer-driven health plans or high-deductible health plans.

Telemedicine could increase access to best-practice care for older adults with major depression who are facing barriers of mobility, stigma, and geographical isolation, and a study published in The Lancet Psychiatry compared treatment response delivered via telemedicine with same-room care.

In 2017, the review of the Patient-Centered Outcomes Research Trust Fund will determine the adequacy and the use of funding and there are 3 ways to measure performance in patient-centered outcomes research.

The announced price for alirocumab, the first PCSK9 inhibitor approved for use in the US, was the top story in managed care this week. Also, HHS announced $100 million available to combat substance abuse, and Medicare and Medicaid turn 50 years old.

Measure definitions to estimate the effects of cost sharing on adherence to medications prescribed together (ie, concurrent adherence) are lacking.

The study found that the geriatric population in the United States receives prescriptions for mental health drugs at more than twice the rate that younger adults do, but they present a lower rate of seeking psychiatric care.