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News
What Managed Care Should Watch at ADA 2026 Scientific Sessions
1+ mon, 3+ week ago (580+ words) AJMC What Managed Care Should Watch at ADA 2026 Scientific Sessions - Late-breaking data for retatrutide, CagriSema, survodutide, and oral elecoglipron are poised to reshape near-term formulary strategy and utilization management for obesity and metabolic disease. - Real-world GLP-1 persistence remains a limiting…...
5 FAQs Surrounding Mental Health During Mental Health Awareness Month
1+ mon, 4+ week ago (745+ words) AJMC 5 FAQs Surrounding Mental Health During Mental Health Awareness Month Mental Health Awareness Month puts a spotlight on the prevalence of mental illness throughout the country, as well as reduces the stigma surrounding it. May is Mental Health Awareness Month,…...
Current Role of Anti-VEGF Therapies in Retinal Vascular Diseases
2+ mon, 5+ day ago (674+ words) Welcome back to another AJMC Insights series. In this episode titled, “Current Role of Anti-VEGF Therapies in Retinal Vascular Diseases,” the panelists discuss the foundational role of anti-VEGF therapies in the management of exudative retinal diseases, including neovascular age-related macular…...
Disparities in Surgical Outcomes in Medicare Advantage vs Traditional Medicare
2+ mon, 1+ week ago (11+ words) AJMC...
Commercial Insurer Prior Authorization Rules Remain Highly Fragmented
2+ mon, 1+ week ago (433+ words) Prior authorization (PA) criteria and approval requirements vary widely across major commercial insurers, underscoring the need for greater transparency and further scrutiny of insurer practices, according to a research letter published today in Annals of Internal Medicine.1 The researchers noted…...
Survey Reveals State Plans for Work Requirement Implementation in Medicaid
2+ mon, 3+ week ago (642+ words) Only Iowa, Montana, and Nebraska plan pre-2027 implementation with disenrollment; Arkansas anticipates a July soft launch without disenrollment, while 39 states do not plan early implementation. A new survey from KFF1 reveals how states throughout the country are planning to implement the…...
Why Coordinated Care Is Critical in Advanced CSCC
2+ mon, 4+ week ago (244+ words) The American Journal of Managed Care® (AJMC®) Multidisciplinary care is a cornerstone of modern management for high- and very-high-risk cutaneous squamous cell carcinoma (CSCC), reflecting the diseaseâs complexity and the expanding range of treatment options. According to Vishal Anil…...
What You Should Know About National Prescription Drug Take Back Day
3+ mon, 3+ day ago (566+ words) AJMC Nearly every household has one: a medicine cabinet holding a half-finished course of antibiotics, an opioid prescription left over from a surgery 2 years ago, or a bottle of sedatives no longer prescribed. On April 25, 2026, the Drug Enforcement Administration (DEA)…...
Young-Onset CRC Mortality Disproportionately Affects Individuals With Lower Educational Attainment
3+ mon, 5+ day ago (457+ words) Young-onset CRC mortality rose over 3 decades in the US, largely among adults with lower educational attainment, widening socioeconomic gaps. The increase in young-onset colorectal cancer (CRC) mortality in the US over the past 3 decades has been largely confined to individuals…...