Coverage of our peer-reviewed research and news reporting in the health care and mainstream press.
An article by Newsmax cited a study published in the August 2019 issue of The American Journal of Managed Care® (AJMC®). The study, “Influence of Out-of-Network Payment Standards on Insurer–Provider Bargaining: California’s Experience,” documented California’s experience implementing a policy to address surprise medical billing. Researchers found that out-of-network payment standards can influence payer-provider bargaining leverage, affecting prices and network breadth.
A PolitiFact article fact-checking a claim made by candidate Cal Cunningham in a debate against Senator Thom Tillis, R-North Carolina, cited a June 2018 article published on AJMC.com, “5 Things to Know About the CREATES Act.” The Creating and Restoring Equal Access to Equivalent Samples, or CREATES, Act aimed to foster a more competitive drug market by ending the “shenanigans” that delay competition from generic and biosimilar drugs. The PolitiFact piece explained that although Tillis initially opposed the CREATES Act, he supported it after amendments.
Use of Population-Based Risk Score Might Fail to Detect Frailty in Hospitalized Patients With COPD
February 8th 2023A study of patients hospitalized for chronic obstructive pulmonary disease (COPD) exacerbation found that exclusively using the population-based Hospital Frailty Risk Score tool to assess for frailty may cause it to go undetected and untreated.
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Intermountain Healthcare and Story Health Partner to Optimize Rural Heart Failure Care
February 7th 2023On this episode of Managed Care Cast, we speak with Tom Stanis, CEO and cofounder of Story Health, and Phillip Wood, Intermountain Ventures program director, on how their partnership came about, how it is going so far, and the future of their collaboration.
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Promoting Health Equity and Resiliency in Trauma-Affected Communities
January 31st 2023On this episode of Managed Care Cast, we speak with Reverend Paul Abernathy, CEO of the Neighborhood Resilience Project and board member of UPMC for You, who discusses his experiences in promoting health and resiliency in trauma-affected communities, as well as challenges related to access and accessibility of care and medical mistrust.
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Biden’s State of the Union (SOTU) address emphasized drug access for those on Medicare, the Cancer Moonshot, and more; HIV diagnoses are increasing in Washington, DC, from missed wellness visits and preventive visits upended during the start of COVID-19; California online women’s pharmacy The Pill Club will pay $18.3 million in Medicaid fraud settlement with California.
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