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CMS recently released the Oncology Care Model (OCM) performance period 1 (PP1) true-up 1 and the performance period 2 (PP2) initial reconciliation. The performance data show some practices may be gaining traction with their success, while others have found it difficult to make progress as CMS continues to refine the payment methodology for the model across performance periods.

A recent report, published by the Annals of the American Thoracic Society, assessed trends in chronic obstructive pulmonary disease (COPD) hospitalizations and in-hospital deaths in the United States and found that the number of in-hospital deaths for COPD has decreased; however, women account for a higher proportion of the hospitalizations and in-hospital deaths.

The 9th US Circuit Court of Appeals narrowed a Trump administration order that had sought to enforce new rules that undermine an Affordable Care Act requirement for employers to provide insurance that covers women's birth control based on moral or religious grounds; House Democrats are planning to vote next year on legislation to fund research on gun injuries and deaths, reframing the issue as a public health concern; despite California being cited as a rigorous example in doctor oversight, very few sexual misconduct complaints are reported to the state medical board.

As 2018 draws to a close, the articles in the December issue of The American Journal of Managed Care® (AJMC®) touch on some of the timeliest topics of the year, including the value of innovative immuno-oncology treatments, results of practice transformation initiatives, and much more. Here are 5 findings from the research published in the issue.

This week, the top managed care news included a report that found uninsured rates were on the rise in 2017; an analysis of rising health insurance costs for families; predictions for cardiology trends in 2019.

The CDC reported the number of drug overdose deaths per year increased 54% from 2011 to 2016, with the synthetic drug fentanyl involved in most overdoses in 2016, although actual numbers of all overdose deaths may be underreported. The report also showed how multiple drugs are typically involved in overdose deaths.

During the San Antonio Breast Cancer Symposium held in San Antonio, Texas from December 4-8, 2018, Biotheranostics presented new data evaluating the impact of the Breast Cancer Index (BCI) in patients with early stage hormone receptor positive (HR+) breast cancer who are classified as an immediate risk for distant recurrence by previous genomic testing.

How long a person with obstructive sleep apnea (OSA) stops breathing may be a better predictor of mortality risk from OSA in both women and men than the number of times they stop breathing, a new study published in the American Journal of Respiratory and Critical Care Medicine concludes.

In the final weeks of open enrollment, the number of people signing up for Affordable Care Act plans has surged, although overall numbers still lag behind 2017; a study following the progress of babies who were born to mothers infected with the Zika virus during pregnancy are showing more development problems; new research has shown that the longer women breastfeed, the greater the reduction in their risk of developing nonalcoholic fatty liver disease.

The report in Diabetes Care, the official journal of the American Diabetes Association, comes after reports of rising rates of diabetes and obesity among young adults and soaring insulin costs, which may mean diabetes is not being effectively treated.

The observational, noninterventional study was part of an emicizumab clinical development program in which a daily bleed and medication questionnaire developed by the sponsor on a handheld device was used to prospectively collect data on treatment with factor VIII or bypassing agents in adult and adolescent people with hemophilia A, with and without inhibitors to FVIII.

The House has passed a bill that would support state efforts to investigate pregnancy-related deaths and research how to prevent future deaths; a column in The New York Times examined 4 specific drug pricing policies and had 3 health policy experts weigh in on what the outcomes of implementing these policies could be; despite the benefits of using biosimilar filgrastim, the United States has lagged behind other countries in adopting the therapy.

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