Cigna Will End Coverage of OxyContin
As insurers, providers, and lawmakers try to find a way to combat the growing opioid addiction epidemic, Cigna is taking its own steps to stop covering OxyContin. According to Reuters, the insurer will replace OxyContin with an equivalent that is less vulnerable to abuse. The formulation of Xtampza ER prevents it from being more fast-acting through cutting or crushing, and under the contract with Cigna, the drug maker will lower the cost of the medication for many plans. Some individuals using OxyContin will continue to be covered in 2018, but others are being notified of the upcoming switch.
Puerto Rico’s Medicaid Funding Attracts Attention
The devastation left behind on Puerto Rico after Hurricane Maria has brought attention to another issue on the island: Medicaid funding. Nearly half of all Puerto Ricans are on Medicaid, but the island does not receive as much government money as the states, reported The Washington Post in The Health 202. Without additional funding, the program is expected to run out of money by the start of 2018, if not sooner. Currently, the federal government funds far less of the island’s Medicaid program compared with states, but Democrats are now calling to lift the cap on Puerto Rico’s Medicaid funding.
San Diego Hepatitis Outbreak Grows
The hepatitis A outbreak in San Diego County has not slowed down. The number of confirmed cases is now 481 with 337 hospitalizations; however, the death count has not risen in the past 2 weeks, according to the Los Angeles Times. For the last 2 weeks, more than 40 cases have been under investigation. Most of the deaths have been people who had other underlying medical conditions, and most people affected were homeless or drug users. Public health officials are continuing to administer vaccinations to those at the highest risk, including people who work with homeless individuals, health and safety workers, and food service workers.
AI in Health Care: Balancing Governance, Innovation, and Trust
September 2nd 2025In this conversation with Reuben Daniel, associate vice president of artificial intelligence at UPMC Health Plan, we dive into how UPMC Health Plan builds trust with providers and members, discuss challenges of scaling AI effectively, and hear about concrete examples of AI's positive impact.
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Team Coordination, Data Sharing Help Prioritize Value in Cardio-Renal-Metabolic Care
September 12th 2025Cardiologists, nephrologists, and payers met in Scottsdale, Arizona, on August 26, 2025, to share insights on how team members can work together, empowered by data, to achieve value-based management of cardio-renal-metabolic syndrome.
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