Missouri Mental Health Advocate Not Optimistic About Medicaid Managed Care
June 19th 2015The discussion about managed care comes as lawmakers continue to ignore pleas to expand Medicaid to 191,000 uninsured residents in Missouri. A White House report released earlier this month made a case for expansion but was largely ignored by expansion opponents.
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Nearly 10% Women Have Geographic Access Barriers to Gynecological Cancer Care
June 19th 2015Researchers at the University of Pennsylvania correlated data from Geographic Information Systems, hospital referral regions, census data, and CDC's State Cancer Profiles, to evaluate whether geographic barriers can prevent access to gynecologic cancer care.
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Use of Lumpectomy Among Early-Breast Cancer Patients on the Rise
June 18th 2015Despite the increased use of breast-conserving therapy among women with early-stage breast cancer, many women continue to undergo mastectomy, according to a study from researchers at the University of Texas MD Anderson Cancer Center in Houston published in JAMA Surgery.
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Republicans Consider Extending Subsidies, Dismantling Other Parts of ACA
June 18th 2015While Republicans continue to look at dismantling President Obama's Affordable Care Act, they are also working on plans to extend subsidies temporarily to the millions of Americans who may lose the financial assistance should the Supreme Court rule in favor of the plaintiffs in King v. Burwell.
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Fiscal Year 2016 Funding Bill Seeks to Defund the ACA, Patient-Centered Outcomes Research
June 17th 2015In its proposed fiscal year 2016 funding bill, the House Appropriations Committee is looking to defund the Affordable Care Act, block additional funding for patient-centered outcomes research, and terminate the Agency for Healthcare Research and Quality.
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Premiums Could Increase $3300 With King v. Burwell Ruling for the Plaintiffs
June 17th 2015If the Supreme Court rules that individuals in states on the federal marketplace are ineligible for subsidies, the annual consumer premium contribution could increase $3300 in 2015, according to an analysis from Avalere Health.
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California Auditor Slams Medi-Cal for Poor Access; Advocates Cite Shift to Managed Care
June 17th 2015The findings of inadequate access to providers and outdated information were no surprise to healthcare advocates. Many of the issues are addressed in a giant proposed rule issued by CMS in late May.
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High Deductibles, Narrow Networks Will Help Hold Down Medical Cost Trend in 2016
June 16th 2015Although the introduction of new specialty drugs and increased investments into personal health data security, moderating forces will keep healthcare spending growth in check in 2016, according to a report from PwC's Health Research Institute.
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3 States Receive Approval for State-Based Exchanges Ahead of King v. Burwell Decision
June 16th 2015Arkansas, Delaware, and Pennsylvania have all received tentative approval from HHS Secretary Sylvia Mathews Burwell to set up their own state-based insurance exchanges and move their residents off the federally facilitated marketplace.
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Dr Mostashari's Aledade Raises $30 Million to Advance Value-Based Care
June 15th 2015Aledade, founded by Farzard Mostashari, MD, announced on Monday that it had raised $30 million to support its mission of partnering with independent primary care physicians to create accountable care organizations and further fuel the company's growth.
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New AMA Policies Promote Integrated Care, Improve Healthcare Data Transparency
June 15th 2015A new policy emerged from the annual meeting of the American Medical Association that calls for increased access to and coverage of integrated medical and behavioral healthcare services for patients.
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Panel Discussion: Is Two Better Than One? The Use of Combination Therapies in Diabetes Care
June 15th 2015Robert A. Gabbay, MD, PhD, FACP, chief medical officer at Joslin Diabetes Center, moderates a discussion on the role of combination therapy in several ways, including early aggressive therapy with combination treatment and the combination of taking 2 medications in 1 tablet to encourage adherence with increased convenience and reduced copays. He is joined by S. Sethu K. Reddy, MD, MBA, FRCPC, FACP, MACE; Ravi Retnakaran, MD, MSc, FRCPC; Alexander Turchin, MD, MS; and Helen Feit, MD.
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Panel Discussion: Weighing the Value of Novel Treatment in Diabetes
June 15th 2015Dennis P. Scanlon, PhD, faculty member and health services researcher at Penn State University, associate editor of The American Journal of Managed Care, moderates a discussion regarding the idea of value as it pertains to the emerging treatments and approaches for diabetes care. He is joined by panelists David Brumley, MD, MBA; Edmund J. Pezalla, MD, MPH; and Michael S. Sherman, MD, MBA, MS.
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Finding the Balance in Lipid Management
June 15th 2015Om P. Ganda, MD, director, Lipid Clinic, Joslin Diabetes Center, discusses cholesterol and lipidemia as high risk factors for cardiovascular disease (CVD), where diabetes itself is a risk factor for CVD. Dr Ganda refutes the misconception that exposure to cholesterol complications begins for adults 40 years old or over; these complications, he points out, can begin at a very early age depending upon the individual. Individuals can face CVD in their early 20's and 30's due to the cumulative burden of cholesterol.
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The Digital Path to Improved Patient Engagement in Self-Care
June 15th 2015Howard Wolpert, MD, senior physician in adult diabetes at Joslin Diabetes Center, director of Joslin Institute for Technology Translation, and associate professor at Harvard Medical School, recognizes 3 issues with current care delivery models that with modification, can change diabetes care in this emerging digital health era. These factors, he pointed out, include: a serious lack of diabetes specialists, an unsuccessful acute-based therapeutic model that concentrates on prescriptive dose adjustment, and an unrealistic care delivery model of patient scheduled office visits. Dr Wolpert believes that care models currently in place are not effectively promoting patient engagement, self-care and self-management skills. Further, they do not adequately satisfying the needs of a patient with a chronic disease like diabetes who may require 24/7 support.
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Panel Discussion: Integrated Delivery Networks in Adherence Intervention: The Next Frontier
June 15th 2015Dennis P. Scanlon, PhD, faculty member and health services researcher at Penn State University, and associate editor of The American Journal of Managed Care, leads a discussion on diabetes and patient care management that is concentrated on patient behavior, patient motivation, and ultimately, patient adherence. He is joined by Paul Ciechanowski, MD, MPH; Todd Prewitt, MD, FAAFP; Trishan Panch, MD, MPH; and Ronal Tamler, MD, PhD, MBA, CDE.
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