Managed Care News and Research

RSS

States experimenting with Medicaid managed care

Some states are seeing managed care as a way to save money on their Medicaid programs, according to news coverage.

29 Aug 2011

States putting more kids into CHIP programs, but some Medicaid programs squeezed

Thirty states increased the number of children under the program, Stateline reports. Also, Medicaid advocates are urging federal officials to deny California's request to cut the program, and in Georgia, officials are looking for more funding.

26 Aug 2011

NNU Director named one of the '100 Most Influential People in Healthcare'

For the tenth straight year, National Nurses United Executive Director Rose Ann DeMoro has won national recognition from a major healthcare industry publication as one of the "100 Most Influential People in Healthcare" which was announced this week.

25 Aug 2011

Insurer continues challenge to its exclusion from La. Medicaid program

A major insurance firm is continuing to protest its exclusion from the state's planned $2.2 billion privatization of coverage for more than 800,000 of the state 1.2 million Medicaid enrollees.

25 Aug 2011

Roundup: Interim agreement between Planned Parenthood and Ariz. approved; Kan. to release budget plan

Maricopa County Superior Court Judge Richard Gama this week signed off on an agreement between Planned Parenthood and the state that allows most of the 2011 regulations to go into effect while the legal challenge continues.

25 Aug 2011

State roundup: Budgets cause layoffs in Wash., end of Calif. adult day care

For the first time anyone can recall, state government employment has shrunk for two years in a row due to budget cuts, shedding nearly 4,700 full-time jobs since 2009.

24 Aug 2011

Fla., CMS discuss Medicaid managed care options; Calif. may shrink healthy families enrollment

A Florida proposal to shift nearly all of its 3 million Medicaid patients into managed care is emerging as a national test case for how lenient CMS will be as cash-strapped states look for savings in their most expensive health program. CMS and Florida officials met this week to address concerns about a five-county managed care pilot program that Florida is seeking to expand statewide.

23 Aug 2011

Santarus, Depomed enter new commercialization agreement for GLUMETZA

Santarus, Inc. and Depomed, Inc. today announced that they have entered into a new commercialization agreement for GLUMETZA (metformin hydrochloride extended release tablets) under which Santarus will assume broad commercial, manufacturing and regulatory responsibilities to replace a promotion agreement that the companies entered into in July 2008.

23 Aug 2011

AstraZeneca announces availability of BRILINTA tablets in the U.S. pharmacies

AstraZeneca today announced that BRILINTA tablets, a new oral antiplatelet therapy, is now available in pharmacies in the United States.

23 Aug 2011

Viewpoints: NY Times deconstructs health rulings; Issa on law & deficit; veterans' care needs boost

At a time when the nation's credit has been downgraded for the first time and our country is struggling to finance and reform existing entitlement programs, Obamacare's creation of new entitlements increases dependency on government and pushes our country deeper into a fiscal crisis of Greek proportion. As Congress and the president seek bipartisan ground to address the national debt, we must remember that the first step out of a hole is to stop digging.

23 Aug 2011

Managed care plans can effectively reduce Medicare market costs

Medicare managed health care plans can be effective in reducing costs and encouraging appropriate care, according to a new study by researchers at RTI International, Arizona State University, the University of California, and the University of North Carolina at Chapel Hill.

20 Aug 2011

Research roundup: Majority of Docs face malpractice claims; colonoscopies in older adults; 'overwhelming' Medicare advantage choices

The authors "analyzed malpractice data from 1991 through 2005 for all physicians who were covered by a large professional liability insurer with a nationwide client base" and found that "by the age of 65 years, 75% of physicians in low-risk specialties had faced a malpractice claim, as compared with 99% of physicians in high-risk specialties." Most of those claims did not result in a pyament.

20 Aug 2011

New process may eliminate need for full genome sequencing for cancer patients

People at risk for a certain form of colon and other types of cancer may soon have a better chance at surviving or even avoiding the diseases, thanks to a new study done by the Intermountain Clinical Genetics Institute at LDS Hospital.

18 Aug 2011

Medicare Advantage plans may be counter-productive for the elderly

In health care, more choice may not always lead to better choices, particularly for the elderly. In a new study, researchers from Harvard Medical School's Department of Health Care Policy found that the large variety of managed care plans offered by the Medicare Advantage program may be counter-productive.

18 Aug 2011

Patients with diabetes, hypertension more likely to develop open-angle glaucoma

Many Americans suffer from diabetes and hypertension and, according to a study by researchers at the University of Michigan Kellogg Eye Center, these individuals may have an increased risk of developing open-angle glaucoma.

18 Aug 2011

Customized computer models may identify patients at risk of Lynch syndrome

People who are at risk for a certain form of colon and other types of cancer may soon have a better chance at surviving or even avoiding the diseases, thanks to a new study done by the Intermountain Clinical Genetics Institute at LDS Hospital.

16 Aug 2011

Boston health organizations plan merger

Partners HealthCare and Neighborhood Health Plan sign letter of intent for merger. In other hospital issues, Parkland Hospital In Dallas is in danger of losing Medicare accreditation and Conn. regulators are criticized.

12 Aug 2011

TCHP receives Texas HHSC's managed care renewed contracts

Texas Children's Health Plan (TCHP) has been tentatively awarded managed care renewed contracts by the Texas Health and Human Services Commission.

12 Aug 2011

State roundup: Debt deal and states; Ariz. judge appoves Medicaid plan

Many expensive programs are exempt from the trigger cuts, including most that are considered "mandatory," which means that some of the largest joint state-federal programs aren't vulnerable. Those include Medicaid, the Children's Health Insurance Program, Temporary Assistance for Needy Families (welfare) and the Supplemental Nutritional Assistance Program.

12 Aug 2011

Roundup: Report finds Calif. fails to discipline 710 doctors; GOP takes 4 of 6 races in Wis.; obesity and poverty in Miss.

California's medical board failed to discipline 710 troubled doctors even as they were disciplined by hospitals, surgical centers and other health care organizations in the state, according to a report released Tuesday.

11 Aug 2011