Push to Increase Generic Competition
The FDA is determined to bring generics to the market sooner, and it’s already paying off. A new competitor for Valeant’s heart medication Isuprel has been approved, reported FiercePharma. Isuprel is part of a federal investigation into its pricing after Valeant purchased the drug and increased the price more than 300%. The new generic should be available within the month.
Medi-Cal Cuts to Hospitals Were Not Legal
A federal appeals court has decided that California’s request to cut Medi-Cal reimbursement to hospitals for outpatient care was inappropriate. The cuts came during the recession. According to the Los Angeles Times, the state cut reimbursement by 10% from July 2008 to February 2009, and if the ruling stands California hospitals will be owed hundreds of millions of dollars. The law requires that there is evidence that beneficiaries of care will have access to the same services as the rest of the population, but the government could not have been able to show that, the lawyer for the hospitals argued.
Anthem Will Scale Back ACA Participation More
Nevada’s Affordable Care Act exchange is losing Anthem’s plans, as are nearly half of the counties in Georgia. Reuters reported that Anthem’s decision to leave Nevada won’t actually increase the number of counties where residents do not have access to plans on the exchange. Anthem will still offer catastrophic plans outside of the exchange that are available to people who are under the age of 30 or have low income. The Georgia counties where Anthem is remaining are mostly rural counties that would have no other insurance coverage if Anthem left.
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.
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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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Collecting SDOH Data Can Assess Risk of Medical Nonadherence, Improve HEI and Star Ratings
April 18th 2024At the Academy of Managed Care Pharmacy (AMCP) 2024 annual meeting, a panel of presenters explored changes coming to Medicare that incorporate social determinants of health (SDOH) data to improve patient and health system outcomes.
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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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Commonwealth Fund Report Details Pervasive Racial and Ethnic Disparities in US Health Care, Outcomes
April 18th 2024Using 25 health system performance indicators, the Commonwealth Fund 2024 State Health Disparities Report evaluated racial and ethnic disparities in health care and health outcomes both within and across US states and highlighted the urgent need for equitable health care policies and practices in the US.
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