Expert Analysis on Managing mCRC
At the 26th International Congress on Anti-Cancer Treatment in Paris, France, earlier this month, oncologists deliberated on the current understanding of metastatic colorectal cancer and the available treatment options. Recent work has shown that there are 4 or 5 different subtypes of the disease, which may call for personalized therapeutic strategies.
After Years, Healthcare Spending Is on the Rise
The national medical bill may be back to growing faster than gross domestic product. After 5 years of historically slow growth, new data show US healthcare spending accelerated significantly in 2014.
What Are the Effects of Not Expanding Medicaid?
Why Medicaid expansion represents an opportunity to improve the welfare of the poorest Americans, who are still recovering from the Great Recession.
Providers Still Lagging in Patient Engagement
Healthcare organizations and providers are still largely confused, or at least slow, when it comes to effective patient portals and other technologies that may help spur better patient engagement.
Super Utilizers Cost Pennsylvania Medicare, Medicaid $761 Million
Hospital super utilizers in Pennsylvania account for $761 million of the state’s Medicare and Medicaid expenditures for inpatient stays, according to a new report from the Pennsylvania Health Care Cost Containment Council.
Smaller States Debate the Benefit of Running Their Own Health Exchanges
Facing high costs but smaller budgets, some states are struggling to find financially and politically sustainable ways to keep their health exchanges running.
Illinois Governor Proposes Medicaid Cuts
Illinois' new Republican governor, Bruce Rauner, nearly $1.5 billion in cuts from Medicaid to save the state money, but opponents said the move will only cost Illinois in the long run.
Managed Care Minute: February 21, 2015
A one-minute look at managed care news during the week of February 16, 2015, including extended open enrollment under the Affordable Care Act and shared decision-making for cancer treatments.
Hospitals Timing Discharges to Align With Maximum Pay Out
A Wall Street Journal analysis found many long-term hospitals discharge a disproportionate share of patients during the time when hospitals stand to make the most.
Drug Access Concerns for Patients With Chronic Diseases in Covered California
An analysis of health plans offered through Covered California found some consumers with chronic diseases or those who rely on specialty drugs may have faced access and affordability challenges in 2014.
Celgene's Revlimid Receives Expanded Approval in Europe Following Similar FDA Approval
After the FDA approved lenalidomide for use in chemotherapy-naive multiple myeloma (MM) patients, the European Commission has followed suit. Revlimid was approved today by EC in MM patients, previously untreated and transplant-ineligible.
Study Finds Most Expensive of Eye Treatment Options Is Most Effective
Study finds that Regeneron Pharmaceuticals' more expensive Eylea help patients with severe eye disease caused by diabetes more than the less-expensive options from Roche Holding.
CMS Adds Special Enrollment Period to Help Consumers Avoid Tax Penalty
Consumers would have to show they only learned about the tax penalty when they went to file their tax returns, according to CMS' Andrew Slavitt. Under the Affordable Care Act, penalties for not having coverage for 2015 are $325 or 2% of household income.
Study Underscores the Potential of Mobile Health App in Healthcare Decisions
The study, conducted at the Columbia University School of Nursing, found that mobile apps with decision support features resulted in significantly higher diagnosis rates than apps with only bare-bones tools for recording results from a patient exam.
UCLA Study Points to Need for Informed Decision-Making in Prostate Cancer
The study evaluated SEER data of over 37,000 prostate cancer patients and found an overwhelming majority of patients (58%) received radiation treatment regardless of overall disease prognosis. The lead study author hopes these findings enlighten the public and allow physicians to make an informed decision when it comes to the best treatment option for men who may or may not benefit from radiation therapy in the long run.
FDA Authorizes Sale of First Direct-to-Consumer Genetic Test
Developed by the company 23andMe, the test identifies carriers of a gene mutation that could determine the susceptibility of a person's offspring to Bloom Syndrome.
Study Results Challenge CMS Position on Follow-Up Scans in Cancer Patients
Published in the Journal of Nuclear Medicine, the authors show that a fourth and subsequent follow-up PET/CT scan in lung cancer patients was associated with treatment change.
Biomarker That Could Predict Survival After CRC Surgery Discovered
Research scientists at the Macquarie University and Concord Repatriation General Hospital in Australia have discovered that expression of the cell surface protein uPAR can predict survival after colorectal cancer (CRC) surgery. The study found that patients expressing uPAR may have undetectable cancer metastasis and dramatically poorer survival.
Florida Passes California as State With Most ACA Enrollees
Despite opposition from Republicans, Florida has surpassed California to become the state with the highest number of consumers enrolling in health insurance coverage through the Affordable Care Act's exchanges.
UCLA Says More Than 100 Patients Exposed to Superbug
More than 100 patients may have been infected by a “superbug” bacteria during procedures at the UCLA Health System and 2 have died.
Quality Discussions Need to Start in a Hospital's Board Room
Research conducted at the Harvard School of Public Health concludes that for a hospital to improve it's quality of care, governing boards may be an important target for intervention.
Gardasil 9 Offers Broader Protection, a Global Study Reports
Published in the New England Journal of Medicine, the multinational study found that Gardasil 9, 100% effective against 9 strains of HPV, can prevent the occurrence of 85%-90% of HPV-related cancers.
Minnesota’s McCullough to Serve as Guest Editor for AJMC’s 5th Annual Special Issue on Health IT
Jeffrey S. McCullough, PhD, who writes frequently on the intersection of health information technology (IT) and quality, will serve as guest editor for the 5th annual special issue of The American Journal of Managed Care devoted to research and commentary on health IT. Dr McCullough’s services come during AJMC’s celebration of its 20th year as the leading peer-reviewed journal covering healthcare delivery systems.
UnitedHealthCare Will Add Additional 250 ACOs in 2015
UnitedHealthcare announced that it will nearly double the amount of accountable care organizations it is contracted with in 2015 as it expects to add another 250 ACOs.
Phyllis Torda Championed Improved Quality Measurement Guidelines in Oncology
On February 16, after living with metastatic breast cancer, Phyllis Torda, 63, vice president of the Quality Solutions Group at the National Committee for Quality Assurance, passed away.