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Hospital Outpatient Prices Sharply Higher than Docs', Study Finds
Hospital outpatient prices for standard blood tests, cancer screening and other services varied widely and were sharply higher, on average, than prices charged by ambulatory clinics and independent doctors, an analysis of autoworker health-plan spending across 18 cities has found.
FDA Panel Wants More Data for Astra's Olaparib
Safety concerns over the PARP inhibitor warranted the request for additional data.
Transitioning to Bundled Payments
Taking a more strategic approach to payer relationships may be the key to surviving new reimbursements models.
AJAC Highlights Potential of Connected Care, Patient-Centered Ways to Measure Quality
The June issue of The American Journal of Accountable Care discusses the potential of “connected care,” to improve access and cut costs, and proves how what patients say will matter when measuring quality. The publication, from The American Journal of Managed Care, is devoted to research and commentary on healthcare reform.
In Push to Extend Medicaid Pay Bump, Docs Downplay ACA Link
Physician groups are lobbying hard to extend an Obamacare provision that requires state Medicaid programs to pay primary-care physicians at higher Medicare rates to improve access for Medicaid patients. But to persuade congressional Republicans to go along, they are downplaying the fact that the pay bump is part of the Patient Protection and Affordable Care Act.
Nivolumab Trial Halted Early: Promising Phase 3 Results in Advanced Melanoma
Results indicate that nivolumab is likely to prolong survival in advanced melanoma.
Disappointment for Advanced NSCLC Patients Expressing EGFR WT
Phase II study findings show only marginal positive effects of third-line treatment with afatinib for advanced non-small-cell lung cancer (NSCLC) in patients with wild-type epidermal growth-factor receptor (EGFR) tumour status.
Drug Discount Program Has Drugmakers Crying Foul
This spring as the feds have been drawing up new rules for the program, a pitched battle has broken out between hospitals and drug manufacturers who say the program, known as 340B, is now bloated and badly regulated.
ACO Coalition Members Share Best Practices
The American Journal of Managed Care followed up the first meeting of its ACO and Emerging Healthcare Delivery Coalition with its first interactive conference call, which was open to all members. Anthony Slonim, MD, DrPH, a Coalition co-chair who on July 1 will become president and CEO at Renown Health in Reno, Nev., moderated the roundtable discussion.
FDA Questions the Efficacy of Astra's PARP Inhibitor in Ovarian Cancer Treatment
The FDA staff report questioned the unusually poor performance of the control group used in the study.
Autologous Stem Cell Transplant Can Improve Survival in MM Patients
Newly diagnosed multiple myeloma patients undergoing ASCT showed a significant improvement in survival.
FDA Warns of Intoxication Following IV Docetaxal
The US FDA has warned that intravenous administration docetaxal formulations contain alcohol and may cause intoxication among patients. A product label revision is being made.
Legislation Would Factor Patient Finances into Readmission Penalities
The Senate introduced legislation this week that would require Medicare to consider patients' finances when deciding whether to punish a hospital for readmission numbers.
VA Governor to Bypass Lawmakers, Expand Medicaid
Virginia Gov. Terry McAuliffe vowed Friday to bypass the General Assembly and expand Medicaid eligibility for about 400,000 low-income residents on his own.
By 2020, Most States Will Be on the Federal Exchange
I’ll say it: I think most states, if not all, will be on the Federal exchange by the end of the decade.
Newfound Risk That Providers, Payers, and Patients Are Navigating With the Implementation of the Affordable Care Act
A panel asks: “Due to the ACA, who is now presenting with cancer? Who is walking through the door and is there a difference between patients since the ACA implementation?”
Consumer Group Urges Hospitals To Stop Promoting Questionable Screenings
Consumer advocacy group Public Citizen on Thursday called on 20 hospital systems to stop partnering with companies that offer low-cost screenings for heart disease and stroke risk, saying the promotions are “unethical” and the exams are more likely to do harm than good.
Anti-CD20 Antibody Improves Lenalidomide Performance in CLL
From 20 months to upto 5 years, blocking CD20 significantly improved OS in CLL patients.
Need Better Representation of Women and Minorities in Trials: Democrats
Twenty-two Democratic lawmakers have asked the National Institutes of Health to publicly disclose demographic data for all clinical trials posted on ClinicalTrials.gov.
As Sequencing Moves into Clinical Use, Insurers Balk
Once strictly the domain of research labs, gene-sequencing tests increasingly are being used to help understand the genetic causes of rare disease, putting insurance companies in the position of deciding whether to pay the $5,000 to $17,000 for the tests.
ACO Initiatives Test Pharma's Traditional Sales Model
The US healthcare system’s shift from volume- to value-based reimbursement for treatment in order to lower costs and improve patient care is disrupting healthcare business models. The high-profile government–led accountable care organizations (ACOs), which put financial pressure on payers and providers to share responsibility for meeting quality and cost goals, is no exception.
AJMC Sets Infectious Disease Meeting for Atlanta
The American Journal of Managed Care will host a two-day event September 25-26, 2014, to take on some of healthcare’s biggest challenges: Treatments that cure hepatitis C are making news but upending balance sheets. A recent recommendation seeks preventive therapy to stop new cases of HIV. Hospitals and public health officials are grappling with how to prevent the spread of MERS. Only AJMC will bring payers, clinicians, policy leaders, and pharmaceutical representatives together to share ideas.
Alternate Indications: Heparin Derivative in Treating Neuroblastoma?
The derivative slowed tumor growth, shrunk tumors, and extended the life of the mice.
BRCA2 Associated With Risk of Lung Cancer Among Smokers
BRCA2 mutation, a genetic risk factor for breast and ovarian cancer, has been implicated in squamous cell lung cancer among cigarette smokers.
HHS Will Enforce Disputed Rule Limiting Orphan Exclusion from 340B Drug Discounts
HHS is moving forward with its plan to allow certain hospitals to receive discounts on orphan drugs when they are used for non-orphan conditions despite a court ruling that said the agency did not have the authority to do so.