Obstetrics-Gynecology & Women's Health

 

Improved screenings good news for women: Trends point to higher disease detection for women, including cancer and chlamydia

December 01, 2006

We've come a long way, baby. Yes, women in the workplace, in the board room, in political office-and in healthcare-have come a long way. A status report on Health Plan Employer Data and Information Set (HEDIS) measures specifically targeting women is showing upward trends, or at least steady statistics. Private health plans showed improvement in 35 out of 42 effectiveness of care HEDIS measures in 2005.

Infusion of advanced vaccines: Medications that change history also present logistical questions

July 01, 2006

Drug Manufacturers have introduced vaccines for meningococcal disease, shingles, pertussis, rotavirus, and cervical cancer, meanwhile even more vaccines are in the development pipeline. While each represents a major step forward for public health, the advances present an assortment of challenges from payment rates for physicians to moral issues for parents.

Consumers go abroad in pursuit of cost-effective healthcare

July 01, 2006

NATIONAL REPORTS-Medical tourism is a fast-growing movement in which American consumers are choosing to travel outside the country for a variety of healthcare procedures and treatments.

Politics aside, we have a chance to prevent a deadly cancer

July 01, 2006

About two hours after a colleague and I lamented over breakfast about Americans' shortcomings in wellness, I heard the news that the vaccine for human papillomavirus (HPV) had received the final nod from FDA. Now there was something Americans were actually doing pretty well: immunizing.

One eye on the image and the other on the wallet

June 01, 2006

There is no question in anyone's mind that the increased use of high-tech diagnostic imaging has significantly improved the diagnosis and treatment of patients during the past decade.

More on OTCs (June 2006): Paradigm shift

June 01, 2006

Although any change in moving newly released over-the-counter (OTC)medications to benefit designs or formularies is currently beingdriven by health plans, other emerging market factors willinfluence how plans and employer groups think about coverage forOTCs. For example, Blue Cross and Blue Shield of Minnesota has hadnumerous inquiries about OTC coverage, usually from employer groupsthat know Medicaid and some Part D plans can cover OTCs. Inaddition, some states are evaluating their pharmacy practiceguidelines to determine how to revise them to accommodate changesin dispensing OTCs. This change is driven by the addition of OTCsto formularies and by the move to put pseudoephedrines behind thecounter. Another industry trend in some states, includingMinnesota, allows pharmacists to prescribe OTC products for publicprogram recipients.

Advocacy with compassion: Dorothy Tarrant's role as healthcare ombudsman/mediator places her at the nexus of patient-provider interaction

June 01, 2006

Perhaps back when she was a graduate student at California State University, Sacramento (CSUS), Dorothy Tarrant, LCSW, MPA, had an idea that someday she would end up in her current role as the healthcare ombudsman/mediator (HCOM) for Kaiser Permanente's Redwood City Medical Center in California.

One eye on the image and the other on the wallet

June 01, 2006

There is no question in anyone's mind that the increased use of high-tech diagnostic imaging has significantly improved the diagnosis and treatment of patients during the past decade.

Effective medicines now available to combat osteoporosis

March 01, 2006

In the United States today, 10 million people have osteoporosis (bone density that's about 25% less than a healthy young adult). In addition, 34 million more people have low levels of bone mass, placing them at increased risk. Osteoporosis is responsible for more than 1.5 million fractures annually, including 300,000 hip fractures, approximately 700,000 vertebral fractures, 250,000 wrist fractures, and more than 300,000 other fractures. About 68% of those affected by osteoporosis are women.

Viral hepatitis C management involves some tough decisions

February 01, 2006

The best approach is to combine clinical therapy with strong support from behavioral health professionals.

Healthcare Navigator

February 01, 2006

If you're going to choose a consultant to help you navigate today's ever-changing healthcare waters, you'd probably look for three key qualifications: experience, insight and diversity. While those characteristics might seem obvious, finding someone with those traits isn't always so apparent.

Comprehensive infertility coverage can add value to benefit design

January 01, 2006

Most cost estimates for infertility treatment, including IVF, range from $4 to $6 per member per year.

Next-generation episode grouping could drive care quality

October 01, 2005

In the september issue, Part I of this two-part series on episode grouping focused on how this method of statistical tracking enables healthcare organizations to more effectively deliver the most appropriate treatments in order to manage the associated costs.

More on osteoporosis from Pharmacy Best Practices

September 01, 2005

The 2006 introduction of Part D under the Medicare Modernization Act will definitely affect medications targeting osteoporosis, the majority of which are prescribed to those 65 or older.

A maturing population makes osteoporosis management a must

September 01, 2005

The biggest bang for the buck is treating the older population for which fractures are more prevalent.

Regional differences might exist in the cost of injectables

June 01, 2005

While the overall cost of injectables is relatively consistent from health plan to health plan, regional differences exist in the total cost of individual therapy classes as a result of PMPM utilization, necessitating payers to develop injectable management programs that are customized for their geographical service area. Examples of these regional differences include the higher incidence of multiple sclerosis in northern states, higher prevalence of older Americans in states such as Florida and Arizona (and the associated higher oncology costs), and infertility costs in states where coverage is state-mandated.

April FDA Pipeline

April 01, 2005

April FDA Pipeline

Levodopa remains principal treatment for Parkinson's disease

April 01, 2005

Parkinson's Disease is a chronic, progressive neurological disorder that occurs when neurons in the part of the brain that controls movement start to degenerate. This leads to a shortage of the neurotransmitter dopamine, causing characteristic movement problems.

Surgery, radiation, chemo, recombinant antibody combat breast cancer

March 01, 2005

BREAST CANCER is the most common cancer found in women, and the second leading cause of cancer deaths in women. More than 200,000 new cases of invasive breast cancer are diagnosed in the United States each year, approximately 77% of them in women over 50 years of age.

Patient Pact

March 01, 2005

DEAN F. NELSON, MD, was the first board-certified obstetrician and gynecologist in the state of Utah. Not only was he the first, he also was one of the best when it came to connecting with patients and really understanding them, recalls his son, American Medical Assn. (AMA) President John C. Nelson, MD, MPH.