Payers

Transitioning From Pediatric to Adult Care Is a Vulnerable Time for Patients With Rheumatic Diseases

September 20, 2020

Pediatric patients who had a referral from their pediatric rheumatologist and continued insurance coverage saw decreased delays when transitioning to an adult rheumatology clinic.

CMS Finalizes Kidney Care Model to Promote Home Dialysis, Live Donor Transplants

September 18, 2020

Trump administration officials said the new payment incentives represent the biggest change in kidney care in decades.

Contributor: FAIR Health Study Reveals Impact of COVID-19 Pandemic on Dental Services

September 17, 2020

A FAIR Health review finds a dramatic drop in dental claims in March and April 2020 due to COVID-19.

Quality of Care, Mortality Consistent Among MA, FFS Medicare Enrollees With Heart Failure

September 12, 2020

Reports of Medicare Advantage (MA) patients receiving higher-quality care for their cardiovascular disease prompted this comparison study of patients with heart failure enrolled in Medicare fee-for-service plans (FFS) and MA plans.

Precision Medicine Could Yield Significant Cost Savings in RA Treatment

September 11, 2020

A decision-analytic model could save more than $7 million in overall ineffective health care costs per 1000 patients by predicting which patients with rheumatoid arthritis (RA) will have an inadequate response to anti–tumor necrosis factor therapies.

Oral Treatment for Renal Anemia Draws Attention From Congress

September 10, 2020

Members of Congress introduce a bill to force Medicare to cover a drug they say will protect CKD patients during the COVID-19 pandemic.

Contributor: Telehealth Claim Lines Increased 4132% Nationally From June 2019 to June 2020

September 03, 2020

Telehealth claim lines increased 4132% nationally from June 2019 to June 2020, rising from 0.16% of medical claim lines in June 2019 to 6.85% in June 2020, according to new data from FAIR Health’s Monthly Telehealth Regional Tracker.

Added Ertugliflozin Heart Failure Data Show It’s Best in HFrEF

September 03, 2020

Data presented during the European Society for Cardiology 2020 Congress were a follow-up to the presentation of VERTIS CV at the American Diabetes Association Scientific Sessions in June.

Understanding the Risk of Joint Replacement in Patients With Rheumatoid Arthritis

August 29, 2020

Despite progress from disease-modifying antirheumatic drugs, there is still a far greater long-term risk of undergoing total knee and hip arthroplasties in patients with rheumatoid arthritis.

Study on Genetic Testing for Kidney Disease in Embryos Highlights Access, Coverage Issues

August 27, 2020

A Dutch study shows how genetic testing can help couples avoid passing devastating kidney diseases to their children, but it raises issues of disparities.