New health privacy rules aim to protect patients and providers in an evolving abortion landscape; some physicians express concerns about efficacy, risks, and entrenched beliefs in treating Alzheimer disease; CMS addresses longstanding staffing deficits in nursing homes.
Strengthening Health Privacy Rules for Abortion Seekers and Providers
The Biden administration has updated Health Insurance Portability and Accountability Act (HIPAA) rules to safeguard patients seeking an abortion and providers involved in the procedure, according to Axios. These new rules aim to protect individuals from civil and criminal investigations, particularly in states with strict abortion laws. Although these measures are a step toward mitigating the impact of the Supreme Court's 2022 Dobbs v Jackson decision, challenges remain, with some states opposing the rule and potential legal battles on the horizon. Additionally, Congress is considering bipartisan privacy legislation to further protect individuals' reproductive health data.
Alzheimer Drug Faces Adoption Hurdles
Nine months after its US launch, lecanemab-irmb (Leqembi; Eisai and Biogen), the pioneering Alzheimer drug continues to face resistance from some doctors who believe that treating the disease is futile, according to Reuters. Despite its promising results, demanding requirements and concerns over efficacy, cost, and risks have hindered widespread adoption, reflecting therapeutic nihilism among health care providers. This slow uptake has underscored the deep-seated skepticism and practical barriers in revolutionizing Alzheimer disease treatment, despite the pressing need in a population of over 6 million affected Americans.
Balancing Nursing Home Staffing Mandates and Realities
The Biden administration's finalized nursing home staffing rules represent the most significant changes in federal oversight for these facilities in over 3 decades, according to Kaiser Health News. Aimed at rectifying perennial staffing shortages, exacerbated by the COVID-19 pandemic, the regulations mandate increased hiring of nurses and aides across nearly 15,000 nursing homes. Although hailed as progress by some, critics argue that the standards fall short of ideal levels, highlighting ongoing challenges in ensuring quality care for residents amid workforce shortages and financial strains in the industry.
Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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Impact of Hospital-Physician Integration on Medicare Patient Mix
April 11th 2025This study found no evidence that hospital employment of physicians resulted in physicians treating sicker patients, undercutting claims that hospital-employed physicians serve a higher-acuity patient mix.
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National Data Show Rising Risk, Cost of CKD in Patients With Acute Myocardial Infarction
April 10th 2025A series of new studies from the National Kidney Foundation Spring Clinical Meeting exhibit the association between impaired kidney function and prolonged hospital stays, higher charges, and greater resource utilization.
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