A one-minute look at managed care news during the week of February 23, 2015, including another step by CMS toward a quality-based payment system and more predictions on the outcomes of King v. Burwell.
This week CMS took a step toward building a quality-based payment system and unveiled a new rate proposal for Medicare Advantage and Part D drug program.
More experts are predicting that if the Supreme Court sides with the plaintiff in King v. Burwell it could mean chaos for the health insurance marketplace, as the loss of subsidies will cause healthy individuals to cancel coverage.
Finally, The American Journal of Managed Care’s ACO and Emerging Healthcare Delivery Coalition will meet live April 30 and May 1 in San Diego with keynote speaker Suzanne Delbanco, PhD, director of Catalyst for Payment Reform. Learn more here.
Specialty Drug Costs Drive Medicare Part D Dermatology Expenditures
July 22nd 2025The rapidly increasing prescriptions for expensive specialty medications, rather than their price growth, are the primary driver of escalating dermatology Medicare Part D expenditures, necessitating policies that balance innovation, access, and affordability.
Read More
Blister Packs May Help Solve Medication Adherence Challenges and Lower Health Care Costs
June 10th 2025Julia Lucaci, PharmD, MS, of Becton, Dickinson and Company, discusses the benefits of blister packaging for chronic medications, advocating for payer incentives to boost medication adherence and improve health outcomes.
Listen
Primary Care Doctors Lead Rising Physician Exodus From Medicare
July 21st 2025According to the American Medical Association, blame for the ongoing physician shortage may lie with overly burdensome administrative processes, an antiquated Medicare payment system, and lack of education for residents in primary care and psychiatry.
Read More
New Blueprint Guides Patient-Centered Research for More Equitable Health Care
July 17th 2025The new Blueprint for Patient-Centered Value Research offers a roadmap for embedding patient voices throughout every stage of the research journey to foster more equitable, transparent, and responsive health care systems.
Read More