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.
Cancer Screening Rates Influenced by Medicaid Reimbursement
The study, published in the journal Cancer, identified a direct correlation between Medicaid payout for office visits and cancer screening in several states.
Medicare ACOs Can Learn Lessons From Earlier Demo Project
The precursor to Medicare's large and growing accountable careprogram ran five years and ended the month after the Affordable Care Act became law. The results, summarized in a new report, have proved prescient and may inform policy changes the CMS is expected to issue soon.
Pfizer-Merck Immunooncology Collaboration Announced
Following the news that pembrolizumab may be approved earlier than expected, Pfizer and Merck have announced a partnership to evaluate the PD-1 inhibitor in combination with Pfizer's Xalkori.
HHS Announces New Head of
Kevin Counihan, who has been in charge of Access Health CT, Connecticut's health insurance exchange, has extensive private and state-run health care.
New Head of Is Connecticut’s Counihan
Kevin Counihan, the head of Connecticut's health insurance marketplace, will be the new CEO of, the website that 36 states use to sell Affordable Care Act insurance, the administration announced at noon today.
Coalition Invites Mount Sinai ACO to Share Lessons Learned About Improving Diabetes Outcomes
The American Journal of Managed Care’s ACO Coalition, now at 100 members, gives healthcare leaders a way to share ideas for improving population health. A recent Web-based exchange involving Mount Sinai ACO’s diabetes strategy showed how the initiative is working to spread good ideas across the country.
2013 Volume 19 Number SP11
Medicaid and CHIP Plans to Cover Autism Services for Children
The CMS directive could mean ABA (applied behavior analysis) coverage, which is quite effective in autistic children.
Using the Internet to Recruit Participants in Personalized Trials
The University of Colorado is trying to recruit patients on the internet for a trial to test ponatinib in a rare form of lung cancer.
DepoVax Technology Proves Effective in NIH-Sponsored Ebola Vaccine Study
The study, conducted in cynomolgus monkeys, explored several candidate vaccines from NIAID's preclinical services program.