- Center on Health Equity & Access
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- Value-Based Care
Clinical and Economic Burden of Schizophrenia
Panelists discuss how schizophrenia’s immense personal and financial burden calls for early, integrated, and sustained care strategies.
Panelists discuss how schizophrenia imposes a profound burden not only on patients but also on their families and health care systems. They describe how the condition’s chronic nature results in emotional exhaustion, social withdrawal, and persistent functional impairments that affect nearly every aspect of daily living. Caregivers often experience significant distress, while patients struggle with maintaining relationships and employment due to cognitive and behavioral symptoms.
Panelists discuss how the economic strain of schizophrenia extends well beyond medical expenses. Costs accumulate from frequent hospitalizations, long-term disability, lost productivity, and the necessity of ongoing supervision or assisted living. These direct and indirect costs contribute substantially to national health care expenditures, reinforcing the need for systemic resource optimization.
Panelists discuss how addressing this dual clinical and economic impact requires proactive measures such as early detection, comprehensive treatment programs, and support structures for caregivers. By prioritizing integrated care and psychosocial rehabilitation, stakeholders can reduce relapse rates and improve both quality of life and cost efficiency across the health care continuum.
Integrated Care for Chronic Conditions: A Randomized Care Management Trial
December 3rd 2025The authors sought to understand the differential impact of payer-led community-based care management approaches on stakeholder-oriented outcomes for publicly insured adults with multiple chronic conditions.
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Managed Care Reflections: A Q&A With A. Mark Fendrick, MD, and Michael E. Chernew, PhD
December 2nd 2025To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The December issue features a conversation with AJMC Co–Editors in Chief A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design and a professor at the University of Michigan in Ann Arbor; and Michael E. Chernew, PhD, the Leonard D. Schaeffer Professor of Health Care Policy and the director of the Healthcare Markets and Regulation Lab at Harvard Medical School in Boston, Massachusetts.
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