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What We're Reading: Lower-Risk Opioid Coverage; Nursing Home Deaths; Sickle Cell Care Gaps


Insurers Reluctant to Cover Costly but Lower-Risk Painkiller Alternatives

Although there are opioid and non-opioid painkillers available that lessen the risk of abuse, a new investigation finds that these costlier drugs are often not covered by insurers. The report published by the New York Times and ProPublica featured interviews with patients who were denied access to less-risky opioids, like buprenorphine patches, or non-opioid alternatives by their insurers, who were more likely to cover opioids like morphine that have a higher potential for abuse and addiction. The article also raised concerns about limited insurer coverage of addiction treatments.

After Heat Deaths, Florida Nursing Home Ejected from Medicaid Program

After Hurricane Irma’s power outages led to the deaths of 8 residents in a Florida nursing home who were exposed to excessive heat, the state is taking measures like suspending the facility from participating in Medicaid. Reuters reported that the state’s health agency also prohibited the Rehabilitation Center at Hollywood Hills from accepting new patients, and the building has been sealed by police after all residents were evacuated. State and federal authorities have begun conducting a criminal investigation into the loss of life that occurred at the facility.

Patients With Sickle Cell Disease Face Uphill Battle for Adequate Care

A new report published by STAT revealed the unmet care needs among patients with sickle cell disease, who can face delays in emergency treatment, biased judgments, and inadequate primary care. The 12 patients interviewed in the article said that clinicians often consider them drug-seekers due to their race, as the painful condition predominantly affects African Americans. They also described how many primary care physicians are not equipped to manage the condition, which leads to patients seeking treatment in the emergency department when they experience an episode, although they do not always receive appropriate care from emergency clinicians.

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