Primary care nurse practitioners were found to use low-value care at lower or relatively similar rates compared with the general clinician population.

Money, stethoscope, and calculator on health claims form | Image Credit: © Nadzeya - stock.adobe.com

ACOs’ Focus on Rooting Out Fraud Aligns With CMS Vision Under Oz

By Christina Mattina

April 23rd 2025

Accountable care organizations (ACOs) are increasingly playing the role of data sleuths as they identify and report trends of anomalous billing in hopes of salvaging their shared savings. This mission dovetails with that of CMS, which under the new administration plans to prioritize rooting out fraud, waste, and abuse.

Seniors receiving health care | Image credit: Adobe.com

Sutter Health, SCAN Announce Partnership to Launch New MA Products, Joint Venture Health Plan

By Mary Caffrey

April 11th 2025

The California-based entities plan to offer new Medicare Advantage (MA) products in select counties by this fall.

The Role of Advanced Technologies in Improving Diabetes Outcomes

By David G. Marrero, PhD
Christopher G. Parkin, MS

Grazia Aleppo, MD
Irl B. Hirsch, MD
Janet McGill, MD, MA
Rodolfo J. Galindo, MD
Davida F. Kruger, MSN, APRN-BC, BC-ADM
Carol J. Levy, MD, CDE
Anders L. Carlson, MD
Guillermo E. Umpierrez, MD, CDE

April 7th 2025

This article reviews underlying barriers to health care access and discusses how a value-based diabetes care model could improve patient outcomes and reduce long-term costs.

Managed Care Reflections: A Q&A With Hoangmai H. Pham, MD, MPH

By Hoangmai H. Pham, MD, MPH
Christina Mattina

April 1st 2025

To mark the 30th anniversary of The American Journal of Managed Care® (AJMC®), each issue in 2025 will include 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 April issue features a conversation with Hoangmai H. Pham, MD, MPH, a member of AJMC’s editorial board and the president and CEO of the Institute for Exceptional Care (IEC).

...

48 49 50 51 52

2 Commerce Drive
Suite 100
Cranbury, NJ 08512

Do Not Sell My Information

Terms & Conditions