Payers

White, Brown Bagging of Therapies Creates Extra Steps for Oncology Practices

March 18th 2021, 10:30pm

Article

Pharmacists from the Cleveland Clinic discuss the impact of payer dispensing requirements, known as white bagging and brown bagging, on oncology practices and on patients.

Optimizing the Use of MRD Testing in Multiple Myeloma

March 18th 2021, 7:30pm

Article

Minimal residual disease (MRD) is being used more frequently in clinical trials and to identify the best treatment course for patients, but unknowns remain about the optimal use of MRD testing.

Becerra Confirmed as HHS Secretary on Near Party-Line Vote

March 18th 2021, 5:02pm

Article

Xavier Becerra, California's attorney general, will become the next secretary of HHS after the Senate voted 50-49, split by party lines.

Shifting Dialysis Away From Employer-Based Coverage Cost Medicare $3 Billion, Study Finds

March 18th 2021, 3:00pm

Article

The study examined the cost to Medicare when patients with end-stage renal disease switched from their employer-based health insurance to Medicare between 2007 and 2017 before the end of the 30-month coordination period.

CAAP Rule and Prescription Drug Prices

March 18th 2021, 1:00pm

Article

This article describes a recently finalized CMS rule addressing the permissibility of co-pay accumulator adjustment programs (CAAPs) when no generic is available.

VBID Can Be a Tool to Address Health Care Affordability Concerns of Consumers

March 17th 2021, 8:29pm

Article

A panel of experts provided consumer insights into value-based insurance design (VBID) and how the COVID-19 pandemic may have changed consumer behaviors in a way that VBID may be able to address as the country emerges from the pandemic.

Early Adopters of VBID Sought to Remove Barriers to High-Value Care

March 17th 2021, 1:30pm

Article

A desire to remove barriers to high-value care and provide services that would improve health and quality of life drove early adopters of value-based insurance design (VBID).

How Payers Can Use 4 Strategies to Ensure Opioid Use Disorder Care

March 16th 2021, 8:51pm

Podcast

On this episode of Managed Care Cast, we speak with the chief medical officer for Virginia’s Medicaid program about 4 ways payers can make sure that those with opioid use disorder get the treatment they need; the strategies are outlined in the March issue of The American Journal of Managed Care.

Using WGS to Improve Genomic Profiling in Patients With Blood Cancers

March 12th 2021, 5:30pm

Article

Whole-genome sequencing (WGS) is at least as accurate as conventional tests when it comes to genomic profiling in patients with acute myeloid leukemia and myelodysplastic syndromes.

Removing Medicare’s Outpatient Ban and Medicare and Private Surgical Trends

March 12th 2021, 2:00pm

Article

This article documents a 100% increase in privately insured outpatient knee replacement surgeries following Medicare’s decision to remove knee replacements from its Inpatient Only list.