July 15th 2025
Robert Kratzke, MD, urged insurance providers to prioritize fast biomarker testing in non–small cell lung cancer, saying it’s both cost-effective and life-saving.
Persistence With Biologic Therapies in the Medicare Coverage Gap
For patients who reached the Medicare Part D coverage gap, discontinuation was more likely for patients taking osteoporosis medication.
Read More
Impact of Celecoxib Restrictions in Medicare Beneficiaries With Arthritis
A formulary restriction policy in a Medicare population was associated with lower celecoxib utilization; however, higher gastrointestinal- and arthritis-related medical costs were observed.
Read More
The Structure of Risk Adjustment for Private Plans in Medicare
Health plan accounting data are used to test how well the CMSHCC risk adjustment system tracks relative costs of treating various diagnoses: not very well.
Read More
VHA Pharmacy Use in Veterans With Medicare Drug Coverage
Greater Medicare managed care benefit levels reduce both the likelihood and magnitude of Veterans Health Administration pharmacy use by Medicare dually enrolled veterans.
Read More