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Pharmacists Call for Delay on New Medicaid Generic Reimbursement Rates
Pharmacists and drug manufacturers are pushing the CMS for a one-year transition period before states attempt to implement a new formula mandated under the Patient Protection and Affordable Care Act that will significantly trim Medicaid reimbursement rates for generic drugs.
Diabetes Expenses Have Decreased, but Are Still High
Out-of-pocket expenses for diabetes treatment have gone down for many U.S. patients over the past decade, according to a new study. But nearly a quarter of people with diabetes still face high expenses.
Focus on Health Insurance Exchange Enrollment Overlooks Millions Who Bought Private Insurance
Want to know how many people have signed up for private insurance under Obamacare? Like the health care law itself, the answer is exceedingly complicated.
The Burden of Soaring Prices of Specialty Drugs
Even as the cost of prescription drugs has plummeted for many Americans, a small slice of the population is being asked to shoulder more and more of the cost of expensive treatments for diseases like cancer and hepatitis C, according to a report to be released on Tuesday by a major drug research firm.
Blood Group May Predict Prostate Cancer Recurrence
Men with blood group O are far less likely to suffer a recurrence of cancer after prostate tumour surgery than men with other blood types, researchers report.
Phase 3 PREVAIL Study Delivers Promising Results in Prostate Cancer Patients
The results of the Phase 3 Prevail Study on enzalutamide showed significant benefit to prostate cancer patients including delaying the progression of metastatic disease, reducing the risk of death and delaying the start of cytotoxic chemotherapy.
Medicare Patients 'Under Observation' Face Higher Costs
Simply put: When you're under observation, you're often less insured.
Sebelius: Healthcare Launch 'Terribly Flawed'
The Obama administration's timeline for having ready the new healthcare law's online sign-up system "was just flat out wrong," outgoing Health and Human Services Secretary Kathleen Sebelius said in an interview that aired Sunday.
Data May Help Curb Healthcare Cost
Healthcare experts have officially begun a long-awaited dive into newly released data showing how much doctors charge and receive for treating Medicare patients.
New ASCO Guidelines for the Care of Cancer Survivors
The American Society of Clinical Oncology (ASCO) today issued three evidence-based clinical practice guidelines on the prevention and management of symptoms that affect many cancer survivors—neuropathy, fatigue and depression, and anxiety. The guidelines are the first three in a planned series of guidelines on survivorship care. The recommendations reinforce the need to care for the both physical and psychological needs of cancer survivors.
ASH-ACP Collaborate on ACP's High Value Care Coordination Toolkit
American College of Physicians High Value Care Coordination Toolkit is expected to improve communication between a patient's primary care physician and hematologist.
AJMC: Adler-Milstein to Serve as Guest Editor of Annual HIT Issue
Julia Adler-Milstein, an assistant professor at the University of Michigan who has published extensively on the adoption of health information technology (HIT), will serve as guest editor for the annual issue of The American Journal of Managed Care devoted to HIT. The issue will publish in September 2014.
ESTRO: ADT Plus Radiotherapy Improve Prostate Cancer Outcomes
Professor Vincenzo Valentini, president of ESTRO and a radiation oncologist at the Policlinico Universitario A. Gemelli, Rome, Italy, commented in a statement: “The results from this trial are important and practice-changing. It is clear that an additional six months of hormonal treatment in addition to radiotherapy improves the outcome for men with localised prostate cancer. This option should now be considered for all these men with prostate cancer that is at risk of growing and spreading.”
Diabetes A Significant Barrier to Breast Cancer Screening
Women with diabetes are 14 percent less likely to be screened for breast cancer compared to women without diabetes, according to a study. "Managing the demands of a chronic condition such as diabetes is challenging for many women, leaving other preventative actions, like screening for cancer, to fall by the wayside," said a physician and author. "Our study found having diabetes posed a significant barrier to breast cancer screening even after considering a woman's socioeconomic status, a known contributor to disparities in care among women."
We Can Find Consensus on Healthcare Cost Reforms
With the Affordable Care Act’s open enrollment period now closed, perhaps there is an opportunity for constructive, bipartisan policy discussion on health care reform.
With New Health Law, Insurers Target Diabetics
As hundreds of thousands of diabetics get health coverage under the federal law, insurance companies are aggressively targeting this glut of new patients, who are expensive to treat and often lax in taking medications and following their diet.
Medicaid Expansion Debate Good for Insurers
Some of the biggest health insurance companies in the country are poised to benefit from the debate over expanding Medicaid in Virginia, regardless of its outcome.
Lessons for Managed Care of Diabetes: Some Help Is Good, but Too Much Contact Confuses Patients
The American Journal of Managed Care brought together than 125 diabetes advocates, providers, and educators, along with health plan leaders and pharmaceutical executives, to Princeton, N.J. Attendees gained insights into giving persons with diabetes with the right level of support to manage their disease.
Meet the Woman Who is About to Become the Biggest Name in Healthcare
Sylvia Mathews Burwell is about to become the biggest name in health care after news broke Thursday night that she will be the nominee to replace the resigning Health and Human Services Secretary Kathleen Sebelius.
High Drug Prices Skewing Payouts to Some Physicians
Ophthalmologists are among Medicare's highest paid specialists—a finding already drawing scrutiny from policymakers and watchdogs worried about waste and overuse.
Medicaid Enrollment Increased By 3 Million From October To February
The number of low-income people enrolled in Medicaid rose by 3 million to 62.3 million from October through February as more Americans joined the state-federal insurance program through state and federal online insurance marketplaces.
HHS Secretary Kathleen Sebelius Resigns
HHS Secretary Kathleen Sebelius has resigned her post barely a week after the close of the tumultuous initial open-enrollment period for the healthcare reform law's insurance exchanges.
AJMC Peer Exchange: Nationwide, Patient-Centered Strategy Needed to Battle Obesity, Type 2 Diabetes
Fighting the nation’s related epidemics of obesity and type 2 diabetes mellitus will take a nationwide strategy that increasingly tailors treatment to individual patient needs, and new approaches are need to get patients to take medications and make lifestyle changes to be healthier. That was the consensus of an expert panel convened Thursday by The American Journal of Managed Care to open its two-day conference, “Patient-Centered Diabetes Care: Putting Theory into Practice,” which is taking place at the Princeton Marriott at Forrestal. The conference continues today, opening with a keynote address by Robert A. Gabbay, MD, chief medical officer at the Joslin Diabetes Center, Harvard Medical School.
Why Moving Beyond the EHR is Needed for Population Health
EHRs — and the data they hold — are critical to succeed in population health, but they’re not enough.
DeSalvo Proposes New Direction for ONC
Karen DeSalvo, MD, the national coordinator for health information technology has proposed that ONC become “more forward-thinking.”