Coverage of our peer-reviewed research and news reporting in the healthcare and mainstream press.
Becker’s Hospital Review and McKnight’s Long-Term Care News highlighted a study published in this month’s issue of The American Journal of Managed Care® (AJMC®). The study, “Managed Care for Long-Stay Nursing Home Residents: An Evaluation of Institutional Special Needs Plans,” examined UnitedHealthcare’s Institutional Special Needs Plans (I-SNPs) and their association with hospital and skilled nursing facility use. The researchers found that compared with fee-for-service institutionalized Medicare beneficiaries, I-SNP members had 51% lower emergency department use, 38% fewer hospitalizations, and 45% fewer remissions, while their skilled nursing facility use was 112% higher.
The National’s article on hyperhidrosis referred to an article in an AJMC® supplement regarding the condition. The supplement article, “Hyperhidrosis and Its Impact on Those Living With It,” gave an overview of the condition and its impact. The condition affects approximately 4.8% of Americans and primarily affects younger adults aged 18 to 39 years.
An article from AJMC.com, the website of AJMC®, covered report findings showing that up to 12% of pharmacy spending may be on high-cost, low-value drugs that can be removed from formularies. The article, “Wasteful Drug Spending Contributes to High Prescription Costs,” was included in the National Pharmaceutical Council’s daily newsfeed on Monday. The newsfeed also included AJMC®’s interview with Daniel Kantor, MD, president of Kantor Neurology, in which he discussed the real-world value of multiple sclerosis disease registries.
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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