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.
Blue Cross of Georgia Sued for Sending Checks to Patients, Not Hospitals
July 3rd 2016Two hospitals, one in Georgia and another in California, charge in lawsuits that BCBS of Georgia sends payment directly to patients instead of paying the hospitals for care provided. The patients often do not know they are supposed to sign the checks over to cover the cost of their care, and the hospitals end up without payment.
Fight Over How Horizon Created OMNIA to Be Appealed to NJ Supreme Court
June 23rd 2016An appellate panel found that a group of hospitals could not have information that Horizon withheld during discovery in 2 breach of contract suits related to its OMNIA tiered health plan. An attorney for 1 group of those hospitals said it will appeal because consumers and providers need to know how the tiered health network was created.
House GOP Health Plan Would End Individual Mandate, Focus on Tax Credits, Savings Accounts
June 22nd 2016House Speaker Paul Ryan said the policy outline represents the first consensus among his conference to replace "Obamacare," which the document says has not worked because it has limited choice, increased consumer costs, and created new regulatory burdens for employers.
Medtronic, Canary Health Form Partnership for Diabetes Prevention, Improved Self-Management
June 17th 2016The partnership will allow Medtronic to scale Canary Health's diabetes prevention programs to reach a wider audience and bring Canary's self-management platform into customer support for its devices.
Dexcom's Evidence Builds Case for CGM Dosing Ahead of Key FDA Meeting
June 16th 2016The diabetes advocacy community has long sought Medicare coverage for continuous glucose monitoring (CGM) systems, but the technology has been deemed "precautionary." Abstracts presented at last week's ADA Scientific Sessions could help build a case for updating FDA's clearance to use CGM for dosing, removing a hurdle to Medicare coverage.
After a Year, ITCA 650 Produces Lower A1C, More Weight Loss Than Sitagliptin
June 12th 2016Intarcia Therapeutics anticipates filing for FDA approval at the end of the third quarter of 2016. At this year's ADA presentation, Julio Rosenstock, MD, said the insertion method for the novel therapy delivery device continues to improve.
Kaiser Permanente Study Seeks Insights on What Diabetes Patients Really Want to Ask the Doctor
June 11th 2016A poster at an ADA session on barriers and facilitators to novel care found that top concerns of patients with diabetes often have nothing to do with the disease. Other studies looked at which comorbidities contribute the most to readmissions or length of stay, and how an intervention that focused on transitions of care reduced A1C in patients with uncontrolled diabetes.