Expansion of Medicaid coverage will now include all-in-one mental health and substance use clinics; 61% of adults are estimated to have cardiovascular disease (CVD) by 2050; the FDA has taken a historic step in potential psychedelic drug approval.
Medicaid Expanding Funding for Mental Health, Substance Use Clinics
HHS has announced that certified community behavioral health clinics (CCBHCs) in 10 additional states will now be eligible for Medicaid reimbursements, according to The Hill. This expansion, under the Certified Community Behavioral Health Clinic Demonstration Program, aims to enhance access to comprehensive mental health and substance use services, including 24-hour crisis intervention. The move follows the Safer Communities Act of 2022, which broadened the program to address the escalating mental health crisis after the COVID-19 pandemic.
American Heart Association Warns of Surge in CVD by 2050
New research from the American Heart Association has forecasted that 61% of US adults will have cardiovascular disease (CVD) by 2050, largely due to increasing cases of high blood pressure and an aging population, according to CNN. Additionally, the number of adults experiencing heart attacks, arrhythmias, heart failure, and congenital heart disease is expected to rise significantly. To combat these trends, the study called for targeted clinical and public health interventions, particularly for communities of color who are disproportionately affected by heart problems.
FDA Panel to Review MDMA-Based Therapy for PTSD
An FDA advisory panel is set to discuss the potential approval of an MDMA (or ecstasy)-based therapy for post-traumatic stress disorder (PTSD), a significant milestone for psychedelic drug treatment, according to Reuters. The therapy combines MDMA capsules with talk therapy and has shown promise in clinical trials. Despite concerns over trial methodology and potential adverse effects, the therapy could offer a new treatment avenue for the 13 million Americans affected by PTSD.
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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Survey Finds Slow Start on CMS Interoperability Rule Implementation
April 10th 2025With deadlines looming in 2026 and 2027 for compliance with the CMS Advancing Interoperability and Improving Prior Authorization Final Rule, a survey indicates a concerning lack of readiness among payers and providers to meet the new requirements for data sharing.
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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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Ibrutinib May Boost Efficacy of Liso-Cel in CLL With Richter Transformation
April 10th 2025Patients with chronic lymphocytic leukemia (CLL) who experience Richter transformation have a poor prognosis, but ibrutinib may help boost the efficacy of chimeric antigen receptor T-cell therapies.
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