Integrated Pharmacy Benefits Have Significant Cost Savings
October 7th 2014Including pharmacy benefits as part of an employer's total health insurance benefit package has clear health benefits and cost savings, according to a study from Blue Cross Blue Shield Association and Prime Therapeutics, LLC.
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Dr Peter B. Bach Outlines Framework for Tying Price of Cancer Drugs to Indication, Value
October 6th 2014Peter B. Bach, MD, MAPP, Memorial Sloan Kettering Cancer Center, writes in the Journal of the American Medical Association that cancer drugs could be charged different prices by indication, since the value for patients varies. His article appeared days before an appearance on 60 Minutes to discuss the high price of cancer drugs.
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Readmission Rate Fines Increase in Year 3 of Medicare Program
October 6th 2014During the third year of the Hospital Readmission Reduction Program, CMS will penalize more hospitals than it did during the second and third years of the program; however, the overall readmission rate for Medicare beneficiaries is down.
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Mitochondrial Uncoupling: A New Approach to Treat Diabetes
October 6th 2014A new research study from the Robert Wood Johnson Medical School showed that niclosamide ethanolamine salt (NEN) can burn the excess fat in the liver cells of mice through a process known as mitochondrial uncoupling. Fat accumulation in the liver is a typical characteristic of diabetic patients.
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Vosaroxin Fails in Phase 3 AML Trials in the Elderly
October 6th 2014Sunesis Pharmaceuticals announced the failure of a phase 3 study Monday morning. The company's experimental drug vosaroxin did not extend survival of elderly patients with advanced acute myeloid leukemia compared to a placebo.
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JCO Study: MMA Did Not Influence Fee-For-Service Prescribing
October 4th 2014The study by Kaiser Permanente found that prescription practices were not much influenced by the decrease in fee-for-service payments for outpatient chemotherapy, due the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.
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Concerns About Complex Cases Prompt Delay in New Hampshire Medicaid Managed Care
October 4th 2014The next phase of New Hampshire's plan to bring managed care to the state's Medicaid program will not go into effect on January 1, 2015, as planned, due in part to concerns about the ability to ensure smooth transitions for those with complex medical cases to receive uninterrupted care.
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Innovations and Future Developments for Medicare, Medicaid, and Dual Eligible Beneficiaries
October 3rd 2014The rising cost of prescription drugs, CMS initiative updates, and successes in home and community-based services for dual Medicare and Medicaid beneficiaries were discussed at the America's Health Insurance Plans' National Conferences on Medicare and Medicaid, and Dual Eligibles Summit in Washington, DC.
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CDC Data Show Spike in Heroin Overdose Deaths; Researchers Explore Tie to Opioid Abuse
October 3rd 2014Deaths from overdoses on heroin rose in 28 states with just over half the nation's population from 2010 to 2012, but deaths from overdoses on prescription opioid pain relievers fell slightly during that period.
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Balancing Drug Breakthroughs with Rising Drug Costs
October 2nd 2014Hepatitis C and the price of Sovaldi were, understandably, the main focus of aconversation on rising prescription drug prices at the America's Health Insurance Plans' National Conferences on Medicare and Medicaid, and Dual Eligibles Summit in Washington, DC.
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In Texas Ebola Case, Was Patient's Insurance Status an Issue?
October 2nd 2014As Texas health officials monitor 80 people for symptoms of the Ebola virus, the question arises: could this public health threat have avoided if the ER at Texas Presbyterian admitted the patient with the disease when it first had the chance? Was the patient's insurance status an issue, as some have suggested?
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AHIMA's Information Governance Framework Addresses Current Healthcare Challenges
October 2nd 2014A new information governance framework of 8 principles from the American Health Information Management Association aims to help meet the patient care, safety, and operational goals of healthcare organizations.
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A Look at the Future of Medicaid and Rate Setting
October 1st 2014At $531 billion, Medicaid is the second largest piece of healthcare spending and cannot be pushed off to be thought about another day, Cindy Mann, JD, CMS deputy administrator and director of the Center for Medicaid and CHIP Services, said at the America's Health Insurance Plans' National Conferences on Medicare and Medicaid and Dual Eligibles Summit.
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Second Judge Rules Against ACA Subsidies if There's No State-Run Exchange
October 1st 2014No state-run exchange, no subsidy for health coverage. That's what a federal judge in Oklahoma ruled yesterday, marking the second such ruling against a key component of the Affordable Care Act and setting up a potential return trip to the US Supreme Court to decide the fate of a key piece of the law.
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Open Payments Website Launches, Reveals $3.5 Billion in Payments
October 1st 2014The first round of Open Payments data, known as the Physician Payments Sunshine Act, were made public Tuesday and revealed 4.4 million payments valued at nearly $3.5 billion paid out to 546,000 individuals and almost 1346 teaching hospitals.
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In South Dakota, the Narrow Network Question Will Be Settled By the Voters
September 30th 2014A ballot question to limit narrow networks in South Dakota evokes the outcry that occurred when managed care first sought to rein in costs in the 1990s. Critics of the measure say its passage will push up premiums 20 percent.
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