Utah Submits Limited Medicaid Expansion Plan
Taking advantage of the Trump administration’s willingness to allow more flexibility in Medicaid expansion programs, Utah has again submitted its plan. According to The Salt Lake Tribune, the plan would cover an additional 6000 of the state’s neediest childless adults who are chronically homeless or need mental health or drug addiction treatment. The proposal also adds work requirements and other limits, such as a lifetime limit on coverage, that the new administration has shown it would be open to allowing.
DNA Tests Have Little Impact on Behavior
Just because people find they are more susceptible to a disease does not mean they will alter their behavior to improve their odds. Consumers have greater access to DNA tests, but these tests don’t take into account other aspects of a person’s life that could increase or decrease risk, reported AP. In addition to genes, diet, exercise, alcohol consumption, smoking habits, and more can all impact disease risk, but research has shown that people who receive DNA information often did not significantly alter their other lifestyle risks.
CSR Payments Will Be Made for August
Just days after the Congressional Budget Office (CBO) released a report on the impact of eliminating the cost-sharing reduction (CSR) payments, the Trump administration said it would make the payments for August. The Wall Street Journal reported that the future of these payments is still in question and there are bipartisan efforts underway to come to an agreement on shoring up the Affordable Care Act’s health insurance exchanges by guaranteeing the future of these payments. The CBO report found that getting rid of the CSR payments would increase premiums by 20%, but tax credits would cover that increase for most consumers.
Navigating Health Literacy, Social Determinants, and Discrimination in National Health Plans
February 13th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the February 2024 issue of The American Journal of Managed Care® about their findings on how health plans can screen for health literacy, social determinants of health, and perceived health care discrimination.
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Drs Raymond Thertulien, Joseph Mikhael on Racial Disparities in Multiple Myeloma Care Access
December 28th 2023In the wake of the 2023 American Society of Hematology Annual Meeting and Exposition, Raymond Thertulien, MD, PhD, of Novant Health, and Joseph Mikhael, MD, MEd, FRCPC, FACP, chief medical officer of the International Myeloma Foundation, discussed health equity research highlights from the meeting and drivers of racial disparities in multiple myeloma outcomes.
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Gene and Cell Therapies Hold Potential—but How Can Payers Manage Their Costs?
April 18th 2024Presenters at the Academy of Managed Care Pharmacy (AMCP) 2024 annual meeting discussed the current promise and future potential of gene and cell therapies, as well as payer management strategies for these costly treatments.
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Commonwealth Fund Report Details Pervasive Racial and Ethnic Disparities in US Health Care, Outcomes
April 18th 2024Using 25 health system performance indicators, the Commonwealth Fund 2024 State Health Disparities Report evaluated racial and ethnic disparities in health care and health outcomes both within and across US states and highlighted the urgent need for equitable health care policies and practices in the US.
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