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The American Journal of Managed Care is an independent, peer-reviewed publication dedicated to disseminating clinical information to managed care physicians, clinical decision makers, and other healthcare professionals. Its aim is to stimulate scientific communication in the ever-evolving field of managed care. The American Journal of Managed Care addresses a broad range of issues relevant to clinical decision making in a cost-constrained environment and examines the impact of clinical, management, and policy interventions and programs on healthcare and economic outcomes. All original articles are subjected to rigorous peer review by leading clinical investigators, health services researchers, and clinical epidemiologists. Manuscripts are also evaluated to determine the real world relevance of the information they contain. In addition to original research, the journal publishes review articles, commentaries, trends from the field, editorials, and letters to the editor.