Coverage of our peer-reviewed research and news reporting in the healthcare and mainstream press.
An article in Kentucky Today titled “Lower Health Care Costs Act comes with own price” referenced a study published in the August 2019 issue of The American Journal of Managed Care® (AJMC®) titled “Influence of Out-of-Network Payment Standards on Insurer—Provider Bargaining: California’s Experience.”
An Ohio State News article, “Out-of-network costs soar for non-emergency hospitalizations,” highlighted a study published in the December 2019 issue of AJMC® titled “Cost-Sharing Payments for Out-of-Network Care in Commercially Insured Adults.” The study evaluated claims among adults covered by employer-sponsored plans, and it revealed substantial variations in out-of-network cost-sharing payments, which are growing in occurrence. Findings were additionally highlighted in an article by radio.wosu.org, the website of WOSU public radio.
A piece by Next Avenue cited a study published in the September 2018 issue of AJMC® titled “High-Touch Care Leads to Better Outcomes and Lower Costs in a Senior Population.” The study analyzed the impact of a high-touch primary care model among a Medicare Advantage population in comparison with a standard practice—based model.
AI in Health Care: Balancing Governance, Innovation, and Trust
September 2nd 2025In this conversation with Reuben Daniel, associate vice president of artificial intelligence at UPMC Health Plan, we dive into how UPMC Health Plan builds trust with providers and members, discuss challenges of scaling AI effectively, and hear about concrete examples of AI's positive impact.
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Team Coordination, Data Sharing Help Prioritize Value in Cardio-Renal-Metabolic Care
September 12th 2025Cardiologists, nephrologists, and payers met in Scottsdale, Arizona, on August 26, 2025, to share insights on how team members can work together, empowered by data, to achieve value-based management of cardio-renal-metabolic syndrome.
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