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The November 2018 issue of The American Journal of Managed Care® (AJMC®) has a special focus on substance use disorder, but its studies also touch on disparities in patient portal adoption and the cost impacts of dementia. Here are 5 findings from the research published in the issue.

This week, the top managed care news included research that showed c​​​​ancer surpassed cardiovascular disease to be the leading cause of death in high-income counties; HHS Secretary Alex Azar announced a new mandatory payment model is coming to oncology; a policy change could make mental health treatment more available.

US health officials said Thursday the number of high school students who reported being current e-cigarette users skyrocketed 78% between 2017 and 2018 to 3.05 million, as the FDA moved to create tougher regulations on e-cigarettes, although the agency did not propose the type of ban that some public health advocates hoped for.

Michigan receives approval to implement outcomes-based drug contracts in Medicaid; in the first 10 days since open enrollment began, 1.2 million people have signed up for Affordable Care Act health plans, which falls short of the 1.5 million people who signed up in the first 9 days last year; new research has found that in states with lax gunshot laws, children are twice as likely to die from gunshot wounds compared with states with stricter laws.

America's Health Insurance Plans (AHIP) released what it said are 12 proposals to help increase affordability for people who buy insurance on the individual market who do not qualify for subsidies. Meanwhile, CMS said 1.2 million people signed up for health insurance during the first 10 days of open enrollment for the individual marketplaces.

As physicians have an essential role in the fight against HIV—leading patients through the care continuum—understanding HIV-related stigma among physicians can inform development of interventions to reduce this stigma and promote positive clinical outcomes.

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