News

Patients who skip filling an antibiotic prescription after hospital discharge because of high out-of-pocket costs are at increased risk of rehospitalization and cost the healthcare system substantially more in the long term, according to a study published in the October issue of the American Journal of Managed Care.

Employer plans must evaluate their wellness culture

Under priority review, FDA approved pertuzumab (Perjeta, Genentech, a member of the Roche Group) on September 30 as part of a complete treatment regimen for patients with early stage breast cancer before surgery.

FDA warned September 27 of an increased risk of death associated with intravenous tigecycline (Tygacil) for FDA-approved and non-approved uses.

Centers reach out to low-income populations.

Health plans are supporting providers by offering outcomes-driven engagement programs for members

The small-group segment is a viable marketplace

According to KFF/HRET, more than half of covered workers opt for PPO arrangements

Bronze plans will serve the hold-outs who have not purchased insurance in the past

Expect a few missteps as provisions phase in over time

AMA says obesity is a disease but the decision is up for debate

New members likely to have more chronic conditions

More complex reimbursement contracts make it tougher on providers

Shared Savings model will have to mature and refine to adapt to industry changes

Anticipate larger ACOs eventually opting for formularies

Physician-led models seem to have an advantage

New cost control ideas will be needed in the future

One of many things that will cause rates to increase between 2013 and 2014.

CDC is concerned because young adults and children are beginning to use e-cigarettes, and the products’ safety is uncertain.

Managed care appears to fare well under PPACA

Convenient sound bites do not take the place of true intelligence.

Will the 34 federally-facilitated and state-partnership exchange programs be sufficient?

Managed care organizations will be remiss if they don’t seriously consider the evolving competitive landscape.

New network designs drive quality through data sharing

Consumers need in-person assistance to understand the health law and what it means to them

While HHS touts big savings for consumers, insurers feel the pinch on prices

Employers are threatening to cut hours and workers to avoid PPACA requirements

Pharmacy leaders say benchmark plans too limited and PPACA too prescriptive