Policy

Extreme Heat Waves Linked With Higher US Mortality, Particularly Among Elderly, Black Individuals

May 19th 2022, 3:00pm

Article

New data show extreme heat waves were associated with higher all-cause mortality throughout the United States, with increased risks seen among men, the elderly, and non-Hispanic Black individuals.

Trends Show Uptake of SUD Treatment Has Room for Improvement

May 17th 2022, 6:00pm

Podcast

On this episode of Managed Care Cast, we speak with one of the authors of a paper published this month in Health Affairs about the utilization of substance use disorder treatment (SUD) services between 2010 and 2019, and why more needs to be done to get more individuals into treatment.

RAND Report Assesses Hospital Prices Paid by Employers, Private Insurers

May 17th 2022, 4:00pm

Article

The report details totals paid to hospitals by private insurers and providers and compares the sums with a Medicare benchmark.

Contributor: Congress Must Act to Stop America’s Amputation Epidemic

May 16th 2022, 2:30pm

Article

The Amputation Reduction and Compassion Act (H.R. 2631) would ensure that Medicare and Medicaid both cover peripheral artery disease screening for at-risk beneficiaries without the cost-sharing requirements that could make some patients balk at seeking care.

What We’re Reading: Biden Addresses Baby Formula Shortage; Veterans’ Care Home Settlement; Hospital Stay Harms

May 13th 2022, 2:40pm

Article

President Joe Biden announces plans to improve baby formula shortages; Massachusetts reaches settlement with veterans who contracted COVID-19 in long-term care facility; a quarter of Medicare beneficiaries were harmed from hospital stays in 2018.

Jayson Slotnik Discusses Using Payment Models to Address Health Equity

May 13th 2022, 2:35pm

Video

While CMS has started making changes to address health equity through policy and payment models, commercial plans are waiting to see the outcomes before they follow suit, said Jayson Slotnik, partner, Health Policy Strategies, Inc.

Physician Prices and Low-Value Services: Evidence From General Internal Medicine

May 12th 2022, 4:00pm

Article

This study found extensive variation in general internal medicine physician prices and that high-priced physicians provided fewer low-value services but had higher spending on these services.

New FDA Program to Focus on Driving Rare Disease Drug Development

May 12th 2022, 3:54pm

Article

In an effort to bolster development of treatments for rare diseases, the FDA announced the creation of the new Accelerating Rare disease Cures (ARC) program.

What's Behind Lagging Payer Uptake of Prescription Digital Therapeutics?

May 10th 2022, 2:09pm

Article

In a session at the 2022 Asembia Specialty Pharmacy Summit, Jayne Hornung, chief clinical officer at Managed Markets Insights & Technology (MMIT), outlined factors driving payer hesitation when it comes to covering prescription digital therapeutics.

Disparities in Health Care Use Among Low-Salary and High-Salary Employees

May 9th 2022, 7:00pm

Article

Lower-salary employees in high-deductible health plans underutilize outpatient care and overutilize emergency departments.