Exact Sciences' Cologuard Receives CMS National Coverage
October 18th 2014The non-invasive nature of the test makes it a very attractive alternative to the uncomfortable colonoscopy used to detect colorectal cancer. In a New England Journal of Medicine study of 10,000 patients, the test identified 92% of colorectal cancers in average-risk patients and 42% of polyps.
Read More
Myriad's Prostate Cancer Test Receives Draft Medicare Coverage
October 17th 2014Myriad Genetics, Inc., announced today that the Medicare Administrative Contractor (MAC) that has jurisdiction over most molecular diagnostic tests has issued its draft notice on how Medicare will provide reimbursement for Prolaris, a test that Myriad has developed to guide treatment decisions in prostate cancer.
Read More
Repeal or Replace: Healthcare on the Mind as Midterm Elections Approach
October 17th 2014Despite continued Republican opposition to the Affordable Care Act, sentiment is shifting from repeal to replace. Still, the fact that open enrollment on HealthCare.gov begins after the midterm elections does not seem like a coincidence to the GOP.
Read More
Roche Joins the Immuno-oncology Front With a PD-L1 inhibitor
October 17th 2014While the current approved immuno-oncolgy drugs have been approved for melanoma, Roche has also been evaluating their new molecule in triple-negative breast cancer. The results will be presented at the San Antonio Breast Cancer Symposium.
Read More
A majority of Americans covered by the Affordable Care Act are expecting to change plans for 2015, which may be a smart move, according to industry experts. People who simply re-enroll may not realize they are no longer among the lowest costing plans, which will affect how much their subsidies pay for.
Read More
Exciting Clinical Results With Novartis' Leukemia Immune Therapy
October 16th 2014The regimen, based on reprogramming the patient's immune T cells to attack the cancer cells, led to the disappearance of cancer in 90 percent of patients, according to a study published in the New England Journal of Medicine.
Read More
AMA Calls for More Meaningful Use Flexibility in Letter to CMS, ONC
October 16th 2014The strict rules of the Meaningful Use (MU) program are preventing physicians from participating, according to the American Medical Association, which is calling for more flexibility and some relief from penalties.
Read More
Policy Changes May be Slow on State Exchanges as IT Systems Evolve
October 16th 2014A blog published by The Commonwealth Fund points to digital technology glitches being responsible for slower policy adoption by several state exchanges. But states are fixing their technology glitches and also setting examples for other states to follow, say the authors.
Read More
Report of Second Texas Nurse With Ebola Fans Hospital Safety Fears
October 15th 2014Health officials from CDC and the state of Texas are reeling in the wake of today's report that a second nurse at the Texas hospital that treated Ebola patient Thomas Eric Duncan has tested positive for the virus. The news came while health leaders were still trying to determine how 26-year-old nurse Nina Pham contracted Ebola while caring for the first patient diagnosed with the disease on US soil. Meanwhile, the largest nurses' union says its members report that most hospitals are not ready for an Ebola patient.
Read More
CMS Offers Upfront Investment to ACOs Through New Initiative
October 15th 2014Accountable Care Organizations participating in the Medicare Shared Savings Program will have access to a new initiative that will support care coordination across the country, according to CMS. Up to $114 million in upfront investments will be made available.
Read More
Medicare Advantage Star Ratings Increasing Overall Plan Quality
October 15th 2014Quality in Medicare Advantage plans is increasing, and CMS credits the improvement to its star rating system. A growing number of Medicare enrollees are in plans receiving at least 4 out of 5 stars, according to a new fact sheet.
Read More
CMS Star Ratings' Quality Bonus Payments Can Mean Survival for Health Plans
October 14th 2014The quality bonus payments tied to CMS' star ratings makes it critical that health plans receive a 4 or better, Jonathan Harding, MD, chief medical officer of the Senior Products Division at Tufts Health Plan, said at the America's Health Insurance Plan's National Conferences on Medicare and Medicaid, and Dual Eligibles Summit in Washington, DC, from September 28 to October 2.
Read More
A Look at Coverage Eligibility in Medicaid Nonexpansion States
October 14th 2014In states that chose not to expand Medicaid eligibility under the Affordable Care Act, residents with a median income of less than $800 a month are now ineligible for coverage assistance while those with more than $2000 a month are eligible for subsidies, according to a report from the Urban Institute.
Read More
Blue Cross and Blue Shield of Illinois Pioneers First Specialty Intensive Medical Home Program
October 14th 2014Blue Cross and Blue Shield of Illinois announces the first specialty intensive medical home program in the state, with the Illinois Gastroenterology Group, the state's largest independent gastroenterology practice, effective September 1, 2014.
Read More
Few Organizations Have Infrastructure in Place to Handle Big Data
October 14th 2014Although many providers are looking to implement cloud, big data, social, and mobile technologies within the next 2 years, if they haven't done so already, few healthcare organizations feel their infrastructures are prepared for this evolution of electronic medical records, according to a new study.
Read More
Survey of Anticipated FY 2015 Medicaid Growth Finds More Expected in States that Approved Expansion
October 14th 2014A survey by Kaiser Family Foundation projects 13.2% overall growth in Medicaid through fiscal year 2015, but the difference between states that expanded the program and those that did not will be stark. The survey of state Medicaid directors also finds 23 states plan expansion of managed care in the next year.
Read More
Are EHRs to Blame in the Dallas Ebola Case?
October 14th 2014With the enormous amount of data being collected and entered into EHRs, the human brain (in this case the physician brain) is probably tuning out information that would probably stay if there was a conversation with the patient instead.
Read More
ASCO Endorses CAP/IASLC/AMP Guideline on Molecular Testing for Lung Cancer
October 14th 2014The American Society of Clinical Oncology has endorsed the joint guidelines established by the 3 Associations to help physicians make evidence-based decisions when selecting patients to administer some of the targeted therapies developed for lung cancer.
Read More