Express Scripts Will Lose Its Biggest Customer
Anthem is unlikely to continue contracting with Express Scripts after its current contract expires at the end of 2019. The Wall Street Journal reported that at this time there is no reason why Anthem will end the partnership, but last year the insurer sued Express Scripts for allegedly violating its contract and charging excessive prices. Express Scripts has handled Anthem’s pharmacy services since 2009.
Opioid Deaths May Be Underreported
The opioid epidemic already has the nation’s attention, but the situation may be worse than initially thought. Some deaths caused by opioids may be misreported since the painkillers can cause people to be more susceptible to infections, reported NBC News. Research into unexplained deaths in Minnesota has found that deaths reported as being caused by pneumonia or other infectious diseases may actually have been caused by opioid abuse.
Keeping Seniors Who Live Alone Safe
Hundreds of police agencies across the country are taking it upon themselves to check on the safety of senior citizens living alone. According to The Washington Post, telephone check-in programs are a fairly inexpensive way to check on seniors who live alone. The call asks seniors to press a button if they are ok; if they don’t answer the phone after multiple attempts, an emergency contact is called. Programs like these are increasingly important with the senior population growing in the United States and nearly half of women aged 75 or older living alone.
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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