Healthcare Cost

11 Groups Join ACR in Opposition of UHC’s “Disastrous” Co-Pay Policy

October 30th 2020, 9:30pm


The American College of Rheumatology (ACR) has joined forces with other provider groups to oppose a plan proposed by UnitedHealthcare that would increase patients’ out-of-pocket costs.

CMS Proposes New Rules for CGM Coverage Among Medicare Beneficiaries

October 29th 2020, 4:33pm


This week, CMS proposed changes to the Medicare Durable Medical Equipment Prosthetics, Orthic Devices and Supplies (DMEPOS) coverage and payment policies which would expand Medicare coverage for continuous glucose monitors (CGMs).

HHS Wraps Up Rule Requiring Price Transparency by Payers

October 29th 2020, 3:05pm


The Trump administration finalized rules aimed at making health care pricing more visible and transparent to those with with health insurance from employers or the individual market.

Panelists Discuss Community-Based Approaches to Mitigate Costs, Improve SDOH Outcomes

October 28th 2020, 7:39pm


At the Alliance for Better Health’s CONVERGE Virtual Conference, experts discussed the role social determinants of health (SDOH) play in community-based health initiatives.

Sacubitril/Valsartan Treatment for HFrEF Results in Removal of Prior Authorization Requirement

October 28th 2020, 4:42pm


Study results demonstrate the multimillion-dollar savings achieved among patients with heart failure with reduced ejection fraction (HFrEF) following treatment initiation with sacubitril and valsartan.

Helping Patients With Shared Decision-Making When Discussing Difficult Dialysis Choices

October 24th 2020, 2:59pm


The decision to go on dialysis is often automatic, but using a shared decision-making process reduces the chance that a patient will regret it later.

Sacubitril/Valsartan Has Possible Economic Benefit When Administered in a Hospital Setting to Patients With HFrEF

October 23rd 2020, 5:18pm


Heart failure with reduced ejection fraction (HFrEF) is when the heart’s left ventricle can only pump out 40% or less of the blood it contains, resulting in less oxygen-rich blood being disseminated to the body than it actually needs.

Over Time, Health Care Costs Move to Forefront for All Patients

October 22nd 2020, 9:12pm


2020 is the 25th anniversary of The American Journal of Managed Care® and the October’s issue of the journal features an interview with Dr Kavita Patel, a nonresident fellow at the Brookings Institution and a primary care physician.

Dr Megan Althoff on the Difficulties Deciding Between Biologics for Patients With Severe Asthma

October 21st 2020, 5:30pm


Challenges remain, in light of new guidelines, when making treatment decisions for patients with severe asthma, noted Megan Althoff, MD, PhD, second year fellow, University of Colorado, Division of Pulmonary Sciences and Critical Care Medicine.

Makary Calls for Price Reform, Transparency to Fulfill Patient-Centered Medical Heritage

October 20th 2020, 5:45pm


Marty Makary, MD, MPH, kicked off the Academy of Managed Care Pharmacy Nexus 2020 meeting with a call to action around reducing overprescribing, increasing price transparency, and recapturing the public’s trust in the health care system.