Research Articles from Managed Care

David S. Geldmacher, MD

As with other chronic diseases of aging, early diagnosis and pharmacologic therapy may reduce the costs for enrollees with Alzheimer’s disease

Mary V. Mason, MD, MBA Kara M. House, BS, MBA Cathy M. Fuest, RPh Deborah R. Fitzgerald, RN Bonnie J. Kitson, MBA

Offering 17P as a benefit to pregnant women enrollees with a history of preterm delivery can reduce NICU days significantly for a Medicaid plan.

Paul Abourjaily, PharmD William A. Gouveia, MS Harry P. Selker, MD, MSPH Deborah R. Zucker, MD, PhD

Substantial nondrug costs result from switching prescribed medications in response to changes in insurance coverage, and many nonreimbursed costs shift to providers and patients.

Janice Frates, PhD Ellen Severoni, RN

As CDHPs increasingly penetrate the commercial market , their greatest contribution might lie in funding health services for retirees and in reducing the number of uninsured people by offering affordable insurance.

Mary Ann Clark, MHA

This study is the first to estimate costs and medical resource use associated with restenosis involving bare metal stents in managed care percutaneous coronary intervention patients.

Mark Zitter, MBA

This article evaluates recent trends and challenges in health system management of exceedingly rare genetic diseases, from the perspective of the manufacturer, managed care organization, physician, and actuary.

David G. Lombardi, MD Niki B. Istwan, RN Debbie J. Rhea, MPH John M. O’Brien, MD John R. Barton, MD

In this study, outpatient management was effective in controlling nausea and vomiting during pregnancy and was associated with a reduced need for hospital or emergency room treatment as well as reduced costs.

Thomas Morrow, MD

Along with traditional systemic therapies, the American Academy of Dermatology recommends four biologic agents as first-line treatment for psoriasis patients who are candidates for systemic therapy.

Michael D. Cabana, MD, MPH Randall Brown, MD, MPH Noreen M. Clark, PhD Diane F. White, RRT Juanita Lyons, PhD Sylvia Wanner Lang, PhD Susan L. Bratton, MD, MPH

Although interactive educational seminars that target physicians require a large investment of resources, they can be cost-effective if medical care is improved as a result.


MANAGED CARE’s Weekly Poll

How will the Supreme Court rule in King v. Burwell?

Any day now, the Supreme Court will hand down its decision. How will the court rule?

In favor of Burwell, upholding the subsidies and leaving the ACA intact
68% (126 votes)
In favor of the plaintiff, King, and against premium subsidies for insurance policies sold on federally facilitated exchanges
32% (58 votes)
Total votes: 184