
Modernize delivery models and help PCPs do more now and in the future

The Comprehensive Primary Care Initiative expects high performers to up their game with technology, data sharing and quality milestones

CDC defines risk factors

WellPoint's RBP model puts market forces to work

A combination of diabetes, hypertension and dyslipidemia is the telltale sign of high risk

CoOportunity offers narrow- and tiered-network products, but don't call them HMOs

New OIG report reveals dieticians and massage therapists prescribing drugs and says plans have obligation to verify claims

Physicians have yet to master the implications of genetic test and their relationship to treatment, while plans await outcome evidence

A recent Supreme Court Decision underscores the necessity of counsel reviewing the dispute resolution terms in health plan contracts with providers


Plans have to promote the value of health coverage to overcome the noise about rate shock

FDA sent out a MedWatch warning, on July 12, 2013, after Medtronic recalled its MiniMed Paradigm insulin infusion sets.

A new retrospective case-control study among patients with chronic obstructive pulmonary disease (COPD) found a 30% decreased risk of COPD exacerbation with any statin use.

Patients taking the new generation of oral anticoagulants (nOACs) are associated with a significantly higher risk of gastrointestinal bleeding (GIB), according to a new study.

FDA advisers recommended in early June the easing of restrictions on the diabetes drug rosiglitazone (Avandia, GlaxoSmithKline), following an independent re-examination of GSK’s RECORD study conducted by Duke Clinical Research Institute.

Telmisartan and valsartan, used to reduce blood pressure in people with diabetes, are associated with a lower risk of hospitalization for heart attack, stroke, or heart failure, according to a study published on the Canadian Medical Association Journal.

The Institute for Safe Medication Practices (ISMP) continues to receive reports of dose measurement confusion with HumuLIN R U-500 concentrated insulin injection, according to a recent safety alert from the agency.

The use of electronic health records (EHRs) saved more than 3% in ambulatory health costs but did not reduce overall inpatient costs, according to a new study.

The new update to the 2009 American Society of Clinical Oncology (ASCO) guideline on the pharmacologic interventions for breast cancer risk reduction now lists aromatase inhibitor exemestane (Aromasin, Pfizer) as an option for postmenopausal women for primary risk reduction that are at an increased risk of developing invasive breast cancer.

With 40% of drugs in this country coming from other nations and 80% of active ingredient manufacturers located outside the United States, last year Congress gave FDA new powers to oversee those products.

A nonprofit dedicated to ensuring online pharmacy safety, whose roots date back to an informal advocacy group started 4 years ago, was this week officially chartered in Washington, D.C.

According to the World Health Organization, only 50% of patients living with a chronic illness take their medication on time as directed. An American dies every 19 minutes from skipping medication or taking meds incorrectly, costing US hospitals more than $100 billion every year.

When hospitals consolidate, what will fix the effect on pricing?

Pharmacist counseling is cost-effective and can contribute to improved adherence.

Medication nonadherence drives $105 billion in annual costs.

Plans risk losing group contracts with alternative healthcare purchasing choices becoming available.

Employer shared responsibility delayed, and more guidance is forthcoming

Investigators had already determined that the Age-Related Eye Disease Study (AREDS) formulation slowed the progression to advanced age-related macular degeneration (AMD), with a 25% decrease in the likelihood of progression to advanced AMD compared with placebo.

Obesity is associated with an increased risk of infection. Unfortunately clinical trials examining the safety and efficacy of antibiotics in obese patients are deficient. Thus, clinicians predominately rely on pharmacokinetic and pharmacodynamic data for appropriate antibiotic dosing. The current literature for vancomycin, aminoglycosides, beta-lactams, fluoroquinolones, linezolid, and macrolides was reviewed to evaluate appropriate dosing in obese patients. Due to the limited number of studies and various pharmacokinetic parameters of antibiotics, dosing should be based on both patient- and drug-specific factors.

ICORE Healthcare-a subsidiary of Magellan Pharmacy Solutions-released the latest installment of its annual Medical Pharmacy & Oncology Trend Report.1 This report is unique in that it is the only trend and spend report that looks specifically at the medical benefit, under which almost half of all specialty pharmaceutical costs are currently managed and paid. Now in its third year, the report’s findings indicate that specialty pharmaceuticals are continuing to play an increasingly large role in managed care plan budgets and are certainly deserving of the increased payer attention they are receiving.