- Center on Health Equity and Access
- Clinical
- Health Care Cost
- Health Care Delivery
- Insurance
- Policy
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- Value-Based Care
Financial Crisis: A High Price to Pay for New Treatment Options
Peter Salgo, MD, and Bryan Loy, MD, examine the financial impact of new treatment options in medical oncology. Dr Salgo notes that due to cost sharing, premiums and deductibles continue to increase, and treatment costs place a heavy burden on patients.
Dr Loy remarks that the nation is already in a financial crisis, and discusses why price sensitivity discussions need to occur sooner rather than later. He explains that while policy changes can assist in the introductory stages of new innovations and in the design of future clinical trials, there are instances when patients do not have the financial resources available to fund the treatment recommended for them. Also, patients who are insured may experience financial difficulties related to deductible requirements or out-of-pocket expenses that force them to consider discontinuing treatment.
Discussions on how to handle the financial burden of a catastrophic illness should not take place only when patients have exhausted their resources, but rather as early as possible, adds Dr Loy.
Navigating Health Policy in an Election Year: Insights From Dr Dennis Scanlon
April 2nd 2024On this episode of Managed Care Cast, we're talking with Dennis Scanlon, PhD, the editor in chief of The American Journal of Accountable Care®, about prior authorization, price transparency, the impact of health policy on the upcoming election, and more.
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Prices for care at hospital trauma centers vary across hospitals; drug shortages reached a record high during the first quarter of 2024; although 3 of the biggest makers of asthma inhalers pledged to cap out-of-pocket costs for some US patients at $35, these do not apply to daily inhalers used by the youngest kids with asthma.
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Exploring Medicare Advantage Prior Authorization Variations
March 26th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the March 2024 issue of The American Journal of Managed Care® about their findings on variations in prior authorization use across Medicare Advantage plans.
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The Biden administration recently launched the Global Health Security Strategy, a new effort to combat the spread of infectious diseases; lawmakers zeroed in on the risks of massive consolidation in health care during the first congressional hearing on the Change Healthcare hack; the FDA recently announced the recall of a pair of heart devices linked to numerous deaths and injuries.
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