Diabetes Cases and Costs Soaring in UK; Charity Says NHS at Risk
August 17th 2015Diabetes is not just an epidemic in the United States; the nonprofit Diabetes UK warned that the disease is swamping the National Health Service with rising costs because not enough emphasis is placed on prevention.
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Challenges Await as Medicaid Managed Care Absorbs the Most Fragile Patients
August 17th 2015Examples from many states show the tension between the desire the hold down costs and the need to address the specialized medical issues of patients with life-threatening illnesses, which can be very expensive to treat.
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This Week in Managed Care: August 15, 2015
August 15th 2015CVS stunned the healthcare community this week with the announcement that it will wait for the FDA to approve a second PCSK9 inhibitor before it negotiates prices and there has been renewed attention on the need for enforcement of the federal parity law for mental health.
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JAMA Oncology Study Validates Patient-Reported Outcomes
August 14th 2015A multicollaborative study conducted for the National Cancer Institute has resulted in a tool called the Common Terminology Criteria for Adverse Events (PRO-CTCAE). PRO-CTCAE can help integrate the patient perspective into adverse event reporting.
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Risk of Developing Diabetes Associated With Neighborhood's Resources
August 13th 2015Neighborhoods with more resources that support physical activity and healthy diets were associated with a lower incidence of type 2 diabetes mellitus, according to findings published in JAMA Internal Medicine.
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Choosing Well in Older Breast Cancer Patients: Retrospective Study Provides Leads
August 13th 2015A study published in the Journal of the American Geriatrics Society found that older women with breast cancer have a poor response to chemotherapy, while older patients with advanced colon cancer (both men and women) did well.
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Need for Consistency in Radiation Treatment Costs Among Medicare Enrollees
August 12th 2015Research published in the Journal of Oncology Practice found that factors unrelated to the individual patient accounted for the majority of variation in the cost of radiation therapy for breast, prostate, and lung cancer patients.
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Health Plans Should Consider Paying for Doula Services
August 12th 2015There is a quiet revolution happening among health plans. Mothers and fathers who work for health insurance companies-and who had the support of a doula at the time of childbirth-are beginning to inquire about expanding benefits to include coverage for this evidence-based service.
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A Solid Compliance Program Avoids Whistleblowing
August 11th 2015Medicare and Medicaid billing fraud scams-upcoding and unbundling schemes, double and triple billing, phantom billing and illegal kickback schemes -cost the United States an estimated $100 billion annually, inflating the size of government, escalating healthcare costs and burdening taxpayers.
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