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Study: Chronic opioid therapy associated with increased healthcare spending and hospital stays

Using data from commercial insurance claims of working-aged adults, new research published in the December issue of The American Journal of Accountable Care found that chronic opioid therapy for noncancer pain is associated with increased healthcare spending as well as hospital stays.

14 Dec 2018

Chronically ill, traumatically billed: The $123,000 medicine for MS

Shereese Hickson's multiple sclerosis was flaring again. Spasms in her legs and other symptoms were getting worse.

28 Nov 2018

In health insurance wastelands, rosier options crop up for 2019

In recent years, places such as Memphis and Phoenix had withered into health insurance wastelands as insurers fled and premiums skyrocketed in the insurance marketplaces set up by the Affordable Care Act. But today, as in many parts of the country, these two cities are experiencing something unprecedented: Premiums are sinking and choices are sprouting.

23 Nov 2018

MCO places increasing emphasis on helping people find and access healthy food

According to the U.S. Department of Agriculture, one out of every eight U.S. households experiences food insecurity. Access to healthy food is an important socioeconomic factor, or social determinant, in one's health, and for millions of Americans, it remains elusive.

16 Nov 2018

Food insecurity during pregnancy linked to severity of neonatal abstinence syndrome

A new study shows that food insecurity in pregnant women being treated for opioid use disorder may be associated with increased risk for their infants receiving pharmacologic treatment for neonatal abstinence syndrome.

13 Nov 2018

Billions in ‘questionable payments’ went to California’s Medicaid insurers and providers

California's Medicaid program made at least $4 billion in questionable payments to health insurers and medical providers over a four-year period because as many as 453,000 people were ineligible for the public benefits, according to a state audit released Tuesday.

1 Nov 2018

Coaching improves medication adherence in people with diabetes, hypertension, high cholesterol

Health Dialog, a leading provider of integrated population health management solutions for health plans, risk-bearing providers and self-insured employers, will release data showing its telephonic health coaching program helped patients managing diabetes, hypertension and high cholesterol achieve a higher rate of adherence than patients without coaching.

23 Oct 2018

As billions in tax dollars flow to private Medicaid plans, Who’s minding the store?

Like most people on Medicaid, the Los Angeles trucker was assigned to a private insurance company that coordinated his medical visits and treatment in exchange for receiving a set fee per month — an arrangement known as managed care.

19 Oct 2018

Genetic link to erectile dysfunction discovered

According to a new study there may be a genetic link to erectile dysfunction. This is the first time that such as connection has been made and this could mean that newer avenues of treatment could be explored for erectile dysfunction, explain the researchers.

8 Oct 2018

CoreChoice and MINES partner to form PPO network to combat opioid and substance use

CoreChoice, the national specialty network for radiology, interventional pain management, and medical air transportation services is pleased to announce their partnership agreement with MINES & Associates to form the nation's first PPO network solution to combat the nationwide opioid and polysubstance use epidemic.

8 Oct 2018

Medicare Advantage plans shift their financial risk to doctors

Dr. Christopher Rao jumped out of his office chair. He'd just learned an elderly patient at high risk of falling was resisting his advice to go to an inpatient rehabilitation facility following a hip fracture.

8 Oct 2018

New collaborative program receives CDC grant to reduce Fetal Alcohol Spectrum Disorders

Fetal Alcohol Spectrum Disorders affects approximately 1 in 20 children in the United States. These catastrophic and irreversible disorders are entirely preventable if no alcohol is used during pregnancy.

6 Oct 2018

New supplemental health products launched to complement Anthem medical plans

Anthem Blue Cross and Blue Shield now offers employer-sponsored voluntary accident, critical illness and hospital indemnity insurance products, for effective dates beginning January 1, 2019.

3 Oct 2018

Medrisk provides telerehabilitation for injured workers in hurricane affected areas

Hurricane Florence set records for rainfall from a hurricane in both North and South Carolina. Flooding has rendered many roads impassable and more flooding is expected. The hurricane caused approximately $44 billion in property damage and lost output according to Moody's Analytics, and repairs and cleanup will take months.

26 Sep 2018

Stuart Altman gets 2018 Gustav O. Lienhard Award for Advancement of Health Care

For his pioneering role in national health policy and health services research, the National Academy of Medicine today announced Stuart Altman is the recipient of the 2018 Gustav O. Lienhard Award for Advancement of Health Care.

26 Sep 2018

5 things to know about Trump’s new ‘public charge’ immigration proposal

A proposed rule from the White House would make it harder for legal immigrants to get green cards if they have received certain kinds of public assistance — including Medicaid, food stamps and housing subsidies. Green cards allow them to live and work permanently in the United States.

25 Sep 2018

From Syria to Southern California: Refugees seek care for wounds of war

In his native Syria, Mahmoud spent months in captivity in a crowded room three floors underground, never seeing the sun. Disease spread quickly among the prisoners, he said. Food was scarce, often spoiled.

19 Sep 2018

Children experiencing homelessness for more than six months have high risk of poor health outcomes

Experiencing homelessness at any time during the pre- or postnatal period can negatively affect a young child's health.

3 Sep 2018

Shionogi launches Mulpleta in the U.S for safe, effective treatment of thrombocytopenia

Shionogi & Co., Ltd. announced today that Mulpleta (lusutrombopag), a once-daily, orally administered, small molecule thrombopoietin (TPO) receptor agonist for the treatment of thrombocytopenia in adult patients with chronic liver disease (CLD) who are scheduled to undergo a procedure, is now available throughout the United States.

30 Aug 2018

New method identifies communities experiencing drug-resistant tuberculosis in South Africa

Researchers at Boston Medical Center have created a near real-time surveillance method to identify communities experiencing a high burden of drug-resistant tuberculosis in South Africa using routinely collected laboratory data.

22 Aug 2018

Managed Care News and Research

Study: Chronic opioid therapy associated with increased healthcare spending and hospital stays

Chronically ill, traumatically billed: The $123,000 medicine for MS

In health insurance wastelands, rosier options crop up for 2019

MCO places increasing emphasis on helping people find and access healthy food

Food insecurity during pregnancy linked to severity of neonatal abstinence syndrome

Billions in ‘questionable payments’ went to California’s Medicaid insurers and providers

Coaching improves medication adherence in people with diabetes, hypertension, high cholesterol

As billions in tax dollars flow to private Medicaid plans, Who’s minding the store?

Genetic link to erectile dysfunction discovered

CoreChoice and MINES partner to form PPO network to combat opioid and substance use

Medicare Advantage plans shift their financial risk to doctors

New collaborative program receives CDC grant to reduce Fetal Alcohol Spectrum Disorders

New supplemental health products launched to complement Anthem medical plans

Medrisk provides telerehabilitation for injured workers in hurricane affected areas

Stuart Altman gets 2018 Gustav O. Lienhard Award for Advancement of Health Care

5 things to know about Trump’s new ‘public charge’ immigration proposal

From Syria to Southern California: Refugees seek care for wounds of war

Children experiencing homelessness for more than six months have high risk of poor health outcomes

Shionogi launches Mulpleta in the U.S for safe, effective treatment of thrombocytopenia

New method identifies communities experiencing drug-resistant tuberculosis in South Africa

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