Proton Pump Inhibitors Can Heighten Risk of Early Death
A new study in BMJ Open finds that proton pump inhibitors (PPIs) sold over the counter to treat heartburn increased the risk of premature death for users, and the risk was heightened when the drugs were taken for longer amounts of time. According to the New York Times, lead study author Ziyad Al-Aly, MD, urged consumers not to panic, but said PPIs should be reserved for people with demonstrated medical need, like for a bleeding ulcer. When these popular drugs are being consumed unnecessarily, however, people are “getting no benefit, only the risk,” he told the Times.
Medicare Advantage Plans Less Appealing to Sicker Patients
Sicker elderly patients are more likely to drop their Medicare Advantage (MA) plans than their healthier counterparts, according to an NPR article summarizing a Government Accountability Office report. Of 126 MA plans studied by the report, 35 had disproportionately high rates of sicker patients dropping out. Many patients reported that they found it too hard to access their preferred physicians, including specialists, in the MA plans. Some then chose to sign up for traditional Medicare instead.
Wisconsin Court Rules Against Malpractice Award Cap
An appellate court in Wisconsin has determined that the state’s $750,000 limit on non-economic medical malpractice claims is unconstitutional, the Milwaukee Journal Sentinel reports. The case involved a woman who had all 4 limbs amputated after doctors failed to detect a strep infection; she and her husband then sought over $25 million in damages for the resulting pain and suffering. In contrast, the US House of Representatives voted last week to cap non-economic malpractice damages at $250,000.
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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