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What We're Reading: Clinton Campaign Benefits From Pharma Donations
What we're reading October 19, 2015: Clinton campaign leads rivals in pharma donations, lawmakers in North Carolina open to provider-led organizations and managed care, big surge in Medicare spending on hepatitis C drugs.
Pharma Has Paid Big Money to the Clinton Campaign
Data gathered by the Center for Responsive Politics shows that Hillary Clinton's campaign led the list of 2016 presidential candidates who received donations from the pharmaceutical industry. She received $164,315 in donations from the drug and medical device industries during the first 6 months of the campaign.
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NC Lawmakers Compromise on Medicaid Reform, Let ACOs In
North Carolina might soon see the state’s Primary Care Case Management system replaced. Lawmakers in the state have agreed on a compromise that will let managed care organizations and provider-led entities to enter what has traditionally been the realm of commercial health plans. The reforms, yet to be approved by CMS, will not be implemented for several years.
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Significant Surge in Medicare Hepatitis C Spending
With about $4.6 billion spent in the first half of 2015 alone—which nearly matches the spend during the entire year in 2014—Medicare spending on hepatitis C drugs is expected to continue its upward trajectory. “We’re all waiting to see when it plateaus or when it possibly goes back down,” said Sean Cavanaugh, director of Medicare and deputy administrator at CMS. “When will that pent-up demand be sated?”
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Managed Care Reflections: A Q&A With Hoangmai H. Pham, MD, MPH
April 1st 2025To mark the 30th anniversary of The American Journal of Managed Care® (AJMC®), each issue in 2025 will include a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The April issue features a conversation with Hoangmai H. Pham, MD, MPH, a member of AJMC’s editorial board and the president and CEO of the Institute for Exceptional Care (IEC).
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Examining Low-Value Cancer Care Trends Amidst the COVID-19 Pandemic
April 25th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the April 2024 issue of The American Journal of Managed Care® about their findings on the rates of low-value cancer care services throughout the COVID-19 pandemic.
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Bridging Care Gaps With a Systemwide Value-Based Care Strategy
March 29th 2025Mapping care management needs by defining patient populations and then stratifying them according to risk and their needs can help to spur the transformation of a siloed health care system into an integrated system that is able to better provide holistic, value-based care despite the many transitions that continue among hospital, primary, specialty, and community care environments.
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