FOCUS OF THE WEEK
New Medicaid Generic Reimbursement Rates Receive Push Back
A US Department of Health and Human Services (HHS) analysis determined that a new payment formula, which would reduce Medicaid reimbursement rates for generic prescription drugs, could save Medicaid up to $1.2 billion per year. So why are pharmacists and drug manufacturers pushing back?
Cancer Survivorship Care: 3 New Guidelines
Cancer survivors often encounter a variety of health issues, the most common of which include fatigue, peripheral neuropathy, and depression. To address those specific issues, the American Society of Clinical Oncology (ASCO) has developed 3 new sets of guidelines on cancer survivorship care.
CBO Updates Estimates of the ACA's Budgetary Effects
The Congressional Budget Office (CBO) reports that implementation of the Affordable Care Act (ACA) will cost $5 billion less in 2014 than the agency previously estimated. The report further details that an additional 12 million non-elderly Americans will receive coverage this year due to the health law’s implementation.
Virginia Seeks Medicaid Expansion Alternative
In Virginia, the debate over Medicaid expansion and reform may be a win-win situation, regardless of its outcome.
AJMC Hosts Patient-Centered Diabetes Care: Putting Theory into Practice
As the healthcare landscape evolves, so will the way that providers help patients manage their diabetes.
Payers Predict that Health Plan Premiums Will Rise in 2015
Exchange enrollment numbers recently topped 7 million people this past week, which means insurance companies across the United States are already predicting a hefty increase to consumers’ 2015 health plan premiums.
Medicare Data Release Still Contested, but Not Resisted
The American Medical Association (AMA) said it would not block the release of 880,000 physician billing records from the Medicare claims database. The government’s decision to release the information is a response to the pressure they received from employers, insurers, and consumer groups for increased transparency and access to physician payment information.
Conference Coverage Recap
Highlights from recent AJMC conference coverage.
Senate Approves SGR, ICD-10 Extensions
In a 64-35 vote, the Senate approved the seventeenth fix to the sustainable growth rate (SGR) payment formula.
Retail Pharmacy Clinics Evolve to Achieve the Triple Aim
As retail clinics plan to have a role in improving health outcomes, they must achieve the 3 components of the triple aim: access, quality, and cost.