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This week, the top managed care news included a panel mostly endorsed the use of patient-reported outcomes for coverage of chimeric antigen receptor T-cell therapy; the US Preventive Services Task Force released new recommendations for cervical cancer screening; research found accountable care organization penetration may be changing how physicians work.

The Senate approved an $854 billion spending measure, including a 5% boost for the National Institutes of Health; Maine’s Supreme Judicial Court said 2 lower-court rulings ordering the state to implement the voter-approved Medicaid expansion stand; the chief information officer of California’s public employee benefits and retirement system (CalPERS) is trying to use data to analyze trends and recommend policies to stem rising costs.

The first patient has been treated in a phase 2b dose-confirmation study of AMT-061, an investigational gene therapy for the treatment of patients with severe and moderately severe hemophilia B. Once the dosing of AMT-061 is confirmed, the safety and efficacy of the therapy will be evaluated in the global phase 3 HOPE-B clinical trial.

A chronic health situation may worsen or, more likely, a crisis may happen suddenly with a call in the middle of the night. Millions of Americans then find themselves as a caregiver to a loved one, and as people live longer, as well as farther away from their families, healthcare providers, healthcare systems, policy makers, and employers need to change how they recognize and respond to the growing numbers of caregivers taking care of older adults, experts in the field said.

The diagnosis of osteoporosis is typically determined by bone mass density (BMD); however, bone turnover markers (BTMs) can provide information involving the bone remodeling process. A recent study found that BMD correlates negatively with BTM and positively with estradiol (E2) and magnesium (Mg(2+)) levels, and tartrate-resistant acid phosphatase-5b (TRAP-5b) demonstrates a specificity in identifying patients with postmenopausal osteoporosis.

Facing ever-increasing costs, some families are forgoing traditional medical insurance in favor of patching together an alternative using multiple sources; a new initiative led by former CMS Administrator Andy Slavitt is looking to transform Medicaid with actionable solutions to address the health and social determinants of vulnerable populations; before kids go back to school, sales of the EpiPen usually spike, but this year parents are scrambling to find the injector.

According to the CDC, understanding disparities in access to care could help identify interventions that would improve access, receipt of necessary services, and care coordination. Such interventions, the report notes, could help improve health-related behaviors, prevent secondary conditions, and delay the progression of disability.

During a meeting of the Medicare Evidence Development and Coverage Advisory Committee (MEDCAC), panelists heard from chimeric antigen receptor (CAR) T therapy drug makers, health researchers, and policy makers, and mostly endorsed including patient-reported outcomes (PROs) in its final national coverage analysis decision, expected next year.

Patients living in rural areas have fewer options for a hospital as closures continue at a rate of about 30 a year; the Trump administration is sending mixed messages about how it views pharmacy benefit managers (PBMs); thousands of veterans suffering from posttraumatic stress disorder may be left without benefits after the Department of Veterans Affairs (VA) improperly handled as many as 1300 sexual trauma claims.

Health organizations reacted with dismay at the decision by the Environmental Protection Agency to reverse the Clean Power Plan, which set limits on coal-fired power plants, and replace it with one called the Affordable Clean Energy Rule, which gives more authority to states in an effort to reduce greenhouse gas emissions. A regulatory impact analysis prepared for the rule indicates 1400 excess deaths created per year by the rule.

The first chimeric antigen receptor (CAR) T-cell therapy was approved just a year ago, changing the face of treatment for certain types of leukemias and lymphomas but carrying with it the downsides of toxicity and cost. A year later, scientists from a major cancer center said that they’ve made headway to discovering more about the T-cell signaling patterns and that understanding more about the biological pathways could help design the next generation of CAR-T treatments.

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