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What We're Reading: Administration Will Crack Down on ACA Deadlines
What we're reading, February 25, 2016: the government will require proof of eligibility for enrollment in special sign-up periods under the Affordable Care Act (ACA); this year's flu vaccine is more effective; and 6 states are suing the Obama administration over an ACA fee.
The Obama administration will require customers prove their eligibility for special enrollment periods under the Affordable Care Act (ACA), according to The Hill. Insurers had cited concerns that a lack of verification was leading some to sign up only when they got sick. In January, the administration also announced it would reduce the number of special sign-up periods.
This year’s flu vaccine is a better match for the strains making people sick, which means it is more effective compared with last year’s vaccine. Data show that the vaccine is 59% effective, which is far better than the vaccine that was less than 20% effective last flu season, reported AP. While this flu season has been milder, health officials say it has not peaked yet.
Six states are suing the Obama administration over a fee to cover the federal subsidies under the ACA. Texas, Wisconsin, Kansas, Louisiana, Indiana, and Nebraska are arguing that the healthcare law did not make it clear that states would have to pay the fee in addition to health insurers, reported The New York Times. The suit asks that the states be refunded what they already paid.
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.
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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.
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Early Involvement Critical in Treating Immunotherapy-Induced Overlap Syndrome
April 19th 2024A series of case studies reveals the importance of early diagnosis and involvement of special teams of clinicians when dealing with potential cases of overlap syndrome, which encompasses myocarditis, myasthenia gravis, and immune checkpoint inhibitor–related myositis.
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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.
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Government agencies have created an online portal for the public to report potential anticompetitive practices in health care; there are changes coming to the “boxed warning” section for chimeric antigen receptor T-cell therapies (CAR T) to highlight T-cell blood cancer risk; questions about the safety of obesity medications during pregnancy have arisen in women on them who previously struggled with fertility issues.
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