Formularies, a Tool in the Fight for Affordable Life-Saving Care
Health plans have a long list of tools they use to deliver better value and access to health care consumers.
Open Payment Site Scheduled for More Downtime, Complaints Continue
The troubled Open Payment Act website is encountering a bit more turbulence. The CMS announced Thursday that it plans upcoming outages for the site and that downtime would be used for “scheduled maintenance upgrades.”
AJMC Series Finds Positive Spin-offs for Cancer Care From New Jersey’s Higher Education Overhaul
Status in the States, the series in The American Journal of Managed Care’s news publication, Evidence-Based Oncology, took a look at cancer care in New Jersey two years after a high-profile reorganization of the state’s higher education system. The overhaul has improved collaboration within research units and with nearby pharmaceutical giants, and a new medical school reports a bumper crop of applicants.
Incorporating Clinical Event Notifications in HIEs Can Improve Care Coordination, Study Finds
Regional health information exchanges with clinical event notification services have the potential to improve care coordination and possibly reduce unnecessary inpatient admissions and duplicate testing, according to a study in Generating Evidence & Methods to improve patient outcomes.
CMS Finalizes EHR Meaningful-Use Rule, Adds Some Flexibility
The CMS late Friday finalized a rule allowing hospitals and eligible professionals more flexibility in how they meet meaningful-use requirements for the electronic health-record incentive program. The agency had first proposed the idea in a May draft rule.
Blues Create Information Sharing Service as Public Utility
Two large health insurers are hoping a new "public utility" patient data sharing service will improve one of the most pernicious problems in American healthcare.
Celgene's Lenalidomide Proves Promising in Ongoing DLBCL Trials
The phase 2 study combined lenalidomide with R-CHOP in newly diagnosed patients.
Reform Update: Facing ACA Mandates, Insurers Diversify Into Technology
Health insurance companies, now required to spend the lion's share of premium revenue on patient care, are looking for higher investment returns elsewhere. As a result, they're increasingly putting money into technology ventures where they expect to realize higher returns.
MolecularHealth Offers a Reimbursement Calculator
The tool is aimed to provide decision-support to both patients and physicians while considering their reimbursement information.
UK's Cancer Drugs Fund Will Improve Access But Evaluate Value
While the 40% funding boost will help patients continue current expensive treatment, or improve access for others, determining "value for money" is high on the NHS agenda.
Personalized Preventive Model Brings Savings for Medicare Advantage, AJMC Study Finds
Balancing health care tailored to the individual with a modern reimbursement scheme based on population health is the challenge that awaits the nation’s healthcare system. Based on a study in The American Journal of Managed Care, it can be done, even among patients like seniors who use more healthcare than most.
EU Approves Daclatasvir For Use Across Multiple HCV Genotypes
The approval follows an accelerated assessment by the Committee for Medicinal Products for Human Use (CHMP).
Pennsylvania Joins ACA's Medicaid Expansion Program
It'll be the 28th state to join the program.
AAFP Responds to CMS' Physician Fee Schedule
AAFP Board Chair Jeff Cain, MD, of Denver, sent a detailed response to CMS Administrator Marilyn Tavenner, MA, wherein he outlined some specific AAFP suggestions for improving the 2015 fee schedule.
Organ Arrays For Drug Development—Funded by the ACA
The research, being conducted at UC Berkley, is being funded by the Cures Acceleration Network, which is one of dozens of state and federal agencies established by the health law.
IBM's Watson Impacts All Aspects of Discovery Research
Improved cognitive computing by the supercomputer has accelerated the pace of scientific breakthroughs by discovering previously unknown connections in Big Data.
HHS Announces ACA Funding for Patient-Centered Homes
Obama administration has granted over $35 million to support facility improvements in 147 health centers nationwide to deliver better coordinated care.
Value in Cancer Care: AJMC Publishes ASCO Conference Coverage, Statement from Chief Medical Officer
Evidence-Based Oncology, a news publication of The American Journal of Managed Care, this week published coverage from the 50th Annual Meeting of the American Society of Clinical Oncology. The regular issue of Evidence-Based Oncology, published with the ASCO special issue, features a statement on ASCO’s value initiative from Chief Medical Officer Richard L. Schilsky, MD.
Regional Payer-Provider Dispute Could Prove Unhealthy
UniNet and BCBS of Nebraska are negotiating over the renewal terms of a contract that is to expire end of August. Failure of talks could leave several hospitals and physicians out-of-network for Blue Cross members.
Kaiser's New Tool to Track the US Global Health Budget
The interactive tool provides historical trends as well as tracks funding levels across programs, US agencies, and initiatives.
Tracking Spending Among the Commercially Insured
Recent growth in health care spending for commercially insured individuals is due primarily to increases in prices for medical services, rather than increased use, according to a new study led by researchers at The Dartmouth Institute for Health Policy & Clinical Practice, published today in the American Journal of Managed Care.
Behavior Counseling for Obese and Overweight, Says USPSTF
The recommendation, based on a review conducted by KPRA EPC, identified significant changes in metabolic parameters like glucose, blood pressure, and LDL, following counseling, among individuals with cardiovascular risk factors.
Kids With Hypertension Have $1,000 A Year in Added Healthcare Costs, AJMC Study Finds
While the problem of childhood obesity has received attention, the connections among childhood obesity and hypertension, and their associated costs, have received less scrutiny. A new study in The American Journal of Managed Care estimates healthcare costs related to high blood pressure and body mass index in children and teens.
Joe Jimenez, Novartis CEO, Doesn't Expect An Early Impact of Biosimilars
Sandoz, the companies generics unit, recently submitted an application with the US FDA for approval of it's biosimilar filgrastim; it's the first-ever biosimilar application with the FDA.