May 5th 2025
To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes reflections from a thought leader on what has changed over the past 3 decades and what’s next for managed care. The May issue features a conversation with John Michael O’Brien, PharmD, MPH, a member of AJMC’s editorial board and the president and CEO of the National Pharmaceutical Council. This interview has been lightly edited for clarity.
Identifying Frail Older People Using Predictive Modeling
The frailty determination of the Adjusted Clinical Groups“diagnoses based predictive model identified frail elders with moderate success compared with a validated screening questionnaire.
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Impact of Medical Homes on Quality, Healthcare Utilization, and Costs
Patient-centered medical home practices provided better preventive care and disease management with less resource utilization than practices not pursuing PCMH status.
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Medication Adherence and Medicare Expenditure Among Beneficiaries With Heart Failure
Modest increases in adherence to medication regimens among Medicare patients with heart failure were associated with lower Medicare spending in 3 major drug classes.
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Impact of Clinical Complexity on the Quality of Diabetes Care
We examined the impact of clinical complexity defined by comorbidity count and illness burden on comprehensive diabetes care, including blood pressure, glycemic, and lipid management.
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Impact of a Managed Controlled-Opioid Prescription Monitoring Program on Care Coordination
September 19th 2012Managed care organizations have the opportunity to identify potential opioid misuse and implement care coordination interventions, which can enhance safety and streamline patient pain management.
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