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Federal prosecutors have reached a $17 million settlement with Acadia after Medicaid fraud allegations; rates of heart failure–related deaths are on the rise among adults between 35 and 64 years old; the FDA has asked manufacturers of sunscreen to review the safety of the chemicals used in their products after a new study found that many of the ingredients in sunscreen may be absorbed into the bloodstream upon use.

The FDA approved Pfizer’s transthyretin stabilizer tafamidis, the first treatment for cardiomyopathy of wild-type or hereditary transthyretin-mediated amyloidosis (ATTR-CM), a rare, incurable disease. Pfizer will sell the oral drugs under the names Vyndaqel and Vyndamax.

Parkinson disease (PD) is the second most common neurodegenerative disorder found in the elderly, currently affecting an estimated 2% of individuals 60 years or older. PD is a multifactorial disease in which both environmental and genetic factors are significantly associated with disease onset. Although symptoms of the disease may present with a tremor or perhaps a speech problem, by the time the symptoms are evident, it is often too late to stop the progression of the disease.

This week, the top managed care news included CMS Administrator Seema Verma calling for more disruption to the healthcare system; former FDA Commissioner Scott Gottlieb, MD, reflecting on the agency’s record of innovation; liraglutide demonstrating promise for youth with type 2 diabetes.

Insys Therapeutics’ founder and 4 executives have been found guilty for participating in a scheme that bribed doctors to prescribe its addictive painkiller and misled insurers to pay for the drug; the FDA has approved the first vaccine against dengue fever with some restrictions; Senator Amy Klobuchar, D-Minnesota, has released a $100 billion to combat addiction and improve mental health care.

As expected, HHS Thursday released a final rule implementing a change that would allow healthcare workers to refuse to provide certain services, such as reproductive healthcare, assisted suicide where it is legal, or place children with adoptive families if the parents are gay, lesbian, or transgender, if the service violates their religious or moral beliefs. At the same time, while HHS acknowledged that while some patients may experience some harms from a denial of care, it also proffered a different possibility of how patients could react: they may not mind.

In a study to be presented at the American Academy of Neurology’s annual meeting next week, May 4-10, 2019, in Philadelphia, Pennsylvania, researchers found that the out-of-pocket costs for neurologic medications have increased significantly over the past 12 years, particularly for those enrolled in high-deductible health plans.

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