Program for Medi-Cal beneficiaries with complex health needs reduced emergency visits, hospitalizations
Key takeawaysCalifornia ’s Health Homes Program aimed to improve care and reduce costs for Medi-Cal beneficiaries with complex medical needs.From mid-2018 through the end of 2021, the program enrolled 90,000 people in 12 California counties.Program enrollees generally had fewer emergency room visits and hospitalizations than Medi-Cal beneficiaries who weren ’t enrolled, saving the state an average of $1,113 per person per year.A  California program for Medi-Cal beneficiaries with complex medical needs and chronic conditions reduced the number of emergency department visits and hospital stays among its enrollees, acco...
Source: UCLA Newsroom: Health Sciences - July 11, 2023 Category: Universities & Medical Training Source Type: news

Who Employs Your Doctor? Increasingly, a Private Equity Firm.
A new study finds that private equity firms own more than half of all specialists in certain U.S. markets. (Source: NYT Health)
Source: NYT Health - July 11, 2023 Category: Consumer Health News Authors: Reed Abelson and Margot Sanger-Katz Tags: Private Equity Health Insurance and Managed Care Mergers, Acquisitions and Divestitures Doctors Source Type: news

Who Employs Your Doctor? Increasingly, a Private Equity Firm
A new study finds that private equity firms own more than half of all specialists in certain U.S. markets. (Source: NYT Health)
Source: NYT Health - July 10, 2023 Category: Consumer Health News Authors: Reed Abelson and Margot Sanger-Katz Tags: Private Equity Health Insurance and Managed Care Mergers, Acquisitions and Divestitures Doctors Source Type: news

What to Know About Leqembi, the Alzheimer ’s Drug Approved by the FDA
Medicare will cover much of the cost for patients in the early stages of the disease, but Leqembi has safety risks and can only modestly slow cognitive decline. (Source: NYT Health)
Source: NYT Health - July 6, 2023 Category: Consumer Health News Authors: Pam Belluck Tags: your-feed-science Alzheimer ' s Disease Health Insurance and Managed Care Medicare Content Type: Service Drugs (Pharmaceuticals) Brain Food and Drug Administration Source Type: news

People With Private Medicare Plans Can ’t Find Psychiatrists, Study Shows
A new study finds that people have a very difficult time finding doctors in their networks under the private-sector policies. (Source: NYT Health)
Source: NYT Health - July 5, 2023 Category: Consumer Health News Authors: Reed Abelson Tags: Research Health Insurance and Managed Care Medicare Psychiatry and Psychiatrists Mental Health and Disorders Medicare Advantage Elderly Source Type: news

After Florida Blue wins state contract, other insurers fight back
Two health insurers have launched legal fights after they lost out on contracts to provide managed care to state employees. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - July 3, 2023 Category: Pharmaceuticals Authors: Jim Saunders Source Type: news

Reversing a Trend, Sicker Americans Are Staying With Medicare Managed Care Plans
WEDNESDAY, June 28, 2023 -- A new study shows that older Americans with health issues are now staying with their Medicare Advantage managed plans, rather than swapping them for traditional plans through a health insurer. Although Medicare Advantage... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - June 28, 2023 Category: General Medicine Source Type: news

Florida health insurance contracts spur fights
Two health insurers have launched legal fights after they lost out on contracts to provide managed care to state employees. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - June 22, 2023 Category: Biotechnology Authors: Jim Saunders Source Type: news

It ’s Not Just You: Many People Confront Health Insurance Obstacles on Care and Bills
A new survey indicates that a majority of U.S. adults who are insured have experienced a raft of problems including troubles with access to medical care and unexpected, higher bills. (Source: NYT Health)
Source: NYT Health - June 15, 2023 Category: Consumer Health News Authors: Reed Abelson Tags: Health Insurance and Managed Care Polls and Public Opinion Regulation and Deregulation of Industry KFF your-feed-healthcare Source Type: news

Obamacare Mandate for Preventive Care Is Restored, for Now
Health plans must pay for all types of preventive care, including a pill to prevent H.I.V., while an appeals court deliberates whether to strike down part of the Affordable Care Act. (Source: NYT Health)
Source: NYT Health - June 13, 2023 Category: Consumer Health News Authors: Sarah Kliff Tags: your-feed-science Health Insurance and Managed Care Patient Protection and Affordable Care Act (2010) Preventive Medicine your-feed-healthcare Law and Legislation Source Type: news

New data show Roche ’s subcutaneously administered crovalimab achieved disease control and was well-tolerated in people with paroxysmal nocturnal haemoglobinuria (PNH)
The COMMODORE 2 study demonstrated that subcutaneous crovalimab every four weeks was non-inferior to intravenous eculizumab every two weeks, with comparable safety, in people new to C5 inhibitors1Monthly self-administration of subcutaneous crovalimab has the potential to address the high burden of a disease that requires lifelong treatment including in settings where access to currentC5 inhibitors is limited1,2The COMMODORE 1 study in people switching from currently approved C5 inhibitors supported the consistent benefit-risk profile of crovalimab as seen in the COMMODORE 2 study3Basel, 09 June 2023 - Roche (SIX: RO, ROG; ...
Source: Roche Investor Update - June 9, 2023 Category: Pharmaceuticals Source Type: news

New data show Roche ’s subcutaneously administered crovalimab achieved disease control and was well-tolerated in people with paroxysmal nocturnal haemoglobinuria (PNH)
The COMMODORE 2 study demonstrated that subcutaneous crovalimab every four weeks was non-inferior to intravenous eculizumab every two weeks, with comparable safety, in people new to C5 inhibitors1Monthly self-administration of subcutaneous crovalimab has the potential to address the high burden of a disease that requires lifelong treatment including in settings where access to currentC5 inhibitors is limited1,2The COMMODORE 1 study in people switching from currently approved C5 inhibitors supported the consistent benefit-risk profile of crovalimab as seen in the COMMODORE 2 study3Basel, 09 June 2023 - Roche (SIX: RO, ROG; ...
Source: Roche Media News - June 9, 2023 Category: Pharmaceuticals Source Type: news

Centene chosen for 2 contracts as Oklahoma's Medicaid program moves to managed care
The Oklahoma Health Care Authority selected Centene ’s Oklahoma Complete Health, Aetna Better Health of Oklahoma and Humana Healthy Horizons of Oklahoma for one-year contracts, with five one-year renewal options. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - June 8, 2023 Category: Pharmaceuticals Authors: James Drew Source Type: news

Virtual maternal and newborn care companyPomelo Care will use $33 million fundraise to expand partnerships
Pomelo Care, a virtual medical practice that addresses risk factors to improve maternal and newborn health, increase access to care and reduce costs, has raised $33 million in seed and Series A funding. The round, which was led by Andreessen Horowitz, will be used to expand the company ’s partnerships with major health plans, including Medicaid-managed care organizations, employers and academic medical centers. Pomelo also announced the appointment of Vineeta Agarwala, MD, PhD, general partner… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - June 8, 2023 Category: Pharmaceuticals Authors: Anne Stych Source Type: news

MCNA Dental, one of the largest US government-sponsored dental insurers, says hackers stole data of ~8.9M people; LockBit claimed responsibility for the attack
Managed Care of North America (MCNA) Dental has published a data breach notification on its website, informing almost 9 million patients that their personal data were compromised. MCNA Dental is one of the largest government-sponsored (Medicaid and CHIP) dental care and oral health insurance…#medicaid #idx #lockbit #mcna (Source: Reuters: Health)
Source: Reuters: Health - May 30, 2023 Category: Consumer Health News Source Type: news