Dilemma Over Deductibles: Costs Crippling Middle Class
The size of the average deductible more than doubled in 8 years, from $584 to $1217 for individual coverage. Add to this co-pays, co-insurance and the price of drugs or procedures not covered by plans — and it's all too much for many Americans.
Assessing Patient-Centered Care Abilities of Physicians
Researchers at the University of Missouri School of Medicine have developed a tool to test how well a doctor delivers patient-centered care by assessing whether medical students have learned and are applying the correct behaviors.
A New Hope in Advanced Lung Cancer
Combining erlotinib with SBRT more than doubled the survival time of stage 4 lung cancer patients.
Double-Digit Growth Projected in the US Telehealth Market by 2020
The US patient monitoring market is projected to grow over $5 billion by 2020 driven by the demand for customized healthcare solutions, increased chronic illness amongst the aging population, and strained healthcare budgets.
87% of Consumers Receiving Financial Assistance for Premiums
A large majority of people who selected health insurance plans through during the first month of open enrollment for 2015 will receive financial assistance for their monthly premiums, according to HHS.
Patients Overly Optimistic About the Benefits of Treatments, Tests, Screening
Patients have a naïve optimism about medical care. A new study in JAMA found that patients have an unrealistic expectation of the benefits and harms of common medical treatments, tests, and screens.
Material Need Insecurities Associated With Diabetes Control, Healthcare Utilization
Simply increasing access to care is not enough to improve the health of patients with diabetes mellitus as a new study in JAMA has also associated the difficulty of paying for food and medications with poor diabetes control.
Health Law Helped Adults. Now, What About Children?
With the Affordable Care Act seemingly off to a good start, attention is likely to turn to an older program for children that will come to an end in 2015 if it is not reauthorized.
Two-Thirds of States Have Little Physician Quality Information Available
Only a few states have readily available information on the quality of physician care, according to the second annual State Report Card on Transparency of Physician Quality Information from the Health Care Incentives Improvement Institute.
The Year in Review: Most-Read Stories of 2014
With 2014 coming to a close, The American Journal of Managed Care is taking a look back at the most popular articles from this year. These most-read articles highlight the healthcare issues most important to providers, insurers, and policy makers.
Accenture Wins Renewed Contract to Continue Work on
After website glitches stole the spotlight during the first open enrollment period for the Affordable Care Act, CMS hired Accenture to fix Now, the consulting firm has been awarded a 5-year, $563 million contract to continue working on the website.
Health IT-Related Adverse Event Reporting Needs Improvement
Improved and standardized reporting across healthcare organizations is needed to better understand the impact of health information technology (IT) on adverse events, according to a report from the Office of the National Coordinator for Health IT.
AJAC Features Matt Salo on Medicaid After the Midterms
Matt Salo, executive director of the National Association of Medicaid Directors, is emerging as one of the most important observers in how the expansion of the leading healthcare program for poor Americans is unfolding across the country. In December’s issue of The American Journal of Accountable Care, he addresses how the fallout of the 2014 midterms will affect Medicaid in the near term.
Authors Discuss How to Pay for Telehealth in Managed Care in AJMC Publications
The main barrier to widespread use of telehealth isn’t technology or consumer acceptance; it’s figuring out how to pay for it. Authors writing for The American Journal of Managed Care and The American Journal of Accountable Care discuss why today’s payment models for accountable care organizations are a better fit for telehealth, and why regulatory changes make sense.
FDA Approves New Ebola Test for Emergency Use
The FDA has provided Emergency Use Authorization, a pre-approval for use in bad outbreaks, for Roche's new Ebola test, the LightMix Ebola Zaire rRT-PCR Test.
Administration Making Health Insurance Benefits Easier to Understand
Consumers remain very confused about their health insurance coverage, but the federal government is looking to provide a better understanding of benefits for consumers shopping for coverage.
Blackberry Competes With Apple for Healthcare Apps
Blackberry announced the product of their collaboration with NantHealth: a healthcare app for doctors and nurses who use their smartphones.
Reimagining Quality Measurement
The quality-measurement enterprise in US healthcare is troubled. Measure developers are creating ever more measures, and payers are requiring their use in more settings and tying larger financial rewards or penalties to performance.
From "Hellish" to Healthcare: The ACA in Maine 1 Year Later
A year ago, some Maine residents would have described the Affordable Care Act (ACA) as “hellish.” Since then, a lot has changed. And a lot has stayed the same.
States Focus on "Super-Utilizers" to Reduce Medicaid Costs
Using a provision of the Affordable Care Act, many state Medicaid agencies are trying to diminish use of medical services by super-utilizers by better managing their care. The goal is to not only reduce costs, but to achieve better health outcomes for these patients.
Gardasil 9 Approved for 5 Additional HPV Types
With this approval, the vaccine can effectively protect against 5 additional types of HPV than the parent Gardasil vaccine, thereby preventing the development of cervical, vulvar and vaginal cancers, based on a randomized clinical trial.
FDA Grants Accelerated Approval to Nivolumab for Unresectable and Metastatic Melanoma
Marketed by Bristol-Myers Squibb as Opdivo, this PD-1 inhibitor was previously granted breakthrough status.
Health Insurers Provide Additional Flexibility for Premium Payments
To provide a smooth transition in the first year of the auto-enrollment and renewal process, health plans are voluntarily providing flexibility with payment deadlines for consumers purchasing coverage through the federal Marketplace.
Immuno-Oncology Getting Closer to Being Personalized: Nature Study
The Nature letter published results showing that the monoclonal antibody targeting PD-1 had antitumor activity, but more importantly, the response was greater in patients overexpressing the PD-L1 receptor, thereby opening the doors for targeted therapy.
HHS Partners With Nation’s Largest Pharmacies to Promote Health Insurance Marketplace
HHS is collaborating with the nation’s largest pharmacies to encourage enrollment through the Health Insurance Marketplace at thousands of locations across the country.