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This Week in Managed Care: April 28, 2017
This week, the top managed care stories included President Donald Trump's nominee passing a Senate committee; community oncologists meet to discuss the Cancer Moonshot; and a study finds obesity shortens more lives than cigarettes.
Dr Basit Chaudhry: Feedback Provides Potential Changes for the OCM
Basit Chaudhry, MD, PhD, founder of Tulpe Health, discussed the feedback he's heard from practices about the Oncology Care Model and how these opinions could be used to guide potential changes.
Christian Downs on the Importance of Developing the Oncology Workforce
Christian Downs, MHA, JD, executive director of the Association of Community Cancer Centers, explains how the oncology workforce shortage needs to be addressed by both bringing talented doctors from abroad and raising the next generation in the United States.
When the ACO & Emerging Healthcare Delivery Coalition® meets May 4-5 in Scottsdale, Arizona, attendees will learn the latest on healthcare reform, best practices for cybersecurity, population health strategies, and more.
Community oncologists believe that they are in a very good position to lead the way to achieve the goals of Cancer Moonshot.
The report found that hospitals have little financial incentive to offer long-acting contraception right after birth if it is not covered separately. Family planning services are not part of standard quality measures, so it's hard to track how well providers are doing.
A new study has found that patients with early stage type 2 diabetes (T2D) are more likely to have structural abnormalities in the brain and cognitive difficulties, particularly if they are overweight or obese.
Coverage of our peer-reviewed research in the healthcare and mainstream press.
Dr Shauntice Allen Discusses Community Engagement in Public Health Research
Programs like One Great Community aim to engage communities in the process of population health research, which is a key to successful public health initiatives, explained Shauntice Allen, PhD, assistant professor in the University of Alabama at Birmingham School of Public Health.
Is rubber meeting the road with big data in cancer care? “No…rather, not yet,” Green said at the 2017 Community Oncology Conference, April 26-27, held at the Gaylord National Hotel and Convention Center in National Harbor, Maryland.
While the report documents the shortage of DSME programs in rural areas, it does not address the reimbursement challenges that confront the use of telehealth to reach underserved groups.
At the 2017 Community Oncology Conference, practice administrators from 2 community clinics discussed the changes they made to their practice to accommodate the reporting requirements of the Oncology Care Model (OCM), and the follow-up planned as they work to implement changes.
Rose Gerber: Cancer Patients Made Their Voices Heard on Capitol Hill
When the COA Patient Advocacy Network converged on Capitol Hill on April 26, 50 advocates were able to discuss their concerns with a number of issues facing patients with cancer, including 340B and clinic consolidation, explained Rose Gerber, director of patient advocacy for the Community Oncology Alliance (COA).

From the Journals

The authors propose a simple legal mechanism to combat chargemaster abuses and encourage provider price competition. This solution is superior to prevailing legislative and regulatory responses to surprise out-of-network bills.
The complex interplay of behavioral economics may result in reimbursement methodology alternatives to the prevailing fee-for-service payment system having less impact on prescribing behavior than has been conjectured.
Patients receiving care for advanced non–small cell lung cancer in small, independent oncology practices are more likely to receive chemotherapy in the last 30 days of life.
In primary care, nurse practitioners and physician assistants do not necessarily order more ancillary services, or more costly services among alternatives, than physicians.
High-cost patients are only modestly concentrated in specific hospitals and healthcare markets.
As the task of describing value delivery in cancer care seems to grow in complexity the closer that we examine it, this is essential in order to both rationally control the growth of healthcare costs and ensure that we do not undermine patient care.
The oncogenic effects of the hepatitis C virus can impact patient outcomes for hepatocellular carcinoma (HCC) and have economic implications for medical spending. This study underscores the importance of treating patients early in the disease process for savings associated with reducing the risks of HCC.
Patients endure heavy medication complexity following hospital discharge for acute coronary syndrome.
This study describes a widespread variation in medication adherence, pharmacy cost sharing, and medical spending. Increased cost sharing may decrease adherence and increase total diabetes spending.
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