June 2nd 2025
To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The June issue features a conversation with Melinda B. Buntin, PhD, a health economist and a Bloomberg Distinguished Professor at the Johns Hopkins Bloomberg School of Public Health and Carey Business School.
Delve into the current state of prescription digital therapeutics (PDTs) adoption and uncover strategies for increasing payer approval and achieving widespread coverage of PDTs.
Survey Identifies Barriers to Achieving Value-Based Care Models
February 16th 2018Value-based care and interoperability continue to progress in the United States, but barriers that limit sharing of clinical information among hospitals, physicians, and health plans remain, according to a study by the Healthcare Financial Management Association (HFMA) and sponsored by Humana.
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Robin Shah: Choosing the Right Technology for Community Oncologists
February 16th 2018Technology is becoming more prevalent in practice, so it's crucial that practices choose the right technology to deliver care, said Robin Shah, vice president of Provider Marketing and Strategy at Flatiron Health.
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Data Breach Locations, Types, and Associated Characteristics Among US Hospitals
Despite the high level of hospital adoption of electronic health records and the federal incentives to do so, the most common type of data breach in hospitals occurred with paper records and films.
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Technology Will Allow Healthcare to Become Proactive and Preventive, Say Panelists at Davos
January 26th 2018The latest technological advances in the healthcare field will provide more accessible, affordable, and efficient healthcare for patients worldwide, according to a discussion at the World Economic Forum Annual Meeting in Davos, Switzerland.
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Wearable Biosensors Have No Significant Impact on Clinical Outcomes
January 19th 2018Analysis of randomized controlled trials finds there is not enough proof that wearable biosensors actually improve patient outcomes, such as weight and blood pressure, according to a study by Cedars-Sinai investigators published in npj Digital Medicine.
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Electronic Health Record Problem Lists: Accurate Enough for Risk Adjustment?
Electronic health record (EHR)-based comorbidity assessment had low sensitivity for identifying major comorbidities and poorly predicted survival. EHR-based comorbidity data require validation prior to application to risk adjustment.
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Electronic Health Record "Super-Users" and "Under-Users" in Ambulatory Care Practices
January 17th 2018Nearly 40% of US ambulatory care practices are “under-users” of health information technology functionalities, which impacts the ability of the health system as a whole to provide coordinated, efficient care.
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Artificial intelligence (AI) can be trained with data sets to recognize patterns and improve healthcare outcomes. But first, healthcare needs to get better at using normal intelligence to solve problems, said panelists at the JP Morgan Healthcare Conference in San Francisco, California.
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This Week in Managed Care: December 22, 2017
December 22nd 2017This week, the top managed care stories included the elimination of the Affordable Care Act's individual mandate; a new gene therapy for inherited vision loss that could cost $1 million; and a study found that social isolation can increase the risk of type 2 diabetes.
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Dr Derek Raghavan: Ensuring Guidelines Are Implemented and Followed
December 22nd 2017Electronic health records can be used to measure and record how guidelines are being implemented and followed, but more government intervention is needed to regulate electronic health records and set standards, Derek Raghavan, MD, PhD, FACP, FRACP, president, Carolinas HealthCare System's Levine Cancer Institute.
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The MedTech Boom: Five Considerations to Optimize Viability of Health Innovations
December 13th 2017The future is bright with technological innovation intended to improve every corner of our lives and, accordingly, there has been a virtual explosion in advancements designed to address the many challenges faced by patients, hospitals, and healthcare professionals.
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Verma's Vision for CMS: Going Digital and Less Regulatory Burden
December 2nd 2017CMS is focusing on patient empowerment and unburdening physicians, said CMS Administrator Seema Verma during her keynote speech at the Office of the National Coordinator for Health Information Technology’s Annual Meeting.
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AMA Initiative Seeks to Improve Outcomes and Decision Making Through Better Data Sharing
November 16th 2017A collaboration founded by the American Medical Association (AMA) will bring together organizations like IBM, Cerner, Intermountain Healthcare, the American Heart Association, and the American Medical Informatics Association to improve patient care through a better way to organize and share healthcare information.
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Abstracts Analyze Collected EHR Data and Sarilumab Outcomes for Patients With RA
November 7th 2017A recap of abstracts presented at The American College of Rheumatology’s 2017 Annual Meeting, including an analysis of data available in an electronic health records database and outcomes and cost effectiveness of sarilumab.
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Teri Kovach on What to Do During an EMR Disruption
October 25th 2017A practice must be prepared for any disruption of the electronic medical record, and have a plan in place, even if it doesn't occur often, saidTeri Kovach, RN, OCN, compliance officer and charge nurse at Salish Cancer Center.
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Dr Bobby Green: How Technology Can Help Clinicians Make Decisions
October 20th 2017While technology and electronic health records will one day be used in a variety of ways can help improve the delivery of care to patients, this may take a long time, said Bobby Green, MD, MSCE, senior vice president of clinical oncology at Flatiron Health.
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Teri Kovach on Challenges of Implementing a New EHR
October 10th 2017Getting people on board when a new electronic health record (EHR) is being implemented is one of the biggest obstacles to overcome and is important for the success of the new EHR, said Teri Kovach, RN, OCN, compliance officer and charge nurse at Salish Cancer Center.
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HITECH Act Resulted in Significant Gains in EHR Adoption in Hospitals
August 15th 2017The results following the implementation of the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 suggest its potential to be a model for other countries to follow when introducing new, valuable technologies.
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