What we're reading, October 23, 2015: a new definition of dual eligibles, FDA warning on liver toxicity of Abbvie's hepatitis C drug, and Amgen's Repatha can cost patients more than just money.
A New Definition of Dual Eligibles?
Errors within the functioning of the Affordable Care Act, confirmed by investigators from the Government Accountability Office or GAO, have led to duplicate coverage for some enrollees and excess payments for some. While some enrollees in Medicaid were also receiving subsidies for private insurance, those eligible for an average of 57% of costs of Medicaid under the old rule are being covered a 100%. Meanwhile the federal government has promised extra efforts to prevent duplicate coverage and has assured that states are being trained to identify newly eligible beneficiaries.
Read more here.
Patient Deaths Sparks FDA Warning on AbbVie’s Hepatitis C Drugs
The FDA has asked AbbVie, the company that developed Viekira Pak and Technivie for hepatitis C, to alter the drug label and include a warning on liver injury. This comes after FDA investigators identified several cases where patients with underlying liver disease suffered from hepatic decompensation and liver failure after taking these medicines. In most of the reported cases, liver injury occurred within 1 to 4 weeks of initiating treatment.
Read the FDA’s Drug Safety Communication here.
Participation in Repatha Copay Program May Cost Patients Their Privacy
Enrollment in Amgen’s RepathaReady program may force participants to sign-off their medical information to the company and even to a third party, according to a report published on MedpageToday. A copay card that provides patients access to this $14,000 a year anti-cholesterol medication for just a tiny fraction of the cost would also result in loss of privacy. The patient agreement indicates, “I understand that Amgen may use my personal information, including my personal health information, for 10 years once I accept this Authorization or for a shorter time period if required by state law.”
Read more here.
Standard Criteria for Loss of Ambulation Needed in DMD
April 19th 2024A recent study suggests the differences between ambulation definitions for patients with Duchenne muscular dystrophy (DMD) can impact the identification of ambulant vs nonambulant individuals, and standard criteria across settings are needed.
Read More
Navigating Health Literacy, Social Determinants, and Discrimination in National Health Plans
February 13th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the February 2024 issue of The American Journal of Managed Care® about their findings on how health plans can screen for health literacy, social determinants of health, and perceived health care discrimination.
Listen
An Overview of Health Care and Pharmaceutical Trends, 2023-2024
April 19th 2024Douglas M. Long, BA, MBA, was featured as the keynote speaker on the closing day of The Academy of Managed Care Pharmacy 2024 annual meeting, with a session dedicated to surveying the health care and pharmaceutical trends of the last year.
Read More
Drs Raymond Thertulien, Joseph Mikhael on Racial Disparities in Multiple Myeloma Care Access
December 28th 2023In the wake of the 2023 American Society of Hematology Annual Meeting and Exposition, Raymond Thertulien, MD, PhD, of Novant Health, and Joseph Mikhael, MD, MEd, FRCPC, FACP, chief medical officer of the International Myeloma Foundation, discussed health equity research highlights from the meeting and drivers of racial disparities in multiple myeloma outcomes.
Listen
Real-World Study Reveals Key Insights Into DLBCL Treatment Patterns, Outcomes
April 18th 2024A recent study offers valuable insights into the characteristics, treatment patterns, and outcomes of diffuse large B-cell lymphoma (DLBCL) in patients across different lines of therapy, providing a look into the landscape of DLBCL management.
Read More