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What We're Reading: Home Care for Dialysis; Title X Lawsuit; Addressing Veteran Suicide
The Trump administration is working on a payment model that would favor home dialysis over in-clinic treatment for kidney disease; California is suing the Trump administration over rule changes to Title X; Trump has ordered the creation of a task force to address veteran suicide.
Trump Administration Working on Payment Model for Kidney Disease
A new payment model for kidney disease care is in the works, with the Trump administration working on an approach that would shift more treatment to the home rather than at clinics. According to Reuters, the administration is hoping to reduce the $114 billion spent each year to treat chronic kidney disease and end-stage renal disease. CMS Administrator Seema Verma told Reuters that in addition to favoring home dialysis, the model would improve care in the early stages of disease and increase access to kidney transplants.
California Sues Over Rule Changes to Family Planning Program
A week after HHS finalized rule changes for Title X that would bar clinics that perform abortion or make referrals to providers that do from receiving federal family planning funds, California is suing the Trump administration, claiming that the changes would punish doctors and clinics for giving women a comprehensive understanding of their reproductive options. The New York Times also reported that 20 other states and Washington, DC, have said they would also file a separate lawsuit challenging the rule changes.
Trump Calls for Creation of Task Force Addressing Veteran Suicide
With an average of 20 veteran suicides every day, President Donald Trump has signed an executive order creating a task force to address veteran suicide. Under the advisement of Secretary of Veterans Affairs Robert Wilkie, the task force will create a road map coordinating suicide-prevention efforts, prioritizing collaboration across both public and private sectors in its first year, reported The Wall Street Journal.
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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