The American Journal of Managed Care

01.09.2026

Effects of a Schizophrenia Pay-for-Performance Program on Health Care Resource Utilization

01.09.2026

Plan Switching Among Medicare Advantage Enrollees Dually Eligible for Medicaid

01.09.2026

Early Signs of Success for Missouri’s New Notification of Pregnancy

01.09.2026

Letter Regarding “The Relationship Between Preventive Dental Care and Overall Medical Expenditures”

01.09.2026

SGLT2 Inhibitor Adherence and Diabetes Hospitalization Risk in Type 2 Diabetes

01.09.2026

Hospital Floor Hallway Boarding: A Systematic Review of Outcomes

01.09.2026

The One Big Beautiful Bill Act and Cancer Care: What Oncology Leaders Need to Know and Do Now

01.09.2026

Teach-Back Is Essential Care Infrastructure: A Low-Cost Strategy for Safer, More Equitable Care

01.09.2026

Perceptions About CGMs Among Primary Care Physicians and Endocrinologists

01.09.2026

Reply to Letter Regarding “Preventive Dental Care and Overall Medical Expenditures”

01.09.2026

The Association Between Patient Out-of-Pocket Medical Costs and Medication Adherence

01.09.2026

The Right Care Initiative: Promoting Accountable Care to Prevent Cardiovascular Death

01.09.2026

Examining the Distinct Effects of Structural, Financial, and Information-Sharing Integration on Hospital Costs

01.09.2026

Community Care Consultations for Veterans with Diabetic Foot Ulcers

01.09.2026

Federal PBM Compensation Shifts: Early CAA 2026 Considerations

01.09.2026

Should I Stay, or Should I Go? Provider Considerations for Leaving Medicaid Managed Care Organizations

01.09.2026

Pilot Testing the Johns Hopkins Early Discharge Planning Calculator

01.09.2026

Oncology Patients in Clinical Trials: A Health Care Cost Analysis

01.09.2026

Understanding Barriers to Diabetic Eye Care for Alabama’s Underserved Patients

01.08.2026

Trends and Disparities in High-Risk Nonsteroidal Anti-Inflammatory Drug Utilization

01.08.2026

Remote Monitoring and Self-Efficacy: Implications for Breast Cancer Survivorship Outcomes

01.08.2026

Nationwide Trends and Cost Implications of Switching Between Infliximab Products

01.08.2026

Prior Authorization Requirements in Medicare Advantage and County Social Vulnerability

01.08.2026

Social Risk–Weighted Scoring to Improve Medicare Advantage Star Ratings

01.08.2026

Nutrition Supplements and Serum Albumin in Hemodialysis: A Meta-Analysis

01.08.2026

Justified Billing Practices Can Improve Revenue for Weight-Focused Visits

01.08.2026

The Evolving Oversight of For-Profit Health Care: The Massachusetts Initiative

01.08.2026

Potentially Inappropriate Medication Use Following Hospital Discharge Among Medicare Beneficiaries

01.08.2026

Predicting GLP-1 Discontinuation From Pharmacy Claims

01.08.2026

Medicare Accountable Care Organizations: Clinical Performance for Patients With Heart Failure

06.07.2026

The Timing and Characteristics of Supplemental Indications for Medicines

02.07.2026

State Medicaid Budgetary Implications of New Cancers

22.07.2026

Geographical Access to Preferred Pharmacies in Medicare Part D

08.07.2026

The New Oncology Blueprint: Integrating Clinical Intelligence for Sustainable Value

09.07.2026

Changes in Semaglutide Fills Following Expanded FDA and Medicare Policies

01.07.2026

Blood Pressure Control Among Adherent vs Nonadherent Medicare Patients With Hypertension

07.07.2026

Readability of Hospital Patient Financial Policy Documents

16.07.2026

Roles and Priorities Guiding Medicare Advantage Postacute Home Health Referrals

23.07.2026

Impact of Automated Insulin Delivery on Type 2 Diabetes Measures

21.04.2026

Insurance-Provided Grocery Assistance and Health Care Outcomes Among Patients With Diabetes

20.04.2026

Aligning the Stars: Quality Metrics Must Evolve From Screening Rates to Diagnostic Resolution

26.03.2026

Potential Role for Assistant Physicians in Addressing the Physician Shortage

25.03.2026

Impact of an Intensive Outpatient Clinic Model on Health Care Utilization and Cost

13.03.2026

Cost-Effectiveness of Integrated Behavioral Health for Depression, Anxiety, and Chronic Pain

12.06.2026

The Effect of Medicaid Reimbursement for Psychiatrists on the Health Care Burden of Serious Mental Illness

11.06.2026

Association of Travel Nursing With Quality Outcomes in Hospitalized Patients

10.06.2026

Cost of Behavioral Messaging Interventions for Cardiovascular Medication Adherence

08.06.2026

Changes in Persistence to Basal Insulin Following the Medicare Out-of-Pocket Cost Cap

04.06.2026

Health Care Utilization in Veterans With Alzheimer Disease

03.06.2026

Availability of Hospital Financial Assistance Documents in Non-English Languages

04.06.2026

Real-World Weight Loss With Injectable Semaglutide vs Dulaglutide for Diabetes

01.06.2026

Prescription Drug Prior Authorization: Costs to Pharmacies and Physicians

03.06.2026

Social Needs Screening and Supplemental Benefits in Medicare Advantage

02.06.2026

The Societal Costs of Food Insecurity: Implications for Managed Care Strategies

01.06.2026

Combined Pharmacotherapy and Psychotherapy Impact on Opioid Use Disorder Treatment

29.05.2026

AI Cannot Fix a Broken Claims Paradigm

28.05.2026

Reducing GLP-1 Prior Authorization Friction: A Managed Care Playbook

10.06.2026

Special report: the Oncology Care Model, 10 years later

25.05.2026

The value of mental health partnerships in oncology practice

22.05.2026

Building a system to ensure awareness of nirogacestat, a treatment for desmoid tumors

05.06.2026

Associations Between Socioeconomic Status, Healthy Lifestyle, and Multimorbidity in the US

04.06.2026

What Do We Do With These Prices? Ushering in the Next Phase of Price Transparency Innovation in Medicare Advantage

02.06.2026

Clinicians Grapple With Barriers to Multidisciplinary Obesity Treatment

02.06.2026

The Expanding Frontier of Cardiometabolic Care

02.06.2026

New Therapies Offer Hope for Vitiligo, an Often Misunderstood and Undertreated Disease

03.06.2026

Musculoskeletal Quality Collaborative Improves Value-Based Health Care Delivery Across Hospital System

02.06.2026

Experts Sound Alarm on Underrecognized Heart Failure Subtype as Costs, Readmissions Soar

01.06.2026

Socioeconomic and Racial Disparities in Guillain-Barré Syndrome

27.05.2026

Health Outcomes of Socially Vulnerable Populations in Different Medicare Payment Arrangements

23.04.2026

Local Implementation of the National Opioid Settlements: Challenges and Opportunities

21.04.2026

Social Determinants of Health in Practice: What It Takes to Move From Data to Action

01.04.2026

From Transparency to Action: Turning Price Data Into Lower Costs

01.04.2026

Under the Magnifying Glass: A Wave of Drug Price Transparency

01.04.2026

Employers Can Now Save by Comparing Health Care Prices

29.05.2026 · 1 Zitationen

Hyperkalemia and Its Treatment: Real-World Evidence and Managed Care Considerations Supporting Use of Potassium Binders

18.05.2026

Disparities in Surgical Outcomes in Medicare Advantage vs Traditional Medicare

14.05.2026

Preoperative Acute Care Spending Predicts Costs in Bundled Payment Programs

14.05.2026

Endoscopy Underuse for New-Onset Iron Deficiency Anemia in Younger Veterans

13.05.2026

Food Insecurity Identification Modeling for Medicare Enrollees Using Administrative Data

11.05.2026

Regulating Private Equity in Health Care: A Strategic Policy Agenda

04.05.2026

Making the Most of Limited Resources: Predicting Food Insecurity

05.05.2026

Biosimilar Adoption and Provider Performance in Medicare Value-Based Payment Models

04.05.2026

Evaluation of Institutional Practices for Medication Access for Uninsured Patients

05.05.2026

Out-of-Pocket Costs for Diabetes Medications in Employer-Sponsored Health Plans

16.04.2026

Toward Equitable Access to Cell and Gene Therapies: Rethinking Co-Payments

19.03.2026

State Sanctions May Not Affect Medicaid Managed Care

08.05.2026

Management updates in heart failure with mildly reduced or preserved ejection fraction

08.05.2026

A systematic literature search and narrative synthesis of economic drivers in hospitalizations for heart failure with preserved or mildly reduced ejection fraction in the United States

05.05.2026

Review of the clinical, humanistic, and economic burden of focal segmental glomerulosclerosis

30.04.2026

Driving value-based practice transformation through care management

27.04.2026

The value of radioligand therapy in community oncology: world-class care close to home

23.04.2026

Growth of Dual-Eligible Special Needs Plans Following Permanent Authorization

22.04.2026

The Cost of Implementing and Sustaining the Massachusetts Model

17.04.2026

Initiation of the Interchangeable Biosimilar Insulin Glargine-yfgn Among Older Adults

16.04.2026

Refining a Diagnostic Code List to Investigate Low-Acuity Utilization by Veterans

15.04.2026

Community Response Teams: Extending the Rapid Response Model to Outpatient Care

15.04.2026

Utilization by High-Cost, High-Need Medicaid Patients Receiving Social Worker Care Coordination

03.04.2026

Benefit Design and Consumer Information: Results From a Randomized Trial

01.04.2026

Billing for Tobacco Cessation: Enhancing Data Quality and Revenue Capture

02.04.2026 · 1 Zitationen

Medication Use for Patients With Obesity: Trends and Characteristics for US Employees

02.04.2026

Association of Medicare Enrollment With Increased Inpatient Coding Intensity

15.04.2026

The operational drag of prior authorizations and the moral hazard impact on patients

15.04.2026

Making cancer support services sustainable in value-based care

24.03.2026

Coordinating Specialty Care Across Health Systems: Primary Care Provider Survey

23.03.2026

Predicting Severe Diabetes Complications Using Administrative Claims Data in Maryland

23.03.2026

Hyperpolypharmacy and Readmission Risk Among Medicare Beneficiaries: The Role of Postdischarge Care

20.03.2026

Low Colorectal Cancer Screening Among Adults Aged 45-49 Years in the US, 2023

17.03.2026

Education and Referral Program for Inpatient Engagement in Dental Care

11.03.2026

Navigating the Evolving Landscape of Private Cardiology Practice

09.03.2026

Industry Payments to Cardiologists Are Associated With Higher Medicare Spending

05.03.2026

Neighborhood Opportunities and Pediatric Health Care Utilization: Implications for Medicaid Managed Care

05.03.2026

Inflation Reduction Act Impact on the Hematology/Oncology Treatment Landscape

09.03.2026 · 1 Zitationen

Cost-Effectiveness of Implementing a Home Blood Pressure Telemonitoring Program

06.03.2026

Assessing Evidence for MTM Quality Measure Development: A Scoping Review

10.03.2026 · 1 Zitationen

Cash and Commercial Negotiated Prices of Physician-Administered Drugs in US Hospitals

11.03.2026

Beyond the “Overdiagnosis” Narrative: Understanding Adult ADHD Through DSM-5

11.03.2026

Reply to “Beyond the ‘Overdiagnosis’ Narrative: Understanding Adult ADHD Through DSM-5”

09.03.2026

Why Community Engagement Must Be Matched by Structural Food Policy

11.03.2026

Managing Cardiometabolic Disease Is Key to Improving Health Outcomes in North Carolina

10.03.2026

First-Time Medicare Advantage Enrollees Demonstrate Increasing Demographic and Clinical Diversity

06.03.2026

Go for Bold: Improving Outcomes One Pound at a Time

10.03.2026

Physician-Mediated Interventions to Lower Medical Expenditures Under Risk-Based Contracts: A Systematic Review

17.02.2026

Advancing Multidisciplinary Strategies for Obesity Care

27.01.2026

Experts Warn That CDC Childhood Immunization Schedule Revisions Could Reduce Uptake, Erode Public Trust

03.03.2026

Exploring novel management options for alopecia areata

17.02.2026

Medicare Value-Based Approaches and Care Use Among Commercially Insured Adults

12.02.2026 · 1 Zitationen

Do Targeted NGS Panels Include NSCLC Guideline-Recommended Biomarkers?

11.02.2026

Rethinking Prior Authorization: Bridging Clinical Needs and Administrative Burdens

11.02.2026 · 1 Zitationen

Trends in Acupuncture Billing by a Large Commercial Insurer

10.02.2026

Medicare Advantage in the US Mainland and Puerto Rico

04.02.2026

Increased Payments to Medicare Advantage Plans for Dually Eligible Beneficiaries

06.02.2026

Quality of Life: The Pending Outcome in Idiopathic Pulmonary Fibrosis

27.02.2026

Association Between 340B Contract Pharmacy Growth and Payer-Specific Drug Coverage

11.02.2026

Howard A. “Skip” Burris III, MD: An Oncology Pioneer Reflects on Patients, Progress, and Purpose

04.02.2026

Real-world insights on biomarker testing patterns and implications for mNSCLC therapy selection

28.01.2026 · 1 Zitationen

Immune thrombocytopenia: contemporary pathophysiology, treatment gaps, and the role of novel mechanisms in patient-centered care

27.01.2026 · 1 Zitationen

Ambient AI Tool Adoption in US Hospitals and Associated Factors

27.01.2026

Building Trust: Public Priorities for Health Care AI Labeling

26.01.2026

Motivating and Enabling Factors Supporting Targeted Improvements to Hospital-SNF Transitions

22.01.2026

Specialty and Operator Status Influence Electronic Health Record Use Variation

21.01.2026

A Health Economic Evaluation of Digital Digestive Care Management

15.01.2026

Empowering Children and Parents Through Technology: Opportunities, Challenges, and Future Directions

08.01.2026 · 3 Zitationen

Subjective and Objective Impacts of Ambulatory AI Scribes

06.01.2026

Telehealth for Primary and Preventive Care Among Food-Insecure Individuals

27.01.2026

The Health Information Technology Special Issue: Tracking Expansion Across Settings, Technologies, and Stakeholders

07.01.2026

Telehealth Intervention by Pharmacists Collaboratively Enhances Hypertension Management and Outcomes

12.01.2026

Insights Into Patient Portal Engagement Leveraging Observational Electronic Health Data

06.01.2026 · 1 Zitationen

Telemedicine Utilization and Preventive Services Among a Rural Population

21.01.2026 · 1 Zitationen

Redefining hemophilia management: treatment goals, nonfactor replacement therapies, and the role of fitusiran

Hemophilia is a rare, but debilitating congenital bleeding disorder. Current therapeutic guidelines, last updated in 2020, recommend recombinant clotting factor concentrates as the standard replacement therapy, with emicizumab offered as an alternative nonfactor standard of care. …