Health insurance benefit designs have long tried to prevent overuse of health services, with tools like prior authorization and high deductibles. But a new study in The American Journal of Managed Care® that looked at how benefit design affected overuse finds there’s no simple answer to the problem.
Read More
Managed Care Cast and Not So Different, the AJMC® Podcast Series, Give Experts a Forum
March 23rd 2018Both Managed Care Cast, from The American Journal of Managed Care®, and Not So Different, the podcast series from The Center for Biosimilars®, offer in-depth discussions of current healthcare issues.
Read More
If the same procedure brings high value to some patients and less value to others, should reimbursement reflect the difference? Authors led by Harvard’s Zirui Song, MD, PhD, introduce the idea of a modifier to adjust payments based on indication and appropriateness in The American Journal of Managed Care® (AJMC®).
Read More
The “magic bullets” that bind to targets in the body have been used to treat severe skin conditions, high cholesterol, and many kinds of cancer. A new study finds that FDA-approved treatments over the last 20 years vary widely in price, and Medicare Part D policies may feed the pattern.
Read More
RAND Study in the The American Journal of Managed Care® Finds High Variation in EHR Use
January 22nd 2018Research in this year’s annual Health IT issue of The American Journal of Managed Care® asked a basic question: how much has use of electronic health records (EHRs) penetrated US practices? The study found wide variation by geography, with less use in Western counties.
Read More
Annual Issue From The American Journal of Managed Care® Broadens the Scope of Health IT
January 18th 2018The seventh special issue of The American Journal of Managed Care® features studies on the use of personal health records on smartphones and the cost-effectiveness of eConsults in cardiology.
Read More
Evidence-Based OncologyTM Highlights Role of Pharmacist in Cancer Care
November 1st 2017As cancer care becomes more expensive and complex, the role of the pharmacist is expanding, from managing the shift to greater use of oral therapies to navigating the revenue cycle, as explored in the new issue of Evidence-Based Oncology™, a publication of The American Journal of Managed Care.®
Read More
AJMC®'s Annual Health IT Issue, Featuring Guest Editor Jacob Reider, MD, FAAFP
July 17th 2017For the seventh year, The American Journal of Managed Care® (AJMC®) will publish its annual special issue on health information technology (health IT), one of the best-read issues of the year. Submissions for the issue, which will be published this winter, will be accepted through August 2017.
Read More
The National Cancer Moonshot initiative called for tearing down the silos that prevent researchers from sharing information. FDA’s Richard Pazdur, MD, is doing just that-through the new Oncology Center of Excellence. Pazdur shares how the center will work in a special issue of Evidence-Based Oncology, publication of The American Journal of Managed Care.®
Read More