Republican Senators Hear Reactions to Health Bill During Parades
At Independence Day parades and celebrations across the country, constituents made their voices heard to their Republican senators, either to support or oppose the proposed Senate healthcare bill, reported the Washington Post. Sen. Susan Collins (R-Maine) said she heard encouragement for her stance against the bill, but residents asked Sen. Dean Heller (R-Nevada) to vote for a revised bill, even though he opposed the first draft. Other Senators, like Lisa Murkowski (R-Alaska), said their constituents simply implored them to put the interests of their state first.
Insurers Seek Enrollment Caps on Exchange Plans
A Houston-based insurer, Community Health Choice, is considering asking CMS to let it cap its exchange enrollment in 2018, citing unsustainable financial burdens from an influx of enrollees, according to Modern Healthcare. It is not the first insurer to seek this solution, as plans in Minnesota and Kansas have already instituted enrollment caps. Generally, the plans that would benefit from caps tend to serve smaller regions where other insurers have exited the market, leading to a sudden spike in members and costs.
Scientists May Provide Inaccurate Predictions of Clinical Trial Results
A new study finds that scientists are often too optimistic in their assessment of whether clinical studies will yield significant results, according to NPR’s summary of the findings. When investigators asked 200 professors, postdocs, and graduate students to predict the results from 6 cancer trials being replicated from prior studies, they mostly overestimated the likelihood of the trials having significant effects. The study authors say these findings point to the need to be sufficiently skeptical of trial design instead of relying on intuition.
Urticaria Diagnosis Challenged by Overlapping Pruritic Skin Conditions
April 23rd 2025Urticaria is complicated to diagnose by its symptomatic overlap with other skin conditions and the frequent misclassification in literature of distinct pathologies like vasculitic urticaria and bullous pemphigus.
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New Research Challenges Assumptions About Hospital-Physician Integration, Medicare Patient Mix
April 22nd 2025On this episode of Managed Care Cast, Brady Post, PhD, lead author of a study published in the April 2025 issue of The American Journal of Managed Care®, challenges the claim that hospital-employed physicians serve a more complex patient mix.
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Personalized Care Key as Tirzepatide Use Expands Rapidly
April 15th 2025Using commercial insurance claims data and the US launch of tirzepatide as their dividing point, John Ostrominski, MD, Harvard Medical School, and his team studied trends in the use of both glucose-lowering and weight-lowering medications, comparing outcomes between adults with and without type 2 diabetes.
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ACOs’ Focus on Rooting Out Fraud Aligns With CMS Vision Under Oz
April 23rd 2025Accountable care organizations (ACOs) are increasingly playing the role of data sleuths as they identify and report trends of anomalous billing in hopes of salvaging their shared savings. This mission dovetails with that of CMS, which under the new administration plans to prioritize rooting out fraud, waste, and abuse.
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