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During the 5-year value-based insurance design demonstration in Medicare Advantage, the hope is that the models will show that lower cost-sharing for high-value services and providers meets the triple aim, explained A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design at the University of Michigan.

The challenge with data in oncology is making sense of it and connecting it in a way that clinicians can make insights that inform the care they provide patients in real time, said Robert J. Green, MD, vice president of clinical strategy and senior medical director at Flatiron Health.

What we're reading, December 7, 2015: Mylan is subpoenaed over pricing of generic doxycycline antibiotic products; Congressional hearing this week on drug pricing controversy; new superbug on the rise; and Obamacare penalty for being uninsured may not be enough to get people to sign up.

While some of the misconceptions of palliative care have been cleared up over the years, it is still very much associated with end-of-life care, explained Judith Peres, LCSW-C, clinical social worker and health policy consultant.

This week in managed care, an exclusive report on how Horizon Blue Cross Blue Shield of New Jersey's OMNIA plan will affect maternity patterns; a Senate investigation found Gilead Sciences knew its Sovaldi price was high; and World AIDS Day observes the progress made.

There are a number of areas where pharmacy benefit managers can help support employers with the high-cost of specialty pharmacy drugs, but so far they have only been doing a good job in some priority areas, said Bruce Sherman, MD, FCCP, FACOEM.

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