November 21st 2024
Despite significant progress in expanding health insurance coverage since the Affordable Care Act (ACA) was enacted, millions of Americans still face critical gaps in access to and affordability of health care.
Automated Telephone Calls to Enhance Colorectal Cancer Screening: Economic Analysis
Automated telephone calls can increase colorectal cancer screening rates at a cost of about $40 per additional screen.
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Mark Fendrick, MD, Discusses Value-Based Insurance Design
November 19th 2012Dr. Mark Fendrick, MD, Professor of Medicine and Health Management and Policy, Schools of Medicine and Public Health, University of Michigan, Co-Editor-in-Chief, The American Journal of Managed Care, says that there are levers organizations and stakeholders can pull to achieve the goal of improving quality and value in cancer care.
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UnitedHealthcare Bars Copay Coupons for Specialty Drugs
November 5th 2012According to a report by Elsevier's BusinessIntelligence, UnitedHealthcare has announced that pharmacies that are participating in its Designated Specialty Pharmacy network will no longer redeem manufacturer-sponsored coupons as an offset to member cost-sharing payments for 6 specialty drugs beginning January 1, 2013.
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Industry Voices: Biosimilars and Trade Secrets
October 31st 2012Trade secrets may potentially be used to protect manufacturing processes for biological drugs--yet there is concern that the new law on biosimilars, the BPCIA (Biologics Price Competition and Innovation Act of 2009), and the accompanying FDA regulations, may expose trade secrets of both originators and biosimilar applicants.
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Medicare Part D Claims Rejections for Nursing Home Residents, 2006 to 2010
This study presents data on paid and rejected claims submitted by 1 large long-term care pharmacy over the initial 5 years of Medicare Part D.
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