Here are the top 5 articles for the month of August.
Hi, this is Jaime Rosenberg for The American Journal of Managed Care® (AJMC®). Here are the top 5 articles for the month of August.
Number 5: Earlier this month, CMS announced that it will cover CAR T-cell therapies for Medicare beneficiaries nationwide. The agency approved the national coverage determination without some of the requirements that had some providers concerned.
Number 4: A review of published data found that the clinical manifestations of symptoms experienced by children and adolescents with narcolepsy can differ from those seen in adults, which creates barriers to a timely diagnosis.
Number 3: A study in this month’s issue of AJMC® concluded that California’s experience implementing a policy to address surprise medical billing demonstrates that out-of-network payment standards can influence payer­—provider bargaining leverage, affecting prices and network breadth.
Number 2: Researchers say they have discovered a potential new approach that can further suppress HIV infection. According to the researchers, the approach could complement antiretroviral therapy regimens in suppressing the silent virus these regimens struggle to combat.
Number 1: The American Heart Association released an advisory report saying that today’s prescription omega-3 fatty acid drugs effectively lower triglycerides and that patients should avoid treating themselves with fish oil supplements not approved by the FDA.
To read all of these articles and more, visit ajmc.com.
Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
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