The American Journal of Managed Care

Pilot of Decision Support to Individualize Colorectal Cancer Screening Recommendations
Colorectal cancer screening involves balancing immediate harms with longer-term benefits; electronic medical record decision support may facilitate personalized benefit/harm assessment.
Clinical Efficacy: A Cost Containment Weapon for the 21st Century
Mitigating cost increases through preemptive care and clinical efficacy to reduce the disease burden of clinically at-risk patients.
Low-Value Care for Acute Sinusitis Encounters: Who’s Choosing Wisely?
Acute sinusitis is a common acute illness and offers an opportunity to eliminate low-value care. The authors describe current practices, comparing primary care, urgent care, and the emergency department.

The American Journal of Pharmacy Benefits

Is PBM Transparency an Answer to Controlling Rising Drug Costs?
With continued increases in the US drug spend, the evolution of fully transparent PBM programs has introduced an alternative approach to traditional PBM structures aimed at enhanced utilization and cost control.
Lessons Learned From Zac
Taking steps to improve medication adherence, starting with simple outreach efforts.
Opioid-Induced Constipation: Considerations for Formulary Decision Makers
This activity reviews the incidence and impact of opioid-induced constipation (OIC), discusses available treatment options, and what factors should be considered during formulary decisions for OIC.

The American Journal of Accountable Care

Communication and Accountable Care
As the US healthcare system transitions from volume to value, there is some concern that while new payment models and reforms may be neither conceptually flawed nor badly designed, the implementation of these reforms may be insufficient to fully achieve any potential success. If we get the architectural plan right but our building materials and methods are flawed, we wind up with a disappointing result.

Evidence-Based Series

Chemoprevention With Oral Contraceptives Could Be a Reality
Evidence provided by a study published in The Lancet Oncology affirms that oral contraceptives provide long-term protection against endometrial cancer.
Need for Palliative Care for Improved Performance at the End of Life
An article published in JAMA Oncology underscores the need for efforts to improve quality of life for cancer patients.
Links Found Among Higher Co-Payments, Lower Adherence, Higher Medical Costs in T2DM Medicare Patients
The study presented at the ADA Scientific Sessions found that raising out-of-pocket costs for diabetics with Medicare could reduce adherence and ultimately raise healthcare spending.
Multiple Teams Move to Testing Phase of the Artificial Pancreas
Years of work has moved technology to the point of large-scale testing that is required before FDA approval and commercialization.
Medicare’s Failure to Cover CGM at Odds With Other  Health, Research Agencies
A leading voice on diabetes care asks why Medicare still will not cover CGM technology.
Latest News
Patients age 65 years and older who are hospitalized for the flu can benefit from the use of early antiviral treatment, according to a new report from the CDC. The early use of flu antiviral medications reduces hospital length of stay and risk of needing extended care after discharge.
The concept of the value of new breakthrough therapies has become disconnected from the actual cost of them, but there are ways to better align the benefits and costs of treatments, according to Darius Lakdawalla, PhD, Quintiles Chair in Pharmaceutical Development and Regulatory Innovation at the University of Southern California Sol Price School of Public Policy.
HHS is seeking new protections for vulnerable populations to protect them from discrimination and ensure they have equal access to healthcare and health coverage.
Study provides proof that a child's genetic makeup can provide actionable information to alter cancer treatment regimens.
The experiments are revealing the relationship between bacteria in the digestive tract and a genetic disposition toward diabetes or obesity.

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