GOP Tweaks Health Bill for Holdouts
A revised version of the Graham-Cassidy health bill would send more money to Alaska and Maine, the homes of 2 Republican senators who have resisted supporting the health bill. According to The Washington Post, Alaska would get 3% more funding and Maine would get 43% more funding between 2020 and 2026 compared with the current law. Senators Lisa Murkowski of Alaska and Susan Collins of Maine have still not decided how they will vote, but if even one of them choses to vote against the bill, assuming Senators John McCain of Arizona and Rand Paul of Kentucky continue to oppose it, Republicans will not have enough votes to pass it.
Hurricane Maria Disrupts Puerto Rico’s Drug Manufacturing
After being hit by Hurricane Maria, Puerto Rico’s pharmaceutical industry has come to a grinding halt. There are 50 companies on the island who are unable to continue working with no power on the island, reported USA Today. Even for companies that have backup generators, there are not enough employees around to help restart manufacturing. Pharmaceuticals are 72% of the island’s exports, and those from Puerto Rico make up 25% of total US pharmaceutical exports.
HHS Plans HealthCare.gov Shutdowns During Open Enrollment
HHS has announced plans to take the HealthCare.gov website offline for maintenance for 12 hours during all but 1 Sunday of the open enrollment period, PBS Newshour reports. The timeframe to sign up for 2018 plans on the site had already been halved from the previous year, so it will only last from November 1 to December 15. The site will now be shut down every Sunday from midnight to noon except on December 10. An HHS spokesperson told PBS the schedule was created "to accommodate requests from certified application assisters."
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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