Coverage of our peer-reviewed research and news reporting in the healthcare and mainstream press.
An article by EHR Intelligence referenced a study published in the January 2020 health information technology issue of The American Journal of Managed Care® (AJMC®). The study, titled “Predicting Hospitalizations From Electronic Health Record Data,” found that prediction models using electronic health record—only, claims-only, and combined data had similar predictive value and demonstrated strong discrimination for which patients will be hospitalized in the ensuing 6 months.
The Orange County Register featured a study published in the August 2019 issue of AJMC® titled “Influence of Out-of-Network Payment Standards on Insurer—Provider Bargaining: California’s Experience.” The study determined that California’s experience implementing a policy to address surprise medical billing demonstrates that out-of-network payment standards can affect prices and network breadth through influencing payer—provider bargaining leverage.
The Pharma Letter’s piece “Illuminating pro-opiomelanocortin deficiency” cited a June 2016 AJMC® supplement article, “Obesity: Definition, Comorbidities, Causes, and Burden.” The article highlighted the significant risk that obesity contributes to conditions such as rheumatoid arthritis, major depressive disorder, and nonallergic rhinitis.
A January 2019 article on AJMC® titled “Is 2019 the Year Healthcare Becomes Consumer Friendly?” was spotlighted by the Indianapolis Business Journal, which described how the emerging retail approach being adopted by urgent care clinics is resulting in shorter wait times and consumer-friendly features.
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.
Read More
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.
Listen
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.
Listen
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.
Read More