Kentucky’s Medical Marijuana Ban Gets Challenged
A lawsuit is challenging Kentucky’s criminal ban against medical marijuana. The lawsuit claims that medical marijuana is a viable alternative to ease health problems, including opioid addiction, and that the ban violates privacy protections. With Kentucky struggling with the country’s third-highest death rate from opioid overdoses, medical marijuana could provide a solution and reduce hospital admissions. More than half the country (29 states and the District of Columbia) allows medical use of marijuana.
Nevada on Cusp of Offering Medicaid for All
If Nevada’s Republican governor does not act by Friday, a bill that passed the state legislature allowing everyone to buy into Medicaid would become law. According to NPR, if the bill becomes law, it will be the first of its kind. The bill allows anyone to buy into Medicaid, which state lawmakers expect will result in cheaper health insurance options for Nevadans. The bill’s sponsor estimates that 300,000 Nevadans may enroll if Medicaid expansion is rolled back under a Republican healthcare reform bill at the federal level.
VA Is Facing a Surprise Budget Gap
A program that allows veterans to access private-sector care is running out of money sooner than expected. According to the AP, the Department of Veterans Affairs (VA) has requested that it be allowed to fill the gap by shifting money from other programs. The VA secretary attributed the shortfall to increased demand from veterans—initially the VA thought the funding for the program would last through the end of 2017. To slow spending for the program, the VA told medical centers to limit the number of veterans sent to private doctors.
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.
Read More
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.
Listen
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.
Listen
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.
Read More