Currently Viewing:
Newsroom
Currently Reading
Bidens Celebrate Progress, Highlight Need for More at Biden Cancer Summit
September 21, 2018 – Jaime Rosenberg
PhRMA Tries to Use Opioid Bill to Shift Part D Costs to Medicare
September 21, 2018 – Mary Caffrey
More Data Necessary to Determine Best Treatment Option in Basal Cell Carcinoma
September 21, 2018 – Samantha DiGrande
5 Things to Know About Obesity in the United States
September 21, 2018 – Jaime Rosenberg
This Week in Managed Care: September 21, 2018
September 21, 2018
What We're Reading: MSKCC AI Startup; AMA and Patient Privacy; GOP Healthcare Message
September 21, 2018 – AJMC Staff
AJMC® in the Press, September 21, 2018
September 21, 2018 – AJMC Staff
US Women Have Higher Risk of Dying Prematurely, Report Says
September 20, 2018 – Allison Inserro
Bipartisan Group of Senators Drafts Legislation to End Surprise Medical Bills
September 20, 2018 – Jaime Rosenberg

What We're Reading: Hospital Closures; Mixed Messages on PBMs; VA Wrongly Denies Sexual Trauma

AJMC Staff
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.

Rate of Hospital Closures Expected to Pick Up

Patients living in rural areas have fewer options for a hospital as closures continue at a rate of about 30 a year. However, an analyst expects that the number of hospitals shutting down may actually increase in the next 1 year to 18 months, reported Bloomberg. As hospitals consolidate, payers are also increasingly pushing patients toward outpatient services, online providers, and retail clinics.

 

Trump Administration Gives Mixed Messages on PBMs

As part of his promise to lower prescription drug prices, President Donald Trump has targeted pharmacy benefit managers (PBMs), but some days his own administration seems to be interested in empowering PBMs. This mixed message has made it difficult for lobbyists and policy makers to determine the administration’s overall strategy, according to STAT. Even while Trump has decried PBMs, CMS’ new proposal to allow Medicare Advantage plans to negotiate drug prices using step therapy will most likely rely on PBMs.

 

The VA Improperly Denied Military Sexual Claims

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. According to USA Today, the employees vetting the claims were not trained properly, and the VA didn’t even order required medical exams in more than half the cases. Although the VA put special rules in place to vet claims of sexual assault, the VA stopped conducting audits of sexual trauma claims in 2015.

Related Articles

PBMs: Their Role, the Problems, and How Practices Can Work With Them
GAO Finds Quality Concerns About Specific Clinicians at VA Often Go Unreported
Health Affairs Study Details Link Between Medicaid Expansion Choices and Hospital Closures
Cost-Effectiveness of Collaborative Care for Depression and PTSD in Military Personnel
Ohio Tells Medicaid PBMs That 2019 Will Be a Time for Transparent Contracts
 
Copyright AJMC 2006-2018 Clinical Care Targeted Communications Group, LLC. All Rights Reserved.
x
Welcome the the new and improved AJMC.com, the premier managed market network. Tell us about yourself so that we can serve you better.
Sign Up
×

Sign In

Not a member? Sign up now!