During this segment, Michelle Petri, MD, MPH, explains how systemic lupus erythematosus (SLE) burdens patients and can lead to disability under our country’s current standard of care.
Because SLE can be a life-threatening disease, as it presents in many different ways, Dr Petri concludes that the disease’s relapsing-remitting pattern can make the disease “unpredictable.”
Dr Petri explores the importance for preventive therapy and education to help improve survival. She further explains that Europe seems to be ahead of the United States in terms of treatment adherence and claims that as many as 40% of patients with lupus aren’t taking their anti-malarial therapy regularly even though the use of hydroxychloroquine can reduce flares, lupus nephritis, thrombosis, and, in 2 different studies, has been shown to improve survival.
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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