The Supreme Court protected Medicaid recipients’ right to sue nursing homes; wildfire smoke raises the risk of contracting COVID-19; CMS announced a new value-based primary care model.
Supreme Court Rules in Favor of Medicaid Nursing Home Residents
The Supreme Court on Thursday ruled 7-2 to guard Medicaid nursing home residents' right to sue in federal court when state officials do not reach a certain quality of care, which policy watchers are acknowledging as a civil rights victory, reported Roll Call. A 1987 federal law that determines whether nursing homes receive federal funding includes a provision that forbids nursing homes from using psychotropic drugs for nonmedical reasons. A hospital system accused of doing so sought the Supreme Court to eradicate a Medicaid patient’s ability to bring such lawsuits, and the court denied their request.
Wildfire Smoke Increases COVID-19 Contraction Risk
Health experts caution that wildfire smoke exposure throughout North America increases the risk of contracting COVID-19 and exacerbates the impacts for people who already have or are acutely susceptible to the virus, according to Bloomberg. Small particles in wildfire smoke can be inhaled and stuck in the body, affecting the immune system, and creating a propensity to lung infections, says the CDC. Therefore, millions of people in Canada and the US are presently at a higher risk of catching COVID-19.
CMS Announces New Value-Based Primary Care Model
A new value-based primary care model, the Making Care Primary (MCP) Model, will be tested for 10 years under CMS' Center for Medicare and Medicaid Innovation in 8 states, CMS announced Thursday. The new model is designed to allure providers with little or no experience in value-based care, and participants will receive support from CMS. Its goal is to improve care coordination, arm primary care clinicians with tools to form connections with health care specialists, and leverage community-based resources to address health needs and health-related social needs like housing and nutrition. However, it won’t include providers who are already in accountable care organizations.
The Breakdown: Breast Cancer Research Awareness Day
August 19th 2025Breast cancer is the second most common cancer among women and the second leading cause of cancer-related deaths among women in the US. In light of Breast Cancer Research Awareness Day, The American Journal of Managed Care® breaks down the most recent advancements in breast cancer prevention, screening, and therapies.
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Oral GC Dose Tapering for MG Linked to Efgartigimod Initiation
August 25th 2025Using US claims data, the authors evaluated oral glucocorticoid (GC) use at 5 time points during their retrospective analysis: 3 months before starting efgartigimod and 3, 6, 9, and 12 months after starting efgartigimod.
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Hope on the Horizon for Underserved Patients With Multiple Myeloma: Joseph Mikhael, MD
August 12th 2025Explore the disparities in multiple myeloma treatment and how new initiatives aim to improve clinical trial participation among underrepresented patients during a conversation with Joseph Mikhael, MD, MEd, FRCPC, FACP, FASCO, chief medical officer of the International Myeloma Foundation.
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