Study Finds Rural Residence May Adversely Influence Lung Cancer Screening Among Veterans

May 12th 2022, 9:45pm


Veterans residing in rural areas were less likely to complete annual repeat lung cancer screenings compared with those living in a nonrural location, with reduced uptake of initial lung cancer screening also found among eligible veterans in rural vs nonrural locations.

What We're Reading: COVID-19 Hospitalizations Increasing; Americans Losing Medicaid Coverage; Hepatitis Outbreak in Children

May 10th 2022, 2:28pm


COVID-19–related hospitalizations are up 17% week over week; an estimated 5 to 14 million Americans could lose their Medicaid coverage this year or next year; the CDC is investigating unexplained cases of severe hepatitis in children.

Integrating Analytics With High-Touch Pharmacy Care for Vulnerable Beneficiaries

May 8th 2022, 12:05pm


UPMC Health Plan, RxAnte, and Mosaic Pharmacy Services outlined how they are operating a value-based pharmacy care management program within Community HealthChoices, Pennsylvania’s managed Medicaid long-term services and supports (LTSS) program, at a recent conference.

SES-Related Insulin Pump Uptake Disparities Seen in 2 Canadian Provinces

May 4th 2022, 3:00pm


Using socioeconomic status (SES) as their primary exposure, investigators from McGill University, University of Manitoba, Institut National de Santé Publique du Québec, and Laval University investigated reasons behind insulin pump uptake disparities in the Canadian provinces of Manitoba and Québec.

Exploring Payer Coverage Decisions Following FDA Novel Drug Approvals

May 3rd 2022, 8:31pm


On this episode of Managed Care Cast, Ari D. Panzer, BS, lead author and researcher, then at Tufts Medical Center—now at Duke University—discusses the findings from his team’s investigation into coverage decisions by health plan insurers of the 66 drugs approved by the FDA in 2018.

Dr Elaine Siegfried on Considerations for Systemic Therapy Use in Pediatric Atopic Dermatitis

April 20th 2022, 6:37pm


Elaine Siegfried, MD, professor of pediatrics and dermatology, Saint Louis University Health Sciences Center, discusses several pediatric patient populations with atopic dermatitis who are candidates for the use of systemic therapies.

How Medicare Advantage Plans Use Data for Supplemental Benefits Decision-Making

April 13th 2022, 7:00pm


This article presents findings from interviews conducted with executives from 29 Medicare Advantage plans regarding plan decision-making processes related to new social risk factor–related benefits.

Incremental Steps Helpful but Not Enough to End Underinsurance Issue, Panelists Say

April 7th 2022, 6:00pm


Without addressing rising costs, the problem of underinsurance in health care coverage will remain, said panelists at the 2022 V-BID Summit, discussing some of the smaller steps that are being proposed or are already in place to try to ease the financial burden.

Insurance Coverage and Health Care Spending by State-Level Medigap Regulations

April 6th 2022, 4:00pm


Despite their intention to protect against coverage denial and/or premium increases, additional state-level Medigap regulations are correlated with lower Medigap enrollment and stronger moral hazard.

What’s Coming Up Next in Interoperability With Dr Donald Rucker

March 29th 2022, 11:00pm


An unprecedented level of detail and robustness around interoperability standards is on its way, and on this episode of Managed Care Cast, we speak with Donald Rucker, MD, the former National Coordinator for Health Information Technology in HHS, about what the opportunities and responsibilities for payers are.