- Center on Health Equity & Access
- Clinical
- Health Care Cost
- Health Care Delivery
- Insurance
- Policy
- Technology
- Value-Based Care
How Does the Potential for Weight Gain Influence Choice of Therapies?
Zachary T. Bloomgarden, MD, MACE: Weight gain is, of course, an important issue in diabetes. We know that diabetes occurs on a background of obesity in so many individuals. We know that the growth in obesity in the US population, and around the world, has tracked with the increase in the prevalence of diabetes. It’s unfortunate and upsetting that many of the drugs we use in treating diabetes actually are associated with weight gain—in particular, insulin, sulfonylureas, and thiazolidinediones.
So, as a first approximation, one would say we should try to avoid the use of these agents in people with diabetes whenever possible, recognizing that because diabetes is intrinsically a disease with reduced insulin secretory capacity, there are many individuals who simply will require insulin at some point in the natural history of their disease. Also, this new information from the IRIS (Insulin Resistance Intervention after Stroke) trial of pioglitazone recognizes that this may be an insulin sensitizer which reduces the possibility of stroke and myocardial infarction, and that could well outweigh any disadvantage of weight gain.
AI in Health Care: Closing the Revenue Cycle Gap
April 1st 2025This commentary explores the current state, challenges, and potential of artificial intelligence (AI) in health care revenue cycle management, emphasizing collaboration, data standardization, and targeted implementation to enhance adoption.
Read More
Managed Care Reflections: A Q&A With Hoangmai H. Pham, MD, MPH
April 1st 2025To mark the 30th anniversary of The American Journal of Managed Care® (AJMC®), each issue in 2025 will include 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 April issue features a conversation with Hoangmai H. Pham, MD, MPH, a member of AJMC’s editorial board and the president and CEO of the Institute for Exceptional Care (IEC).
Read More
Bridging Care Gaps With a Systemwide Value-Based Care Strategy
March 29th 2025Mapping care management needs by defining patient populations and then stratifying them according to risk and their needs can help to spur the transformation of a siloed health care system into an integrated system that is able to better provide holistic, value-based care despite the many transitions that continue among hospital, primary, specialty, and community care environments.
Read More
