What We're Reading: Changing How Medicine Is Bought
February 10th 2016What we're reading, February 10, 2016: 2 companies change how consumers purchase medicines online; CMS memo reveals the government is mulling changes to Medicare reimbursement; and Johns Hopkins will transplant HIV-positive organs to HIV-positive recipients.
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Study Hopes to Resolve Questions About Management of Pre-Cancers of the Breast
February 10th 2016As physicians and researchers question whether certain treatments for early signs of breast cancer are necessary, the first large US study will seek to determine the best way to manage ductal carcinoma in situ.
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AJMC's Dr Fendrick Testifies on Benefit of Clinical Nuance
February 9th 2016A. Mark Fendrick, MD, co-editor-in-chief of The American Journal of Managed Care and director of the University of Michigan Center for Value-Based Insurance Design, testified before a Michigan senate subcommittee on the benefit of clinical nuance.
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What We're Reading: Aetna, Cigna Sign Performance-Based Deals With Novartis
February 9th 2016What we're reading, February 9, 2016: Novartis signs 2 performance-based deals for its new heart drug; 8 states significantly reduced uninsured rates; and the Obama administration will ask for $1.8 billion to prepare to fight the Zika virus.
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Major Employers Form Alliance to Help Transform Healthcare
February 8th 2016Yet another alliance has been formed to help transform healthcare. This time 20 major employers, who represent 4 million employees and family members, have come together to improve how healthcare benefits are purchased.
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Snapshot of Key ACA Policies: Findings From a 50-State Survey
February 8th 2016Many key guidelines regarding Medicaid and CHIP eligibility, enrollment, renewal, and cost-sharing policies have changed and the 14th annual 50-state survey from the Kaiser Family Foundation identified all the major changes that occurred in 2015.
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What We're Reading: 12.7M Sign Up Under ACA, But 30M Remain Uninsured
February 8th 2016What we're reading, February 8, 2016: 12.7 million people signed up for Affordable Care Act coverage, but 30 million remain uninsured; HHS plans to continue to encourage Medicaid expansion; and report analyzes the effect of patient-centered medical homes on cost and quality.
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PCPs Diligent With Following USPSTF Recommendations on PSA Testing
February 8th 2016Using data gathered from the National Ambulatory Medical Care Survey, the authors of a JAMA Internal Medicine study identified a significant decrease in PSA testing referrals by primary care physicians compared with urologists.
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Considering the Burden on Family Caregivers
February 7th 2016A deeper understanding of the interdependencies among the patients, family caregivers, and service providers revealed that if general practice teams intervene early, they may be more likely meet patients’ needs in the end-of-life care process.
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Marketplace Health Insurance Options for HIV-Positive People
February 7th 2016For HIV-positive patients, cost considerations take on added importance because of the expensive antiretroviral prescription medications. As such, assessing premiums alone may not provide an accurate measure of plan affordability for HIV-positive patients.
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Life-Saving Insulin Too Costly for Many of the World's Type 1 Diabetics, Lancet Review Finds
February 6th 2016The authors note that not only are insulin costs making type 1 diabetes deadly in the poorest nations; high costs are the leading reason for diabetic ketoacidosis in the inner cities in the United States.
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This Week in Managed Care: February 6, 2016
February 6th 2016The top stories in managed care this week included increased insurer concerns over the sustainability of the Affordable Care Act's insurance exchanges, healthy policy experts convened in DC, and 2 warnings for women to heed regarding pregnancy.
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Dr Patrick Conway Explains the Proposed MSSP Changes
February 6th 2016Patrick Conway, MD, MSc, deputy administrator for innovation and quality and chief medical officer at CMS, describes the proposed changes to the Medicare Shared Savings Program and how they will assist accountable care organizations transitioning to tracks with more risks.
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