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This Week in Managed Care: June 20, 2015
This week 3 states received approval to set up their own state exchanges in the even the Supreme Court removes subsidies in the federally facilitated marketplace, and the deadline passed for stakeholders to respond to CMS' proposed rules for mental health parity in Medicaid managed care.
This week 3 states began to prepare for the potential that the Supreme Court may rule in favor of the plaintiffs in King v. Burwell, which would make millions of Americans in states using the federal insurance marketplace ineligible for subsidies. Arkansas, Delaware, and Pennsylvania have all received tentative approval from HHS to set up their own health insurance exchanges in the event that the Supreme Court rules for King.
Kaiser Family Foundation found that the majority of Americans (73%) find drug prices unreasonable, even though only half of them actually take prescription medications. A quarter of those surveyed said they had a friend or family member who could not fill a prescription because of cost, and 76% blame drug manufacturers for the high prices.
And this week was the deadline to respond to CMS' proposed rules for mental health parity in Medicaid managed care. Insurers and states asked for more time to make changes than the 18 months allotted in the rules, but mental health advocates say Medicaid patients have waited long enough since the federal parity law was passed 7 years ago.
A decision from the Supreme Court in King v. Burwell is due soon. Some think that no matter what the ruling, Congress will have to protect premium subsidies because Americans who have gained health coverage won't accept losing it. Do you:
Oncology Onward: A Conversation With Thyme Care CEO and Cofounder Robin Shah
October 2nd 2023Robin Shah, CEO of Thyme Care, which he founded in 2020 with Bobby Green, MD, president and chief medical officer, joins hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, to discuss his evolution as an entrepreneur in oncology care innovation and his goal of positively changing how patients experience the cancer system.
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SABCS 2023 Sessions Touch on "Every Aspect of Breast Cancer"
December 4th 2023The 46th annual San Antonio Breast Cancer Symposium will take place December 5-9, with new and experienced attendees able to choose and learn from a schedule overflowing with the latest developments in breast cancer science and research.
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Insufficient Data, Disparities Plague Lung Cancer Risk Factor Documentation
September 24th 2023On this episode of Managed Care Cast, we speak with the senior author of a study published in the September 2023 issue of The American Journal of Managed Care® on the importance of adequate and effective lung cancer risk factor documentation to determine a patient's eligibility for screening.
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NK Cell Therapy SNK01 Improves Cognitive Function in Alzheimer Disease for up to 11 Weeks
December 3rd 2023Among 10 patients evaluated, compared with their baseline at 1 week after receiving their final dose in the trial, 30% demonstrated clinical improvement on the Alzheimer’s disease composite score.
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Health Equity and Access Weekly Roundup: December 2, 2023
December 2nd 2023The Center on Health Equity and Access highlights the most recent updates in the realm of health equity, including news, research findings, and initiatives focused on mitigating health care disparities and enhancing overall access to quality care.
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