{"id":"https://openalex.org/W114705015","doi":null,"title":"Implications for multiple sclerosis in the era of the Affordable Care Act: the shifting managed care landscape.","display_name":"Implications for multiple sclerosis in the era of the Affordable Care Act: the shifting managed care landscape.","publication_year":2014,"publication_date":"2014-12-01","ids":{"openalex":"https://openalex.org/W114705015","mag":"114705015","pmid":"https://pubmed.ncbi.nlm.nih.gov/25734889"},"language":"en","primary_location":{"id":"pmid:25734889","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25734889","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American journal of managed care","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5004517928","display_name":"Andrew Scott Mathis","orcid":"https://orcid.org/0000-0001-5253-7895","observed_orcids":["https://orcid.org/0000-0001-5253-7895"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"A Scott Mathis","raw_affiliation_strings":["smathis@barnabashealth.org"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"smathis@barnabashealth.org","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5111572001","display_name":"PharmD","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gary M Owens","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.5007,"has_fulltext":false,"cited_by_count":8,"citation_normalized_percentile":{"value":0.86757926,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":97},"biblio":{"volume":"20","issue":"11 Suppl","first_page":"S242","last_page":"53"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.388700008392334,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.388700008392334,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11792","display_name":"Pharmaceutical Economics and Policy","score":0.31450000405311584,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10137","display_name":"Multiple Sclerosis Research Studies","score":0.2264000028371811,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/multiple-sclerosis","display_name":"multiple sclerosis","score":1.0},{"id":"https://openalex.org/keywords/affordable-care-act","display_name":"Affordable Care Act","score":1.0},{"id":"https://openalex.org/keywords/managed-care","display_name":"managed care","score":0.9980000257492065},{"id":"https://openalex.org/keywords/specialty-medications","display_name":"specialty medications","score":0.8859999775886536},{"id":"https://openalex.org/keywords/formulary-management","display_name":"formulary management","score":0.8309999704360962},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.7509999871253967},{"id":"https://openalex.org/keywords/healthcare-coverage","display_name":"health care coverage","score":0.5659999847412109},{"id":"https://openalex.org/keywords/access-barriers","display_name":"access barriers","score":0.7429999709129333},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.5230000019073486}],"concepts":[{"id":"https://openalex.org/C100406419","wikidata":"https://www.wikidata.org/wiki/Q3543802","display_name":"Formulary","level":2,"score":0.8327834606170654},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7256136536598206},{"id":"https://openalex.org/C2780265253","wikidata":"https://www.wikidata.org/wiki/Q1416012","display_name":"Managed care","level":3,"score":0.6994504928588867},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6114422082901001},{"id":"https://openalex.org/C2777351106","wikidata":"https://www.wikidata.org/wiki/Q49371","display_name":"Legislation","level":2,"score":0.593264102935791},{"id":"https://openalex.org/C104863432","wikidata":"https://www.wikidata.org/wiki/Q614304","display_name":"Pharmacy","level":2,"score":0.5475528836250305},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.48247554898262024},{"id":"https://openalex.org/C2776643233","wikidata":"https://www.wikidata.org/wiki/Q1414593","display_name":"Patient Protection and Affordable Care Act","level":4,"score":0.4648949205875397},{"id":"https://openalex.org/C20387591","wikidata":"https://www.wikidata.org/wiki/Q930752","display_name":"Specialty","level":2,"score":0.4574429988861084},{"id":"https://openalex.org/C204983608","wikidata":"https://www.wikidata.org/wiki/Q2111958","display_name":"Productivity","level":2,"score":0.4397139847278595},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.41903236508369446},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.271967351436615},{"id":"https://openalex.org/C2983635472","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Health insurance","level":3,"score":0.2695636451244354},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.21868795156478882},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.12151604890823364},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008329","descriptor_name":"Managed Care Programs","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D008329","descriptor_name":"Managed Care Programs","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":true},{"descriptor_ui":"D009103","descriptor_name":"Multiple Sclerosis","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D010593","descriptor_name":"Pharmaceutical Services","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D010593","descriptor_name":"Pharmaceutical Services","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058991","descriptor_name":"Patient Protection and Affordable Care Act","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:25734889","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25734889","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American journal of managed care","raw_type":"Journal Article"},{"id":"mag:114705015","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25734889","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.8371999859809875,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":43,"referenced_works":["https://openalex.org/W5504759","https://openalex.org/W76560811","https://openalex.org/W176770068","https://openalex.org/W935643623","https://openalex.org/W1581887055","https://openalex.org/W1943280741","https://openalex.org/W1963489266","https://openalex.org/W1965150389","https://openalex.org/W1984185015","https://openalex.org/W1994577620","https://openalex.org/W2020504874","https://openalex.org/W2029836048","https://openalex.org/W2046655585","https://openalex.org/W2049565439","https://openalex.org/W2059810353","https://openalex.org/W2061166054","https://openalex.org/W2065182030","https://openalex.org/W2067338532","https://openalex.org/W2070076482","https://openalex.org/W2078513771","https://openalex.org/W2084110857","https://openalex.org/W2107872222","https://openalex.org/W2112857472","https://openalex.org/W2114374278","https://openalex.org/W2127809083","https://openalex.org/W2130779793","https://openalex.org/W2134015462","https://openalex.org/W2135466371","https://openalex.org/W2136981251","https://openalex.org/W2140959461","https://openalex.org/W2146544852","https://openalex.org/W2146802292","https://openalex.org/W2148563799","https://openalex.org/W2171570337","https://openalex.org/W2171614089","https://openalex.org/W2181407021","https://openalex.org/W2183593537","https://openalex.org/W2184982430","https://openalex.org/W2188468660","https://openalex.org/W2281097070","https://openalex.org/W2281648635","https://openalex.org/W2326826867","https://openalex.org/W2331354957"],"related_works":["https://openalex.org/W2395274676","https://openalex.org/W160278842","https://openalex.org/W2315275083","https://openalex.org/W2017100757","https://openalex.org/W2044554997","https://openalex.org/W3017966100","https://openalex.org/W4242154217","https://openalex.org/W2257333521","https://openalex.org/W2410668690","https://openalex.org/W2914141021"],"abstract_inverted_index":{"Multiple":[0],"sclerosis":[1],"(MS)":[2],"is":[3,12,125,159],"a":[4,46],"disorder":[5],"of":[6,18,42,49,79,103,147,153,186],"the":[7,50,76,154,176,184,187],"central":[8],"nervous":[9],"system":[10],"that":[11,30,93,129,196],"associated":[13,53],"with":[14,54,96],"disability,":[15],"reduced":[16],"quality":[17,138],"life,":[19],"extensive":[20],"medical":[21,51],"and":[22,25,109,139,144,192],"nonmedical":[23],"costs,":[24],"lost":[26],"productivity.":[27],"Specialty":[28],"medications":[29],"are":[31,59,67,98],"crucial":[32],"to":[33,38,69,85,131,168,189],"effective":[34],"disease":[35],"management,":[36],"helping":[37],"prevent":[39],"debilitating":[40],"episodes":[41],"relapse,":[43],"account":[44],"for":[45,117],"substantial":[47],"portion":[48],"expenditures":[52],"MS.":[55],"Although":[56],"these":[57],"therapies":[58],"not":[60],"considered":[61],"cost-effective":[62],"by":[63,100],"conventional":[64],"definitions,":[65],"they":[66],"comparable":[68],"one":[70],"another":[71],"in":[72],"cost-effectiveness":[73],"estimates,":[74],"leaving":[75],"complex":[77],"task":[78],"designing":[80],"cost-efficient":[81],"formulary":[82,110],"management":[83],"strategies":[84],"managed":[86],"care":[87,179,195],"professionals.":[88],"Current":[89],"epidemiologic":[90],"data":[91],"suggest":[92],"most":[94],"patients":[95],"MS":[97],"covered":[99],"some":[101,118],"form":[102],"healthcare":[104,137,148,173],"insurance,":[105],"but":[106,164],"plan":[107],"designs":[108],"restrictions":[111],"may":[112],"still":[113],"create":[114],"access":[115],"barriers":[116],"patients.":[119],"The":[120,151],"Affordable":[121],"Care":[122],"Act":[123],"(ACA)":[124],"recent":[126],"federal":[127],"legislation":[128],"seeks":[130],"provide":[132,190],"new":[133],"consumer":[134],"protections,":[135],"improve":[136],"accessibility":[140],"while":[141],"mitigating":[142],"expenditures,":[143],"increase":[145],"accountability":[146],"insurance":[149],"companies.":[150],"impact":[152],"ACA":[155,188],"on":[156],"specialty":[157],"pharmaceuticals":[158],"unclear":[160],"at":[161],"this":[162],"time,":[163],"it":[165],"does":[166],"appear":[167],"have":[169],"already":[170],"begun":[171],"improving":[172],"coverage":[174],"across":[175],"population.":[177],"Managed":[178],"professionals":[180],"must":[181],"work":[182],"within":[183],"confines":[185],"better":[191],"more":[193],"affordable":[194],"targets":[197],"overall":[198],"cost":[199],"reductions":[200],"rather":[201],"than":[202],"just":[203],"pharmacy":[204],"expenses.":[205]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2019,"cited_by_count":3},{"year":2016,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}