Policy

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.

The Relationship Between Provider Age and Opioid Prescribing Behavior

May 6th 2022, 1:00pm

Article

Holding other factors constant, the authors find that older providers prescribe significantly more opioids, with the gap between older and younger providers increasing from 2010 to 2015.

At PQA, CMS Veteran Blum Highlights Policy Shifts and Rationale for Latest Rulemaking

May 5th 2022, 5:44pm

Article

Future quality conversations must recognize what the pandemic has illustrated over the past 2 years—that patients who were in the most dire need of health care, including those with multiple chronic conditions, had the least amount of access, said Jonathan Blum, MPP, the principal deputy administrator and chief operating officer of CMS.

Impact of Co-pay Assistance on Patient, Clinical, and Economic Outcomes

May 5th 2022, 1:00pm

Article

Limited evidence from a literature review suggests that co-pay assistance was associated with improved treatment persistence/adherence across various diseases, with indirect evidence suggesting improvements in clinical outcomes.

Patients, Pharmacists Tackle SDOH, With Surprising Insights

May 4th 2022, 8:52pm

Article

At the Pharmacy Quality Alliance (PQA) 2022 Annual Meeting Wednesday, participants heard about some unexpected insights arising from a workshop held this week between patients and pharmacists who are creating a patient-centered outcomes research agenda focused on addressing social determinants of health (SDOH) in the community pharmacy setting.

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

May 4th 2022, 3:00pm

Article

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.

Jayson Slotnik Weighs the Future of Value-Based Payments After the Pandemic

May 3rd 2022, 10:45pm

Video

Value-based payments were a benefit during the pandemic, but it remains to be seen if patients are interested in keeping those changes in care delivery as the pandemic recedes, said Jayson Slotnik, partner, Health Policy Strategies, Inc.

Exploring Payer Coverage Decisions Following FDA Novel Drug Approvals

May 3rd 2022, 8:31pm

Podcast

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.

Gottlieb, Fein Discuss COVID-19, Accelerated Approvals, and Drug Pricing at Asembia 2022

May 3rd 2022, 6:41pm

Article

Scott Gottlieb, MD, and Adam Fein, PhD, discussed potential fallout of the FDA Aduhelm approval and lessons learned from the COVID-19 pandemic.