A ruling against Pharmaceutical Research and Manufacturers of America marks victory for efforts to lower health care costs; new guidelines align with flu and respiratory syncytial virus protocols; children and pregnant individuals are burdened with long-term health symptoms in the aftermath of COVID-19.
Lawsuit Dismissed Against Drug Price Negotiation Program
On Monday, a federal judge in Austin, Texas, dismissed a lawsuit filed by Pharmaceutical Research and Manufacturers of America (PhRMA) challenging Medicare's new drug price negotiation program, according to Reuters. The program aims to save billions annually by allowing Medicare to negotiate drug prices with manufacturers. Despite the setback for PhRMA, other lawsuits by major drugmakers are ongoing, indicating further legal battles as the cases may reach federal appeals courts and potentially the US Supreme Court.
CDC Plans to Loosen COVID Isolation Guidelines
The CDC is set to release updated guidance that will relax COVID-19 isolation recommendations, allowing Americans who test positive to return to work and school sooner, according to The Washington Post. The move, driven by changes in the COVID-19 landscape and immunity levels, aligns with protocols for avoiding transmission of the flu and respiratory syncytial virus. Under the new approach, individuals can end isolation if they have been fever free for at least 24 hours without medication and their symptoms are mild and improving.
Studies Shed Light on Long COVID in Children and Pregnant Individuals
Recent studies provide insights into the occurrence and effects of long COVID among children and pregnant individuals, according to CNN. One study found that around 10% of pregnant people experience persistent symptoms such as fatigue and dizziness after contracting COVID-19. Another study suggests that up to 6 million children may develop long COVID, with symptoms that include respiratory problems and an increased risk of autoimmune conditions such as type 1 diabetes.
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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