Healthcare Leaders Pursuing Telemedicine Adoption Despite Challenges
November 17th 2014Despite challenges with reimbursement and physician buy-in, healthcare organizations are committed to implementing telemedicine programs, according to a survey of healthcare leaders, mostly C-suite executives.
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Some Glitches Reported, But Year 2 of ACA Enrollment Seems Off to a Smoother Start
November 17th 2014After last year's disastrous start, the first day of open enrollment in year 2 of the Affordable Care Act had fewer hiccups. HHS Secretary Sylvia Mathew Burwell was reporting success from this weekend.
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At its third annual conference, Patient-Centered Oncology Care 2014, The American Journal of Managed Care addressed new challenges in cancer care: more patients have coverage, but they may be "underinsured" or barred from academic centers. Amid rising drug costs and regulations that threaten community practices, the head of the largest oncology organization outlined a path toward value-based reimbursement.
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Nivolumab Presents Superior Survival Results in Phase 3 Melanoma Trials
November 17th 2014In a press release based off-of results presented at the Society for Melanoma Research 2014 International Congress in Zurich, Switzerland, BMS announced results from phase 3 of the CheckMate-066 trial.
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A New Glioblastoma Vaccine on the Horizon
November 16th 2014Following encouraging results from a second phase of a phase 1 trial, the researchers have planned a second phase, to be initiated in January 2015. The vaccine will be administered to glioblastoma patients just before they begin chemotherapy.
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Integrating Palliative Care Into Managed Care for the Good of Patients
November 14th 2014Yesterday, speakers opened Patient-Centered Oncology Care, sponsored by The American Journal of Managed Care, with a discussion of how to bring palliative care into the mainstream in cancer care. While progress has been made, a cultural bias against discussion end-of-life issue remains an obstacle.
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Managed Care Audience Hears ASCO's Peter Yu, MD, Describe Value-Based Efforts
November 14th 2014Peter Yu, MD, president of the American Society of Clinical Oncology, (ASCO) discussed the organization's efforts throughout 2014 to reform reimbursement and take on issues of value and quality in cancer care during Patient-Centered Oncology Care, the annual gathering sponsored by The American Journal of Managed Care.
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Arkansas Appointee Seen as Possible Broker to Save "Private Option"
November 13th 2014A Republican legislative leader who was a top negotiator in creating Arkansas' private option will be the new governor's chief of staff. The pick is viewed by some as a sign that the private option may have a defender in the incoming administration. Meanwhile, Arkansas' hospitals are highlighting the difference the private option has made in reducing the ranks of uninsured seeking treatment.
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Study Finds Continuity of Care Reduces Costs, Mortality, Morbidity
November 13th 2014As cost containment becomes increasingly important in healthcare, the findings of a recent study in the Annals of Family Medicine on the impacts of continuity of care could have an impact on how healthcare systems deliver care.
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Nearly Half of Uninsured Don't Understand Basic Health Insurance Concepts
November 12th 2014Although open enrollment for the Affordable Care Act's insurance Marketplaces is almost here, a 10-question survey from Kaiser Family Foundation found that the health law's target audience still struggles with understanding insurance coverage.
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Study Points to Disparity in HPV Vaccine Uptake
November 12th 2014At an ongoing AACR meeting on Health Disparities in cancer, researchers from the Gillings School of Global Public Health presented data showing HPV vaccine uptake among girls is lowest in states with the highest rates of cervical cancer.
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Will Diabetes Get Its Due in Lame Duck Session of Congress?
November 12th 2014Diabetes advocates are pressing for a bill that would compel Medicare to cover CGM technology. They cite a study in The American Journal of Managed Care, which found it costs $17,564 every time a person with diabetes goes to the emergency department with hypoglycemia.
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Hospice Care Reduces Hospitalizations, Healthcare Expenditures for Medicare Patients
November 11th 2014Hospice care for Medicare patients resulted in lower hospitalization rates and lower healthcare expenditures during the last year of life, according to a study published the November 12 issue of JAMA.
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The Old Managed Care Fights Were About Access to Doctors; Today, It's About Access to Drugs
November 11th 2014The managed care wars of the 1990s, when patients complained that health plans would not pay for them to see the doctor of their choice, seem almost quaint in light of today's battles. With the rise of narrow networks, there are new fights about access to doctors, of course. But the more troublesome battles, which are sometimes literally life-threatening, involve access to drugs.
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Fragile, Rural Population to Be Moved Into Medi-Cal Managed Care
November 11th 2014Next month, state health officials will launch a transition of rural Medi-Cal beneficiaries into Medi-Cal managed care health plans. The transition involves about 20,000 of the most frail and elderly segment of the rural Medi-Cal population.
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How to Improve Pay-for-Performance With Targeted Incentives
November 11th 2014Traditional pay-for-performance programs tend to result in significant waste for payers, but the industry could benefit from a slightly modified model, which focus efforts on patients who are at higher risk for poor outcomes.
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