GAO report calls out HHS for misdirecting ACA reinsurance funds
The Health and Human Services department is failing to properly administer a reinsurance program under the Affordable Care Act by unlawfully diverting funds intended for the U.S. Treasury, according to a nonpartisan watchdog
Source: Skin and Allergy News - September 29, 2016 Category: Dermatology Source Type: news

Congress sends Zika funding bill to President
In a move that narrowly avoids a government shutdown, Congress has passed a long-awaited bill that keeps the government afloat and provides $1.1 billion in funding to combat the Zika virus. The House cleared H.R. 5325 late... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 29, 2016 Category: Dermatology Source Type: news

Nonsexual secondary Zika virus case confirmed in Utah
We report a rapidly progressive, fatal [Zika virus] infection acquired outside the United States and secondary local... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 29, 2016 Category: Dermatology Source Type: news

Americas are declared measles free by PAHO
The Americas are measles free. The region is the first in the world to have eradicated the disease, according to Pan-American Health Organization officials who spoke during a media briefing. “Bye-bye measles,” said PAHO director Carissa F. Etienne, MD, during the briefing.
Source: Skin and Allergy News - September 27, 2016 Category: Dermatology Source Type: news

Feds require more transparent reporting of clinical trial results
New federal regulations aim to strengthen the current requirements on reporting of clinical trial information. The new rule offers a checklist to help determine which clinical trials are subject to regulations and who is responsible for information that appears on ClinicalTrials.gov. In addition,... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 27, 2016 Category: Dermatology Source Type: news

FDA approves biosimilar adalimumab
There are “no clinically meaningful differences” between Amgen’s biosimilar adalimumab (Amjevita) and AbbVie’s branded product Humira, the Food and Drug Administration noted it its Sept. 23 announcement of Amjevita’s approval. Although Amjevita (adalimumab-atto) is expected to cost less than... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 26, 2016 Category: Dermatology Source Type: news

Zika cases in pregnant women hit new weekly high
The weekly number of pregnant women in the United States with laboratory evidence of Zika virus infection topped 200 for the first time during the week ending Sept. 15, according to the Centers for Disease Control and Prevention. With the 50 states and the District of Columbia reporting 18 new... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 23, 2016 Category: Dermatology Source Type: news

New-onset pediatric AD phenotype differs from adult AD
The skin phenotype of new-onset pediatric atopic dermatitis differs substantially from that in adult AD, according to an assessment of biopsy findings in infants and children. The study findings have important therapeutic implications, especially in light of the fact that much of the work in this... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 23, 2016 Category: Dermatology Source Type: news

Empiric warfarin adjustment cut drug-drug interactions with antimicrobials
BOSTON – A medication management strategy to minimize the effect of drug-drug interactions (DDIs) between warfarin and common antimicrobials resulted in significantly greater time within therapeutic range for anticoagulation, as well as a numerically smaller, but nonsignificant, number of bleeding... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 23, 2016 Category: Dermatology Source Type: news

Two novel DNA Zika virus vaccines set for human trials
The search is on for clinical trial participants to help verify whether two genetically based vaccines that lowered Zika virus viremia in infected primates will be effective in humans. Although much is still unknown about the pathogenesis, immunity, and transmission of the flavivirus, its... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 22, 2016 Category: Dermatology Source Type: news

EpiPen cost increases far exceed overall medical inflation
Total Medicare part D spending on EpiPen auto-injectors rose from $7.0 million in 2007 to $87.9 million in 2014 – an increase of 1,151%, according to an analysis released Sept. 20 by the Kaiser Family Foundation. The number of EpiPen users also increased over that time, however, bringing with it... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 22, 2016 Category: Dermatology Source Type: news

Legislators: Investigate Medicare fraud before paying doctors
Republican leaders in Congress are calling on CMS to impose stricter safeguards against fraudulent Medicare billing by physicians. The chairmen of the Senate Finance Committee, the House Ways and Means and Energy and Commerce Committees, and the chairmen of key House subcommittees said that the... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 22, 2016 Category: Dermatology Source Type: news

Decision Support in Medicine: Bullous Pemphigoid
1. Are you confident of the diagnosis?What you should be alert for in the historyDetermine if the lesions are pruritic. Bullous pemphigoid (BP) is almost always pruritic, and itch can be the first presenting symptom or can herald a relapse.Ask about... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 21, 2016 Category: Dermatology Source Type: news

Severe foot pathology predicts death in diabetes
MUNICH – When it comes to predicting mortality in diabetes patients, the foot may trump the heart. Over a 5-year period, patients who had the most severe foot pathology were almost four times more likely to die than those who had a constellation of cardiovascular risk factors. The association with... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 21, 2016 Category: Dermatology Source Type: news

EHR woes will get worse before they get better: ONC chief
WASHINGTON – EHR woes may tick up as medical practices begin to move from fee for service to a value-based care model, according to the new federal health IT leader, B. Vindell Washington, MD. “If you are in an environment where you have, say for example, 20%-25% of your patients that are in an... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 19, 2016 Category: Dermatology Source Type: news

Commentary addresses shortcomings in direct-to-consumer pediatric teledermatology
In a commentary about the use of DTC teledermatology in the pediatric arena, the Dermatology Foundation outlined a framework of features needed for such services “to appropriately treat pediatric patients.” The commentary, by Kavita Sarin, MD, of the department of dermatology, Joyce Teng, MD, of... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 17, 2016 Category: Dermatology Source Type: news

Study suggests link between commonly used antihypertensive drug and skin cancer
Despite its widespread use as a guideline-recommended, first-line agent for the treatment of hypertension, hydrochlorothiazide (HCTZ) may contribute to an increased risk of skin cancer, according to Armand B. Cognetta Jr., MD, and his associates in the division of dermatology, Mohs Micrographic... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 17, 2016 Category: Dermatology Source Type: news

Study finds gaps in DTC teledermatology quality
MINNEAPOLIS – Missed diagnoses, lack of care coordination, and security concerns were among the gaps in care that appeared when research personnel with simulated skin problems used direct-to-consumer (DTC) sites for telemedicine consults in a recently published study that highlighted potential... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 16, 2016 Category: Dermatology Source Type: news

Investigational zoster vaccine effective, safe after age 70
The herpes zoster subunit vaccine was effective and safe for adults aged 70 and older in a phase III manufacturer-sponsored clinical trial, which was reported online in the New England Journal of Medicine. The ZOE-70 study (Zoster Efficacy Study in Adults 70 years of Age or Older) assessed an... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 14, 2016 Category: Dermatology Source Type: news

Quality or convenience: Pick one
A 35-year-old male with a 5-year-history of a changing mole on his back sends a picture of the lesion to a telemedicine website for advice. The photo reveals a black nodule. The clinician replies, advising the patient that the lesion is benign. To most dermatologists, the above scenario would... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 14, 2016 Category: Dermatology Source Type: news

Doctors urge Congress to pass Zika funding
Federal health officials, pediatricians, and ob.gyns. are imploring Congress to pass an appropriations bill with sufficient money to fight the growing threat of the Zika virus. “Funding for Zika research, for prevention, and for control efforts – including mosquito surveillance and control – is... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 13, 2016 Category: Dermatology Source Type: news

Many patients with diabetic foot infections get unnecessary MRSA treatment
Many patients with diabetic foot infections receive methicillin-resistant Staphylococcus aureus antibiotics unnecessarily, according to Kelly Reveles, PharmD, and her associates. Among the 318 patients with diabetic foot infections (DFIs) in the study, S. aureus was the most common... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 13, 2016 Category: Dermatology Source Type: news

WHO updates ranking of critically important antimicrobials
In light of increasing antibiotic resistance among pathogens, the World Health Organization has revised its global rankings of critically important antimicrobials used in human medicine, designating quinolones, third- and fourth-generation cephalosporins, macrolides and ketolides, and glycopeptides... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 12, 2016 Category: Dermatology Source Type: news

Study: One hour with patients means two hours on EHR
Physicians are spending twice as much time on electronic health records as they are face to face with patients, according to a new study by the American Medical Association. Researchers observed 57 physicians in four specialties (family medicine, internal medicine, cardiology, and orthopedics) and... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 11, 2016 Category: Dermatology Source Type: news

CMS offers lower-stress reporting options for MACRA in 2017
Physicians will have four options for when they can start meeting the requirements for the Merit-based Incentive Payment System (MIPS) track under regulations that implement the Medicare Access and CHIP Reauthorization Act. The options are designed to allow physicians a variety of ways to get... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 8, 2016 Category: Dermatology Source Type: news

ACOs score slight bump in bonus payments
Accountable care organizations participating in the Medicare Shared Savings Program generated $466 million in savings in 2015, up from $411 million in 2014, the Centers for Medicare & Medicaid Services announced. Despite the growth in savings, there was little growth in the number of ACOs... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 7, 2016 Category: Dermatology Source Type: news

Current Tx for blistering disorders lacks evidence-based science
NEWPORT BEACH, CALIF. – Current treatment of autoimmune blistering diseases is not backed by evidence-based medicine and solid randomized, controlled trials, according to David T. Woodley, MD. “These are rare diseases; there’s no consensus on the treatment of choice,” Dr. Woodley said at the... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 6, 2016 Category: Dermatology Source Type: news

Parents support school-based HPV vaccination
Approximately 86% of middle school students were vaccinated against HPV in a school setting in a review of data from a service project involving more than 8,000 students. “School-located vaccination programs (SLVPs) provide access to vaccination for those adolescents whose parents cannot miss work... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 6, 2016 Category: Dermatology Source Type: news

FDA rule will pull many consumer antibacterial soaps from market
Over-the-counter consumer antiseptic wash products with active ingredients such as triclosan and triclocarban will be pulled from the market, following a final rule issued Sept. 2 by the Food and Drug Administration. Companies will no longer be able to sell antibacterial washes with those... (Source: Skin and Allergy News)
Source: Skin and Allergy News - September 2, 2016 Category: Dermatology Source Type: news

Some psoriasis patients benefit from switching anti-TNF agents
Psoriasis patients may have more success with a second tumor necrosis factor (TNF) antagonist after failure with a first, report Paul S. Yamauchi, MD, PhD, and coauthors. Investigators analyzed 15 studies evaluating the efficacy of switching TNF antagonists after primary or secondary failure.... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 31, 2016 Category: Dermatology Source Type: news

Biosimilar version of etanercept gains FDA approval
A biosimilar of etanercept received clearance for marketing from the Food and Drug Administration on Aug. 30 for all of the inflammatory disease indications held by the reference originator etanercept product, Enbrel, according to an announcement from the agency. Approval for all of Enbrel’s... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 30, 2016 Category: Dermatology Source Type: news

Ixekizumab improved psoriatic arthritis in patients who had not taken biologics
Two different doses of the humanized monoclonal antibody ixekizumab improved signs and symptoms of active psoriatic arthritis in a phase III manufacturer-sponsored trial of patients who had not taken a biologic drug before. The agent selectively binds and neutralizes interleukin (IL)-17A, which... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 29, 2016 Category: Dermatology Source Type: news

Psoriasis cardiovascular risk parallels type 2 diabetes
Psoriasis increased the measures of coronary artery calcium at a level similar to that seen in type 2 diabetes mellitus, independent of cardiovascular disease risk factors, based on data from a trio of cross-sectional studies including 387 adults. . “Psoriasis and type 2 diabetes share similar... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 29, 2016 Category: Dermatology Source Type: news

CDC reports asymptomatic Zika transmission; FDA begins universal blood testing
Officials at the Centers for Disease Control and Prevention have confirmed a case of Zika virus infection in a nonpregnant Maryland woman who likely contracted the virus through sexual intercourse with her asymptomatic male partner. “To date, only one other case has been reported in which a man... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 26, 2016 Category: Dermatology Source Type: news

United States nears 1,400 cases of Zika in pregnant women
The number of new cases of pregnant women with laboratory evidence of Zika infection in the 50 states and the District of Columbia took a big jump during the week ending Aug. 18, 2016, while U.S. territories continued the strong increase that started the previous week, according to the Centers for... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 26, 2016 Category: Dermatology Source Type: news

SHARE initiative releases consensus-based JDM management recommendations
Early and aggressive therapy may prevent or stabilize organ damage and disease-related complications in patients with juvenile dermatomyositis, according to new consensus-based recommendations for the management of the disorder. Overall, the recommendations – a project of the Single Hub and Access... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 26, 2016 Category: Dermatology Source Type: news

Multifocal effort needed to rein in prescription prices
Enforcing more stringent requirements for exclusivity rights, ensuring timely generic drug availability, and providing greater opportunities for meaningful price negotiation by government payers could help combat high medication costs in the United States, according to an analysis published Aug. 23... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 23, 2016 Category: Dermatology Source Type: news

Decision Support in Medicine: Contact Dermatitis (Nickel)
1. Are you confident of the diagnosis?Contact dermatitis is a common eczematous skin dermatitis characterized by inflammation, resulting in erythematous and pruritic skin lesions after contact with a foreign substance.  Contact dermatitis can be divided into two groups,... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 23, 2016 Category: Dermatology Source Type: news

Local Zika virus transmission identified in second area of Miami
The Centers for Disease Control and Prevention has confirmed that a new pocket of local Zika virus transmission has emerged in Miami Beach, adding yet another area in southern Florida for travelers to avoid. “We now recommend [that] pregnant women should avoid travel to the designated area of... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 22, 2016 Category: Dermatology Source Type: news

CDC updates diagnostic guidelines for congenital Zika virus infection
All infants who either exhibit abnormal clinical or neuroimaging findings consistent with possible Zika infection, or who exhibit normal phenotypes but are born to mothers who are positive for Zika virus infection during pregnancy, should undergo laboratory testing for the virus, according to... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 19, 2016 Category: Dermatology Source Type: news

Appeals court ruling protects marijuana doctors from prosecution
A new appellate ruling protects doctors from federal prosecution when they recommend medical marijuana in accordance with state law. In an Aug. 16 opinion, the 9th U.S. Circuit Court of Appeals ruled that the U.S. Department of Justice cannot spend funding to prosecute physicians and patients who... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 19, 2016 Category: Dermatology Source Type: news

Obamacare marketplace shakeout rocks Arizona, Southeast
Some of the Affordable Care Act’s insurance marketplaces are in turmoil as the fourth open enrollment season approaches this fall, but what’s ahead for consumers very much depends on where they live. Competition on these exchanges will be diminished next year when three of the nation’s largest... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 18, 2016 Category: Dermatology Source Type: news

Cancer trends shifting in HIV-positive patients
DURBAN, SOUTH AFRICA – The rates of the AIDS-defining cancers Kaposi’s sarcoma and non-Hodgkin’s lymphoma have plummeted in the antiretroviral era, yet they are still the two top cancers in terms of cumulative incidence in HIV-infected patients by age 75, Benigno Rodriguez, MD, said at the 21st... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 17, 2016 Category: Dermatology Source Type: news

5 tips to surviving Meaningful Use audits
The Meaningful Use (MU) program as doctors know it may soon be ending, but audits of past attestations are slated to continue for at least the next 6 years. Experts offer the following guidance on how to successfully manage audits and subsequent appeals. 1. Expect... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 16, 2016 Category: Dermatology Source Type: news

Study identifies link between rosacea and several GI disorders
A Danish population-based cohort study identified a significant association between patients who have rosacea and their risk of having certain other gastrointestinal diseases – specifically, celiac disease, Crohn’s disease, ulcerative colitis, and irritable bowel syndrome. “While a co-occurrence... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 16, 2016 Category: Dermatology Source Type: news

Nearly three-quarters of physician specialties saw compensation increases in 2015 – AMGA
Seventy-four percent of physician specialties saw increases in their compensation in 2015, led by emergency medicine, according to the American Medical Group Association. Overall, the weighted average increase in median compensation across all physician specialties was 3.1%, according to the 2016... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 16, 2016 Category: Dermatology Source Type: news

FBI questions legality of telemedicine compact laws
The FBI is raising concerns that language in the Interstate Medical Licensure Compact violates federal regulations over criminal background checks. The government pushback could mean implementation delays of telemedicine legislation that 17 states have
Source: Skin and Allergy News - August 15, 2016 Category: Dermatology Source Type: news

Topical timolol improves thinnest infantile hemangiomas
Topical timolol maleate acts as an effective alternate to oral propranolol for treatment of certain infantile hemangiomas (IHs), based on data from a retrospective study of 731 children. The findings were published online August 15 in Pediatrics. “Superficial, relatively thin IHs, regardless of... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 15, 2016 Category: Dermatology Source Type: news

Most physician practices unsure about joining ACOs
The majority of physician practices are uncertain about joining or starting an accountable care organization (ACO), according to a survey. Of nearly 400 hospital-owned and freestanding outpatient practices, 65% were unsure how to approach accountable care, a survey by Healthcare Information and... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 14, 2016 Category: Dermatology Source Type: news

Mycobiome much more diverse in children than in adults
The normal fungal communities that inhabit healthy skin are much more diverse in children than adults, a new study has discovered. That diversity dwindles, however, around puberty, when the lipophilic taxa Malassezia surges in abundance. This is probably mediated by the increase in sebaceous gland... (Source: Skin and Allergy News)
Source: Skin and Allergy News - August 13, 2016 Category: Dermatology Source Type: news