Coverage of our peer-reviewed research and news reporting in the health care and mainstream press.
An article by RealClear Health referenced a study published in the August 2022 issue of The American Journal of Managed Care® (AJMC®). The study, “Coverage With Evidence Development: Where Are We Now?” reviewed how CMS could improve its coverage with evidence development policy by increasing program transparency and clarifying the requirements and timelines for reporting.
A news roundup by the Healthcare Association of New York State highlighted a study published in the March 2023 issue of AJMC. The study, “Trends in Sepsis and Pneumonia During COVID-19: Lessons from BPCIA,” analyzed the changes in cost and utilization for sepsis or pneumonia episodes not related to COVID-19 prior to and during the pandemic as well as during the pandemic in patients with and without COVID-19.
Urticaria Diagnosis Challenged by Overlapping Pruritic Skin Conditions
April 23rd 2025Urticaria is complicated to diagnose by its symptomatic overlap with other skin conditions and the frequent misclassification in literature of distinct pathologies like vasculitic urticaria and bullous pemphigus.
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New Research Challenges Assumptions About Hospital-Physician Integration, Medicare Patient Mix
April 22nd 2025On this episode of Managed Care Cast, Brady Post, PhD, lead author of a study published in the April 2025 issue of The American Journal of Managed Care®, challenges the claim that hospital-employed physicians serve a more complex patient mix.
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Personalized Care Key as Tirzepatide Use Expands Rapidly
April 15th 2025Using commercial insurance claims data and the US launch of tirzepatide as their dividing point, John Ostrominski, MD, Harvard Medical School, and his team studied trends in the use of both glucose-lowering and weight-lowering medications, comparing outcomes between adults with and without type 2 diabetes.
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ACOs’ Focus on Rooting Out Fraud Aligns With CMS Vision Under Oz
April 23rd 2025Accountable 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.
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