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Initial Maintenance Therapy Adherence Among Older Adults With Asthma-COPD OverlapOlder adults with coexisting asthma and chronic obstructive pulmonary disease (COPD), known as asthma-COPD overlap, who take fixed-dose combinations of inhaled corticosteroids and long-acting β agonists may be less likely to have persistent low adherence to initial maintenance therapy.
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Provider Barriers in Uptake of Biosimilars: Case Study on FilgrastimPrevious studies have found modest uptake of biosimilars in both commercial and Medicare populations. This study finds that the uptake varies between the rural and urban provider settings.
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Barriers to Adoption of SC TherapiesPanelists discuss how overcoming logistical and perceptual barriers will drive wider adoption of SC therapies in NSCLC.
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Bridging to Value With Codes That Promote Care ManagementFee-for-service billing codes can serve as bridges for organizations to build care management capabilities and transition from volume- to value-based payment and care delivery.
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Revisiting Conclusions on the Empiric Segmentation of High-risk PatientsThe authors provide feedback on generalizations made regarding interventions for high-risk populations in previous research.
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Maintaining Incremental Weight Loss and Diets: David Rometo, MDDavid Rometo, MD, reflects on the sustainability of incremental weight loss programs and aggressive diets.
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Contributor: The Diabetes Vendor Resource Guide—A Useful Directory for EmployersEmployees living with diabetes often face unique challenges, such as managing blood sugar levels, balancing medication, and preventing complications, all while maintaining their professional responsibilities. This condition can lead to increased absenteeism, reduced productivity, and rising health care costs.
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Clinician-Identified Health Characteristics and Palliative Care Eligibility: Is Dementia Overlooked?Clinicians may underassess the need for community-based palliative care among patients with dementia.
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Present and Looking to the Future: Lp(a) Testing and Atherosclerotic Disease ManagementExperts share their final thoughts on the discussion, offering key takeaways and reflections on the importance of lipoprotein(a) (Lp[a]) testing and its role in improving cardiovascular risk management
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Managed Care Reflections: A Q&A With Laurie C. Zephyrin, MD, MPH, MBATo mark the 30th anniversary of The American Journal of Managed Care, 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 November issue features a conversation with Laurie C. Zephyrin, MD, MPH, MBA, senior vice president for achieving equitable outcomes at the Commonwealth Fund. This interview has been edited for length and clarity.
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Interventional Analytics in Skilled Nursing Facilities Associated With Reduced ReadmissionsA retrospective analysis of 30-day risk-adjusted readmission rates among skilled nursing facilities (SNFs) between 2017 and 2022 compared those that had implemented an interventional analytics platform and other SNFs.
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Potential Impact of Hospital at Home on Postoperative ReadmissionsMany postoperative readmissions are amenable to diversion to a hospital at home program for surgical patients, representing an opportunity to generate revenue and improve patient experience.
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Incentivizing Data Sharing Among Health Plans, Hospitals, and Providers to Improve QualityHealth plans can gain efficiencies and improve quality by connecting to health information networks and incentivizing hospital and provider participation as part of pay-for-performance programs.
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Future Considerations for Friedreich AtaxiaSub Subramony, M.D., discusses strategies to enhance support for patients with Friedreich ataxia in clinical settings and the broader community, along with his aspirations for future research aimed at addressing unmet needs in treatment and patient support.
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High-Intensity Home-Based Rehabilitation in a Medicare Accountable Care OrganizationHigh-intensity home-based rehabilitation (HIHR) may substitute for facility-based postacute rehabilitation. Patients in HIHR had better functional outcomes at lower costs than patients in facility-based care.
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Addressing Social Determinants of Health Improves Dermatologic Care in Underserved PopulationsRebecca Vasquez, MD, FAAD, University of Texas Southwestern Medical Center, emphasizes the necessity of addressing social determinants to improve dermatological care and access for underserved populations.
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Commentary: Americans Can’t Afford to Lose Access to Their DoctorsPatients face increasing barriers to healthcare access as physician shortages rise and Medicare payment systems fail to support independent practices.
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Physician-Pharmacy Integration in Cancer Care: Pillars of Medically Integrated PharmacyThe foundation of medically integrated pharmacy includes 7 critical pillars. This commentary focuses on the benefits of 3 of those pillars: abandonment, adherence, and access/affordability.
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Experts Share Top Takeaways From AACR Annual Meeting 2025During interviews at the American Association for Cancer Research (AACR) Annual Meeting 2025, experts shared key insights from this year's conference.
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Better Data Is Needed to Tackle Health EquityThe US federal government is finally updating its standards for reporting data on race and ethnicity – and it’s an urgently needed chance to enable a national overview of crucial data on health inequities
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Cost-Effectiveness of the MiniMed 780G System for Type 1 DiabetesA new technology for management of diabetes is cost-effective for patients in the US with type 1 diabetes compared with traditional treatments.
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Looking at Respiratory Health Through a Global Lens at ERS 2025The European Respiratory Society (ERS) Congress fosters collaboration among global experts, advancing respiratory health and promoting equality in medicine.
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AJMC Roundtable: Evaluating the Management of Cancer Immunotherapy (CIT)Stuart Genschaw, MBA, discusses how his practice approaches cancer immunotherapy (CIT) management and the potential future pathways of care.
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Patient and Physician Perceptions of a Hypercholesterolemia Safety-Net ProgramPatients’ misperceptions of statins and physicians’ limited knowledge of a hypercholesterolemia safety-net program warrant additional interventions to reduce barriers and improve care.
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Clinical Considerations for Immunotherapy Sequencing in NSCLC: Lauren Antrim, MDLauren Antrim, MD, of City of Hope Cancer Center Duarte, emphasized the need for more evidence to guide optimal immunotherapy duration and sequencing in in non–small cell lung cancer (NSCLC), highlighting ongoing trials and the potential role of ctDNA in tailoring treatment strategies.
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Using RWE, RCTs Improves Medication Efficacy in Patient Care: Chelsea Renfro, PharmDChelsea Renfro, PharmD, discusses the importance of rigorous study designs to establish medication efficacy.
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Unmet Needs in the Treatment of Wet AMDNicholas G. Anderson, MD; Philip Niles, MD, MBA; Kevin U. Stephens, Sr., JD, MD; and Jim Kenney, RPh, MBA, provide insight on unmet needs and future directions for the treatment of wet AMD and DME.
