- Center on Health Equity & Access
- Clinical
- Health Care Cost
- Health Care Delivery
- Insurance
- Policy
- Technology
- Value-Based Care
Episode 13 - Recognizing and Resolving Clinical Inertia
During this segment, Peter Salgo, MD, defines clinical inertia and explains how it can result in unnecessary, damaging hyperglycemia events that can persist for years in some patients. Additionally, he notes that clinical inertia contributes to costly health complications, higher rates of hospitalizations, and an overall increased use of healthcare resources.
For this reason, Dr Salgo and the panelists explore how healthcare organizations have implemented programs to incentivize healthy behaviors in diabetes patients.
Kari Uusinarkaus, MD, FAAFP, FNLA, discusses how his group has implemented a disease management program that connects an RN “Nurse Navigator” to a patient during hospital discharge. Dr Uusinarkaus explains the importance of this initiative, and highlights another program, called Silver Sneakers, that provides gym access to patients older than 60 years.
However, the panelists recognize that not all initiatives have been successful. For example, despite reducing or limiting the copayments for type 2 diabetes mellitus and obesity drugs, according to Jeffrey D. Dunn, PharmD, MBA, no reliable source of data has revealed changes in patient behavior or improvements in overall outcomes that have come as a result of this reduced cost burden.
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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