Healthcare Cost

Contributor: The Role of Patient Engagement in Creating Active Patients

September 23rd 2022, 5:09pm


As health care shifts reimbursement models from fee-for-service to value-based care, new terms and phrases have been surfacing across the industry. Two of the terms emerging with increased usage are “patient engagement” and an “active patient.” But what do they mean? And why are they important?

The Importance of Tailored Care Management Programs for High-risk Patients

September 20th 2022, 9:15pm


On this episode of Managed Care Cast, we speak with 2 authors of an article in the September issue of The American Journal of Managed Care®, which focused on the results of their evaluation of an intensive, community-based care management program for dual-eligible Medicaid ACO high-risk patients.

Multiple Pegfilgrastim Administration Options Allows for Patient-Centric Model of Care

September 20th 2022, 8:46pm


With 6 pegfilgrastim biosimilars approved, and multiple administration options, a patient-centric model of pegfilgrastim administration should be possible for patients with cancer who require prophylaxis of febrile neutropenia.

Contributor: The Future of Prior Authorization Under the Improving Seniors’ Timely Access to Care Act

September 20th 2022, 3:04pm


Streamlining the prior authorization process can improve care accuracy and patient access to care, writes Siva Namasivayam, CEO of Cohere Health.

What We’re Reading: Medical Debt Prevalent in US; NC Medicaid Expansion Proposal; More Seek Mental Health Help

September 19th 2022, 2:05pm


A recent study found that 1 in 5 households were strapped with medical debt; hospitals and hospital systems in North Carolina proposed a way to expand Medicaid to hundreds of thousands of adults; the CDC reported that more adults sought mental health treatment in 2021 compared with 2019.

Recommendations to Increase Equitable Psychosocial Outcomes for Children and Adolescents

September 18th 2022, 8:45pm


Nearly 30% of youths are affected with worsening mental health by the end of adolescence, with anxiety typically presenting in childhood and depression during the teenage years, but the problem is even more acute for Black and Latinx youth.

Patients With Asthma May Move Too Quickly to Biologics, Researchers Say

September 17th 2022, 8:22pm


The retrospective claims database analysis looked at patients in the United States, where it is estimated that costs related to asthma are more than $80 billion annually.

ICER Releases Draft Evidence Report on Gene Therapies for Hemophilia A and B

September 17th 2022, 4:51pm


Despite $2.5 million placeholder price tags, the Institute for Clinical and Economic Review draft evidence report considers gene therapy cost-effective versus comparators in both hemophilia A and B.

Dr Ajay Nooka Discusses Cost Savings and QOL Benefits of MRD-Directed Treatment Decisions

September 16th 2022, 8:49pm


Being able to use minimal residual disease (MRD) negativity to make treatment decisions, such as stopping maintenance therapy, can have savings related to cost and quality of life (QOL) for patients, said Ajay Nooka, MD, MPH, FACP, associate professor, Winship Cancer Institute.

Diabetes Associated With Higher Health Care Utilization and Poor Outcomes After COPD-Related Hospitalizations

September 16th 2022, 1:00pm


Patients with diabetes and chronic obstructive pulmonary disease (COPD) have worse outcomes when hospitalized and appear to be more vulnerable to respiratory and nonrespiratory complications after a COPD exacerbation, which highlights the need for targeted interventions in this population.