Coverage of our peer-reviewed research and news reporting in the healthcare and mainstream press.
An article from TechnoBleak included an article published in a supplement to The American Journal of Managed Care® (AJMC®). The article, “Idiopathic Pulmonary Fibrosis: The Role of the Pharmacy Benefit Manager in Providing Access to Effective, High-Value Care,” explored the high costs associated with idiopathic pulmonary fibrosis and the role of pharmacy benefit managers in managing the cost and appropriate utilization of new treatments through disease management programs, negotiated discounts and rebates, improved adherence to treatment recommendations, and benefit design to optimize patient care.
The National Pharmaceutical Council’s Tuesday and Wednesday CER Daily Newsfeeds included AJMC®’s coverage of the ISPOR 2019 annual meeting. The article, “The Imperfect QALY: How It’s Used Depends on Where You Enter Value Discussions,” covered a session in which panelists discussed the good and the bad about the quality-adjusted life year metric from their various perspectives. The newsfeeds also included the article, “Bringing Financial Theory Into the Value Equation of Future Cutting-Edge Therapies,” which covered a session that discussed the work of a researcher who recently published part of her dissertation on real option value, as used in pharmaceutical assessment, as well as an AJMC® interview with Paul Melmeyer, director of Federal Policy, National Organization for Rare Disorders, who discussed the importance of value assessments taking into account the unique characteristics of a disease.
Thursday’s newsfeed included an article from AJMC®’s sister site The Center for Biosimilars®. The article, “Health Canada Approves Its First Biosimilar Trastuzumab, Ogivri,” covered Health Canada’s approval of Mylan and Biocon’s trastuzumab biosimilar Ogivri, referencing Herceptin, which carries indications for HER2-positive breast cancer and HER2-positive metastatic stomach cancer.
Urticaria Diagnosis Challenged by Overlapping Pruritic Skin Conditions
April 23rd 2025Urticaria is complicated to diagnose by its symptomatic overlap with other skin conditions and the frequent misclassification in literature of distinct pathologies like vasculitic urticaria and bullous pemphigus.
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New Research Challenges Assumptions About Hospital-Physician Integration, Medicare Patient Mix
April 22nd 2025On this episode of Managed Care Cast, Brady Post, PhD, lead author of a study published in the April 2025 issue of The American Journal of Managed Care®, challenges the claim that hospital-employed physicians serve a more complex patient mix.
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Personalized Care Key as Tirzepatide Use Expands Rapidly
April 15th 2025Using commercial insurance claims data and the US launch of tirzepatide as their dividing point, John Ostrominski, MD, Harvard Medical School, and his team studied trends in the use of both glucose-lowering and weight-lowering medications, comparing outcomes between adults with and without type 2 diabetes.
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ACOs’ Focus on Rooting Out Fraud Aligns With CMS Vision Under Oz
April 23rd 2025Accountable care organizations (ACOs) are increasingly playing the role of data sleuths as they identify and report trends of anomalous billing in hopes of salvaging their shared savings. This mission dovetails with that of CMS, which under the new administration plans to prioritize rooting out fraud, waste, and abuse.
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