RAND Corporation: California rules to limit surprise medical bills are working, but influence insurer-provider bargaining
August 13, 2019
A California law that limits the size of bills from out-of-network physicians for care delivered in hospitals appears to be protecting patients’ financial liability, but has shifted bargaining leverage in favor of insurance plans and had potential unintended consequences such as encouraging more consolidation among physician practice groups, according to a new RAND Corporation study published in The American Journal of Managed Care®.
July 17, 2019
Capping patient assistance for specialty prescription drugs may lead to lower medication adherence, according to findings published in The American Journal of Managed Care® (AJMC®). In an accompanying editorial, AJMC®’s co-editor-in-chief calls for a “truce” between drug makers and payers so that cost does not prevent patients from accessing high-value therapies.
SafelyYou: New research reveals SafelyYou's AI-enabled fall detection reduces need for emergency service care in dementia care facilities
July 17, 2019
Real-time fall detection using SafelyYou’s artificial intelligence-enabled video recording reduced the need for emergency services by a staggering 80% in dementia care facilities, according to research results published in The American Journal of Managed Care®.
Current Issue of Evidence-Based Oncology™, a Publication of AJMC® Looks at New Ways to Pay for Cancer Care
June 26, 2019
The revolution in cancer care cannot happen just in the laboratory—it must also take place among stakeholders who must agree on new models for financing very expensive life-saving therapies. The new issue of Evidence-Based Oncology™ looks at the people trying to change the way we pay for cures and their work.
June 21, 2019
Graetz’s work highlights the impact of the use of health information technology on care processes and patient outcomes in managed care settings
Remedy: Hospital discharge algorithm saves $860 per patient episode and reduces readmissions, according to new data from Remedy Labs
June 17, 2019
Proprietary Tool Identifies Best Recovery Setting for Patients Post Discharge, Sheds Light on Power of Episodes in Transforming Healthcare
Combining DPP-4 Inhibitor, SGLT2 Inhibitor for Type 2 Diabetes Cost-Effective Over Time, AJMC® Study Says
May 29, 2019
A Policy article in the May issue of The American Journal of Managed Care® suggests that sequential addition of SGLT2 inhibitors to DPP-4 inhibitors may be considered cost-effective compared with standard treatment using sulfonylurea and insulin for patients with type 2 diabetes who have difficulty maintaining glycated hemoglobin of seven percent or less on metformin alone.
May 14, 2019
April 24, 2019
Three groups of conditions have been found to impact health score the most, authors from HealthPartners report in the latest issue of The American Journal of Managed Care®.
April 19, 2019
Some large employers and policy makers advocate for retail competition that relies on providers competing on healthcare performance. Using diabetes care in Minnesota as an example, researchers examined whether the public reporting of care measures encouraged health systems to improve their clinics’ diabetes care performance in the latest issue of The American Journal of Managed Care®.