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What We're Reading: Off-Label Drug Use and Adverse Drug Events
What we're reading, November 3, 2015: off-label drug use is associated with a higher risk of adverse drug events; CMS finalizes its rule for advanced care planning for end-of-life care; and Californians send measure to cut drug prices to the vote.
Off-Label Drug Use Associated With Higher Adverse Drug Event Risk
A study published in JAMA Internal Medicine suggested caution when prescribing drugs for off-label use when there is a lack of strong evidence as the practice is associated with adverse drug events. While the overall rate of adverse drug events for off-label use was higher than that for on-label use, off-label use with strong scientific evidence had the same risk as on-label use. Risk for adverse events were higher for drugs approved between 1981 and 1995, and for those used by women, patients receiving 5 to 7 drugs, and patients receiving cardiovascular drugs.
CMS Finalizes Rule to Plan for End-of-Life Care
After receiving comments supporting the proposed rule to enable physicians to discuss advance care planning with Medicare beneficiaries, CMS is finalizing the rule. Advanced care discussions about how a patient would like to be care for when they are dying can occur early, before an illness progresses, or during the course of treatment. CMS is also finalizing payment for advance care planning when it is part of the Annual Wellness Visit.
California Measure Curbing Drug Costs Will Go to Vote
In California, advocates of a proposed measure that would slash drug prices receive more than enough signatures to place the measure on the ballot in November 2016. The proposed measure would require that programs where the state pays for a drug, even if the state did not purchase the drug directly, would pay no more than the price negotiated by the US Department of Veterans Affairs, reported San Jose Mercury News.
Medicaid Budget Survey Highlights Postpandemic Challenges and Priorities
October 24th 2024The Medicaid budget survey for fiscal years 2024 and 2025 revealed state predictions are expecting a decline in Medicaid enrollment and an increase in spending next year due to the end of pandemic-era policies and federal funding.
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Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
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Cost Barriers Continue to Limit Access to Fertility Care
October 24th 2024Of the 10% of women contacted for this survey who said that they or their partner had ever sought fertility assistance, only 7% were able to get the necessary care; cost was cited as the top reason for not being able to access fertility services.
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Frameworks for Advancing Health Equity: Community Wellness Centers
September 27th 2024Delia Orosco, MS, director of Community Wellness Centers at Inland Empire Health Plan, shares insight into innovative initiatives provided by the wellness centers and their new mobile mammogram clinics.
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