Trends in low-value cancer care during the COVID-19 pandemic
CONCLUSIONS: Low-value cancer care remained prevalent throughout the pandemic. Policy makers should consider changes to payment and incentive design to turn the tide against low-value cancer care.PMID:38603533 | DOI:10.37765/ajmc.2024.89530 (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - April 11, 2024 Category: Health Management Authors: Ravi B Parikh Yasin Civelek Pelin Ozluk David Debono Michael J Fisch Gosia Sylwestrzak Justin E Bekelman Aaron L Schwartz Source Type: research
High-need beneficiary enrollment patterns in Medicare Advantage and traditional Medicare
CONCLUSIONS: We found that high-need beneficiaries were more likely to be in TM non-ACOs than in MA through 2019. However, an increasing number of these beneficiaries are enrolling in MA or aligned with a TM ACO. A projected increase in the population of older adults will increase the economic burden of caring for high-need individuals.PMID:38603531 | DOI:10.37765/ajmc.2024.89528 (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - April 11, 2024 Category: Health Management Authors: Aig Unuigbe Inna Cintina Julia Sheriff Lane Koenig Source Type: research
Medication persistence and its impact on type 2 diabetes
CONCLUSIONS: Our findings show low persistence among patients with T2D and emphasize the importance of medication persistence, which is associated with cost savings and lower risk of hospitalizations.PMID:38603538 | DOI:10.37765/ajmc.2024.89534 (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - April 11, 2024 Category: Health Management Authors: Jee H Choe Si Xuan Antony Goldenberg Jacqueline Matian Jeff McCombs Rory E Kim Source Type: research
Office procedures for older adults by physician associates and nurse practitioners
CONCLUSIONS: Overall, PAs performed more skin and musculoskeletal procedures than NPs, and NPs performed more procedures in the other 7 procedure clusters than PAs. PA and NP employment growth does not fully explain these observations. We suggest that outpatient procedural task-shifting activity presents an area for further research.PMID:38603536 | DOI:10.37765/ajmc.2024.89532 (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - April 11, 2024 Category: Health Management Authors: Robert E McKenna Roderick S Hooker Robert Christian Source Type: research
Adjusting starting points for initial price offers: the example of ibrutinib
This article focuses on the data obtained for ibrutinib, an oral medication for treating hematologic malignancies, which is one of the only drugs reviewed by the committee that also has been selected for Medicare price negotiation. We examine data that can be obtained only from the drug manufacturer that the IRA has explicitly identified as being used to determine the price and suggest potential negotiation strategies for CMS in response.PMID:38603534 | DOI:10.37765/ajmc.2024.89531 (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - April 11, 2024 Category: Health Management Authors: Jason B Gibbons Charles L Bennett Kenneth R Carson Gerard F Anderson Source Type: research
Trends in low-value cancer care during the COVID-19 pandemic
CONCLUSIONS: Low-value cancer care remained prevalent throughout the pandemic. Policy makers should consider changes to payment and incentive design to turn the tide against low-value cancer care.PMID:38603533 | DOI:10.37765/ajmc.2024.89530 (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - April 11, 2024 Category: Health Management Authors: Ravi B Parikh Yasin Civelek Pelin Ozluk David Debono Michael J Fisch Gosia Sylwestrzak Justin E Bekelman Aaron L Schwartz Source Type: research
High-need beneficiary enrollment patterns in Medicare Advantage and traditional Medicare
CONCLUSIONS: We found that high-need beneficiaries were more likely to be in TM non-ACOs than in MA through 2019. However, an increasing number of these beneficiaries are enrolling in MA or aligned with a TM ACO. A projected increase in the population of older adults will increase the economic burden of caring for high-need individuals.PMID:38603531 | DOI:10.37765/ajmc.2024.89528 (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - April 11, 2024 Category: Health Management Authors: Aig Unuigbe Inna Cintina Julia Sheriff Lane Koenig Source Type: research
Medication persistence and its impact on type 2 diabetes
CONCLUSIONS: Our findings show low persistence among patients with T2D and emphasize the importance of medication persistence, which is associated with cost savings and lower risk of hospitalizations.PMID:38603538 | DOI:10.37765/ajmc.2024.89534 (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - April 11, 2024 Category: Health Management Authors: Jee H Choe Si Xuan Antony Goldenberg Jacqueline Matian Jeff McCombs Rory E Kim Source Type: research
Office procedures for older adults by physician associates and nurse practitioners
CONCLUSIONS: Overall, PAs performed more skin and musculoskeletal procedures than NPs, and NPs performed more procedures in the other 7 procedure clusters than PAs. PA and NP employment growth does not fully explain these observations. We suggest that outpatient procedural task-shifting activity presents an area for further research.PMID:38603536 | DOI:10.37765/ajmc.2024.89532 (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - April 11, 2024 Category: Health Management Authors: Robert E McKenna Roderick S Hooker Robert Christian Source Type: research
Adjusting starting points for initial price offers: the example of ibrutinib
This article focuses on the data obtained for ibrutinib, an oral medication for treating hematologic malignancies, which is one of the only drugs reviewed by the committee that also has been selected for Medicare price negotiation. We examine data that can be obtained only from the drug manufacturer that the IRA has explicitly identified as being used to determine the price and suggest potential negotiation strategies for CMS in response.PMID:38603534 | DOI:10.37765/ajmc.2024.89531 (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - April 11, 2024 Category: Health Management Authors: Jason B Gibbons Charles L Bennett Kenneth R Carson Gerard F Anderson Source Type: research
Trends in low-value cancer care during the COVID-19 pandemic
CONCLUSIONS: Low-value cancer care remained prevalent throughout the pandemic. Policy makers should consider changes to payment and incentive design to turn the tide against low-value cancer care.PMID:38603533 | DOI:10.37765/ajmc.2024.89530 (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - April 11, 2024 Category: Health Management Authors: Ravi B Parikh Yasin Civelek Pelin Ozluk David Debono Michael J Fisch Gosia Sylwestrzak Justin E Bekelman Aaron L Schwartz Source Type: research
High-need beneficiary enrollment patterns in Medicare Advantage and traditional Medicare
CONCLUSIONS: We found that high-need beneficiaries were more likely to be in TM non-ACOs than in MA through 2019. However, an increasing number of these beneficiaries are enrolling in MA or aligned with a TM ACO. A projected increase in the population of older adults will increase the economic burden of caring for high-need individuals.PMID:38603531 | DOI:10.37765/ajmc.2024.89528 (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - April 11, 2024 Category: Health Management Authors: Aig Unuigbe Inna Cintina Julia Sheriff Lane Koenig Source Type: research
Medication persistence and its impact on type 2 diabetes
CONCLUSIONS: Our findings show low persistence among patients with T2D and emphasize the importance of medication persistence, which is associated with cost savings and lower risk of hospitalizations.PMID:38603538 | DOI:10.37765/ajmc.2024.89534 (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - April 11, 2024 Category: Health Management Authors: Jee H Choe Si Xuan Antony Goldenberg Jacqueline Matian Jeff McCombs Rory E Kim Source Type: research
Office procedures for older adults by physician associates and nurse practitioners
CONCLUSIONS: Overall, PAs performed more skin and musculoskeletal procedures than NPs, and NPs performed more procedures in the other 7 procedure clusters than PAs. PA and NP employment growth does not fully explain these observations. We suggest that outpatient procedural task-shifting activity presents an area for further research.PMID:38603536 | DOI:10.37765/ajmc.2024.89532 (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - April 11, 2024 Category: Health Management Authors: Robert E McKenna Roderick S Hooker Robert Christian Source Type: research
Adjusting starting points for initial price offers: the example of ibrutinib
This article focuses on the data obtained for ibrutinib, an oral medication for treating hematologic malignancies, which is one of the only drugs reviewed by the committee that also has been selected for Medicare price negotiation. We examine data that can be obtained only from the drug manufacturer that the IRA has explicitly identified as being used to determine the price and suggest potential negotiation strategies for CMS in response.PMID:38603534 | DOI:10.37765/ajmc.2024.89531 (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - April 11, 2024 Category: Health Management Authors: Jason B Gibbons Charles L Bennett Kenneth R Carson Gerard F Anderson Source Type: research
