Mary Caffrey is the Executive Editor for The American Journal of Managed Care® (AJMC®). She joined AJMC® in 2013 and is the primary staff editor for Evidence-Based Oncology, the multistakeholder publication that reaches 22,000+ oncology providers, policy makers and formulary decision makers. She is also part of the team that oversees speaker recruitment and panel preparations for AJMC®'s premier annual oncology meeting, Patient-Centered Oncology Care®. For more than a decade, Mary has covered ASCO, ASH, ACC and other leading scientific meetings for AJMC readers.
Mary has a BA in communications and philosophy from Loyola University New Orleans. You can connect with Mary on LinkedIn.
Obese Teens Gain Mobility After Bariatric Surgery, Study Finds
July 19th 2016Teenagers who started with an average BMI of 51.7 were able to reduce that by more than 40% over the first year after surgery. They were able to complete a lap of an outdoor track nearly a half-minute faster on average, and fewer reported being in pain.
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Study Finds Role for Gut Bacteria in Diabetes Remission
July 11th 2016Evidence that surgery can reverse diabetes is so compelling that new guidelines from the American Diabetes Association call for using procedures to treat diabetes, not just obesity. But the mechanism has remained a mystery.
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To Fight Opioid Epidemic, Pain Management Survey Won't Be Tied to Medicare Payment
July 7th 2016Yesterday's announcement featured several steps to combat opioid addiction, including expanded access to buprenorphine, steps to educate physicians, and controls on prescription programs through the Department of Defense and the Indian Health Service.
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Horizon BCBSNJ: Anti-Fraud Efforts Net $43.2M in 2015
July 6th 2016The New Jersey insurer said its fraud fighting efforts included both detective work and analytics. Nationwide, fraud prevention relies increasingly on predictive modeling to keep suspicious payments from ever going out the door.
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Another One Bites the Dust: Risk Adjustment Program Claims Connecticut's Co-op
July 5th 2016Connecticut Insurance Commissioner Katharine L. Wade moved to protect existing policyholders after HealthyCT learned June 30, 2016, it would have to pay CMS $13.4 million under the ACA Risk Adjustment program, which has been heavily criticized.
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Blue Cross of Georgia Sued for Sending Checks to Patients, Not Hospitals
July 3rd 2016Two hospitals, one in Georgia and another in California, charge in lawsuits that BCBS of Georgia sends payment directly to patients instead of paying the hospitals for care provided. The patients often do not know they are supposed to sign the checks over to cover the cost of their care, and the hospitals end up without payment.
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Real-World Evidence on Canagliflozin: A1C Declines, Some Patients Can Replace Other Drugs
June 29th 2016Coverage from Patient-Centered Diabetes Care, April 7-8, 2016. Presented by The American Journal of Managed Care and Joslin Diabetes Center. This session was sponsored by Janssen Pharmaceuticals.
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