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What We're Reading: Fewer Plans Expected on HealthCare.gov
What we're reading, October 29, 2015: Fewer health plans will be available on HealthCare.gov in 2016; PBMs cut ties with pharmacy connected to Valeant; and emergency departments are dissatisfied with electronic health record interoperability.
Health Plans on HealthCare.gov to Decrease 12%
CNBC is reporting that the number of health plans available on HealthCare.gov, the largest marketplace under the Affordable Care Act, will decrease 12% in 2016 compared with this year. Preferred provider organizations will see the sharpest decrease (40%), but there will be an increase in health maintenance organization plans.
PBMs Cut Ties With Pharmacy Connected to Valeant
Express Scripts, CVS Health, and OptumRx will stop paying for drugs dispensed by a pharmacy that has bolstering sales of products made by Valeant Pharmaceuticals, according to the New York Times. The pharmacy in question almost exclusively dispenses Valeant’s expensive dermatology products when there are much cheaper alternatives.
EDs Dissatisfied With EHR System Interoperability
A survey of emergency department (ED) administrative and nursing managers and physicians found widespread dissatisfaction with ED systems. More than one-third of hospitals with 150 beds or more are currently or planning to replace their ED information system.
Polatuzumab Vedotin and R-CHP Appropriate for Untreated DLBCL
April 24th 2024Population pharmacokinetic and exposure-response analyses revealed a favorable benefit-risk profilane for the treatment combination of polatuzumab vedotin and rituximab, cyclophosphamide, doxorubicin, and prednisone (R-CHP).
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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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What We’re Reading: Abortion Privacy Rules; Alzheimer Drug Hurdles; Nursing Home Staffing Overhaul
April 23rd 2024New health privacy rules aim to protect patients and providers in an evolving abortion landscape; some physicians express concerns about efficacy, risks, and entrenched beliefs in treating Alzheimer disease; CMS addresses longstanding staffing deficits in nursing homes.
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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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