March 2020

Looking Back on the ACA, Looking Forward to Bipartisan Solutions: A Q&A With Rep Frank Pallone Jr

March 13, 2020


To mark the 25th anniversary of the journal, each issue in 2020 will include an interview with a healthcare thought leader. For the March issue, which marks the 10th anniversary of the Affordable Care Act being signed into law, we turned to Representative Frank Pallone Jr, D-New Jersey, who played a key role in the law’s writing and passage.

Missing Negative Sign in Results Section of Abstract

March 11, 2020


Correction to the Original Research article “Impact of Complex Care Management on Spending and Utilization for High-Need, High-Cost Medicaid Patients” published in the February 2020 issue of The American Journal of Managed Care®.

Cost-effectiveness of Diabetes Treatment Sequences to Inform Step Therapy Policies

March 10, 2020


This study assesses the cost-effectiveness of adding a sodium-glucose cotransporter 2 inhibitor versus switching to a glucagon-like peptide-1 receptor agonist in patients with diabetes on metformin and a dipeptidyl peptidase-4 inhibitor.

An Empirical Analysis of Hospital ED Pricing Power

December 19, 2019


We find that under current regulatory and market conditions, demand for hospital-based emergency services is highly inelastic with respect to price, giving hospitals substantial pricing power over out-of-network emergency services.