Conclusion: URL decay in health care management journals has decreased in the last 15 years. Still, URL decay does continue to be a problem. Interestingly, health services policy research journals had a lower rate of decay than practitioner-oriented journals (34.8% vs. 51.7%). Authors, publishers, and librarians should continue to promote the use of digital object identifiers and web archiving and perhaps study and replicate efforts used by health services policy research journals to increase continued URL availability rates.