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Multimedication use and the sequela of medication-related problems are leading causes of morbidity and mortality in the United States and have a major economic impact on our society. Managed care providers should take solace knowing that a substantial proportion of medication-related problems are predictable and, therefore, potentially avoidable.

Senator Rand Paul, R-Kentucky, wants to attach his proposal to cut funding for Planned Parenthood to a massive defense, HHS, labor, and education funding bill that is currently being debated on the Senate floor; nearly 1 in 5 jail and prison inmates regularly used heroin or opioids before being incarcerated, making jails a place for intervention, treatment, and rehabilitation; in Maine, residents who applied for health coverage under Medicaid expansion are still waiting to hear from the governor, and in Kentucky, the governor was rebuffed in his lawsuit against 16 residents who sued the state over Mediciaid work requirements.

A Dartmouth College investigation has concluded that H. Gilbert Welch, MD, MPH, a prominent healthcare policy researcher, committed research misconduct in connection with a breast cancer paper published in The New England Journal of Medicine in 2016; a Boston University endocrinologist, Michael Holick, MD, who had a crucial role in drafting national vitamin D guidelines, has benefitted from the industry in the amount of hundreds of thousands of dollars; 24 states have passed 37 bills this year to curb rising prescription drug costs as bipartisan efforts are forcing pharmaceutical companies to disclose and justify price increases.

FAIR Health recently analyzed data from its database of more than 26 billion privately billed healthcare claim records dating back to 2002. The report also identified the top 10 procedure codes for specific treatments and services associated with opioid abuse and dependence diagnoses by utilization and aggregate cost in each US Census region.

Announced today, Bristol-Myers Squibb’s nivolumab (Opdivo) has received FDA approval as the first immuno-oncology treatment for patients with metastatic small-cell lung cancer (SCLC) whose cancer has progressed after platinum-based chemotherapy and at least 1 other line of treatment.

Every single future medical student who will study at the New York University School of Medicine, in perpetuity, will have their tuition costs fully covered; HHS has approved New Jersey’s waiver request to create a reinsurance program that would help lower insurance premiums for everyone in the state; an analysis highlights how marketing documents from the mid-1990s downplayed addiction to opioids.

This week, the top managed care stories included CMS outlining a plan to encourage Medicare accountable care organizations to take on more risk, faster; a study found substantial growth in Medicaid managed care enrollment; an analysis showed nearly 1 in 5 inpatient hospital stays includes a claim from an out-of-network provider.

The FDA cleared the first generic version of EpiPen and EpiPen Jr, an epinephrine auto-injector for severe allergic reactions, 2 years after generic drugmaker Teva Pharmaceuticals was first turned down in its bid to win approval for the device. The Teva device is the first-ever generic to the one marketed by Mylan, which is still in short supply during the busy back-to-school season in pharmacies due to production issues at Pfizer, which makes the device.

Next week, a CMS committee will hold a day-long meeting to discuss a national coverage determination (NCD) for chimeric antigen receptor (CAR) T-cell immunotherapies, and in Thursday’s New England Journal of Medicine, Peter B. Bach, MD, MAPP, reviewed several strategies open to CMS as it continues to try to determine how to pay for CAR T.

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