A one-minute look at managed care news during the week of April 13, 2015, including a the official repeal of the sustainable growth rate formula and a look at the rising cost of generic drugs.
Weeks after the House passed legislation that would repeal the sustainable growth rate (SGR) formula that determines Medicare payments, the Senate overwhelmingly passed the legislation as well. Two days later President Barack Obama signed the bill into law.
The Office of the Inspector General of HHS will review the impact of generic drug price increases on the Medicaid drug rebate program. Last year, The American Journal of Managed Care (AJMC)'s co-editor-in-chief, A. Mark Fendrick, MD, wrote about the costs of non-preferred generic drug pricing tiers.
Finally, there's still time to join AJMC in San Diego, April 30-May 1, for the third annual ACO and Emerging Healthcare Delivery Coalition. Learn more and register here.
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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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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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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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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