Mary Caffrey is the Executive Editor for The American Journal of Managed Care® (AJMC®). She joined AJMC® in 2013 and is the primary staff editor for Evidence-Based Oncology, the multistakeholder publication that reaches 22,000+ oncology providers, policy makers and formulary decision makers. She is also part of the team that oversees speaker recruitment and panel preparations for AJMC®'s premier annual oncology meeting, Patient-Centered Oncology Care®. For more than a decade, Mary has covered ASCO, ASH, ACC and other leading scientific meetings for AJMC readers.
Mary has a BA in communications and philosophy from Loyola University New Orleans. You can connect with Mary on LinkedIn.
Medicare Continues to Fight CGM Coverage in Court, and Told to Pay
February 3rd 2018Despite an official policy since early 2017 that calls for Medicare to cover CGM for certain beneficiaries with diabetes, an attorney who won a landmark case prior to the policy change reports that beneficiaries are still being denied coverage.
Omada Health Diabetes Prevention Trial to Track Healthcare Utilization
January 29th 2018Officials at Omada Health said the PREDICTS trial was planned long before CMS decided not to include virtual providers in this spring's launch of the Medicare Diabetes Prevention Program. But a spokesperson said the company hopes the growing body of evidence in support of virtual programs will "assuage any concerns."
ODYSSEY Outcomes Results for Sanofi's Praluent to Lead Off ACC Meeting
January 25th 2018The annual meeting of the American College of Cardiology (ACC), which runs March 10-12, 2018, in Orlando, Florida, will open with cardiovascular outcomes results for the PCSK9 inhibitor alirocumab (Praluent). The meeting also features updates on anti-inflammatory drugs, the use of SGLT2 inhibitors in heart failure, and how cardiology is shifting to new healthcare delivery models.
Study Finds Prior Authorization Mandates for PCSK9 Drugs Raise Questions of Access
January 20th 2018Researchers were especially concerned about barriers for patients with familial hypercholesterolemia, whose needs would seem clear cut but who nonetheless faced costly hurdles, such as genetic testing.
Some Question Ad Buy, but Christie's Battle Against Opioids Leaves a Mark
January 16th 2018Chris Christie vowed to devote his final year as New Jersey's governor to fighting opioid abuse. A veteran advocate says Christie has accomplished more than people realize, and his use of the bully pulpit should not be underestimated.
Kentucky First State Approved for Medicaid Work Requirements
January 13th 2018The approval comes a day after the Trump administration released a guidance for states that want to require work from able-bodied Medicaid recipients. Current CMS Administrator Seema Verma designed the Kentucky program when she was a consultant but recused herself from the application.
Chronic Inflammation, Dyslipidemia Puts Children, Teens With HIV at Higher CV Risk, Study Finds
January 12th 2018The same mechanisms that cause those with long-term HIV infection to suffer higher rates of heart attacks or strokes put children born with disease at early risk of cardiovascular disease, according to a new study.
CMS Tells States How to Require Work for Medicaid
January 11th 2018The long-awaited guidance allows states to seek waivers that require able-bodied adults to show they are working, receiving education, serving as a caregiver, volunteering, or receiving substance abuse treatment in order to be eligible for Medicaid.
A Leader in Diabetes Prevention Gets Ready to Help Medicare Reach Seniors Everywhere
January 10th 2018Brenda Schmidt, CEO of Solera Health, discusses the historic launch of the Medicare Diabetes Prevention Program scheduled for this April and how her company is helping providers and other stakeholders get ready.
5 Events in the Nation's Capital That Drove Managed Care News in 2017
December 29th 2017As 2017 came to close, The American Journal of Managed Care® (AJMC®) asked readers to weigh in on the events they believed had the greatest impact on managed care during the year. As the votes came in, it was clear that what happens in Washington, DC, matters—and that Capitol Hill policy makers will continue to make a difference in 2018.