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Questcor's pricing issue

After Questcor Pharmaceuticals raised the price of the drug Acthar, its sole product, more than 10-fold in 2007, its shares began a climb from pennies to $14 and change. Acthar

14 Feb 2011

First Edition: February 14, 2011

Today's headlines are focused on President Obama's budget proposal and what it does and does not include.

14 Feb 2011

State roundup: Fla. preps for Medicaid overhaul; Funding cut fears in Mass., Texas; Calif. exchange board's challenges

Both President Barack Obama and House Republicans are moving to rein in federal spending by reducing aid to states and cities, which would deepen their fiscal woes just as economic-stimulus funds from Washington are drying up. ...

11 Feb 2011

NeoGenomics fourth quarter revenue increases 12% to $8.8 million

NeoGenomics, Inc., a leading provider of cancer-focused genetic testing services, today reported its results for the fourth quarter 2010 and fiscal year ended December 31, 2010.

10 Feb 2011

NCCN praises Aetna for evidence-based approach to treat cancer

The National Comprehensive Cancer Network® (NCCN) has praised Aetna for its evidence-based approach to drugs used to treat cancer. The NCCN also acknowledged Aetna's commitment to providing health benefits to members enrolled in clinical trials. Aetna is the first national health plan to be recognized by the group.

9 Feb 2011

Virtues of Patient Protection and Affordable Care Act a 'mixed bag' for older Americans

Although the effects of the controversial health care reform act will be somewhat muted for many older Americans, it will inevitably have enough of an impact that seniors will discover that there is plenty to like and dislike about the law, a University of Illinois expert on elder law cautions in published research.

9 Feb 2011

MedRisk creates Risk Information and Business Intelligence unit

MedRisk, Inc., the workers' compensation industry leader in specialty managed care services, has announced the creation of its Risk Information and Business Intelligence (RIBI) unit. RIBI's first initiative is to roll out a new reporting platform featuring state-of-the-art graphics and outcomes analytics.

9 Feb 2011

Steep reductions in co-pays may not motivate seniors to seek mental health care: Study

Despite the intent of recent mental health "parity" legislation, including the Affordable Care Act, even steep reductions in co-pays for outpatient mental health care will not motivate more seniors in managed care plans to seek that care, according to a new study by Brown University researchers.

9 Feb 2011

Humira and Enbrel have best overall clinical profile for treatment of moderate to severe psoriasis: Survey

Decision Resources, one of the world's leading research and advisory firms for pharmaceutical and healthcare issues, finds that, for the treatment of moderate to severe psoriasis, the highest proportion of surveyed dermatologists and managed care organizations' (MCOs) pharmacy directors indicate that Abbott/Eisai's Humira and Amgen/Pfizer/Stiefel/Takeda's Enbrel have the best overall clinical profile when compared to other currently available agents.

9 Feb 2011

Updating approach to pharmacy benefits will help Florida Medicaid save $462 million

"Governor Scott is taking important steps to reduce wasteful spending in Medicaid, which is a big problem when it comes to pharmacy benefits. Because of its old-school 'fee-for-service' approach, Florida Medicaid pays drugstores much more than either Medicare or the commercial market pays them. Over the next decade, Florida could save $462 million - without cutting benefits, eligibility or payments to doctor and hospitals - simply by updating its approach to pharmacy benefits."

9 Feb 2011

Governors face painful budget choices

Health care programs are among those being slashed with many news organizations focusing on Florida Gov. Rick Scott's plans for Medicaid.

8 Feb 2011

Ameritox makes significant strides to advance its industry leadership position

Ameritox, the nation's leader in pain medication monitoring, made significant strides to advance its industry leadership position by strengthening the company's commitment to physicians and patients in the past twelve months.

5 Feb 2011

PharmaMarketing Summit 2011 to focus on missing elements in pharmaceutical marketing

"The pharmaceutical marketing industry is, to borrow from a friend, in a perfect storm," says Cheryl Lawrence McDaniel, Owner, President & Chief Executive Officer, Direct Success, Inc.

5 Feb 2011

Tenet signs multi-year agreement with UnitedHealthcare

Tenet Healthcare Corporation today announced it signed a multi-year agreement with UnitedHealthcare Community Plan of Pennsylvania that covers Hahnemann University Hospital and St. Christopher's Hospital for Children in Philadelphia, PA. The agreement also covers physicians employed by subsidiaries of the two hospitals. Financial terms of the agreement were not released.

5 Feb 2011

Governors get advice from Obama administration on how to handle Medicaid

HHS Secretary Kathleen Sebelius provided information Thursday to state officials explaining ways in which current law allows them to change the federal-state program — to gain savings without slashing eligibility.

4 Feb 2011

HHS encourages lower-cost drug usage to help reduce Medicaid spending

With Medicaid spending growth almost doubling over the past year, a new document released today by Health and Human Services Secretary Kathleen Sebelius to all 50 governors encourages the use of lower-cost drugs - including generics - to help reduce Medicaid spending.

4 Feb 2011

Roundup: Fla., Texas, Minn., Ga., Conn., Mass. officials examine state health programs

Nullification - the legal theory that says a state can prevent enforcement of federal laws within its borders -- is the latest attempt to block Obama's health-care law at the state level. And brings with it new controversies and considerable confusion. For example, supporters and opponents of nullification reference the same language in the Constitution.

3 Feb 2011

Viewpoints: On Judge Vinson's decision; Medicaid and long-term care; Doctors' ennui; Insurers' profits

Federal Judge Roger Vinson opens his decision declaring ObamaCare unconstitutional with that citation from Federalist No. 51, written by James Madison in 1788. His exhaustive and erudite opinion is an important moment for American liberty, and yesterday may well stand as the moment the political branches were obliged to return to the government of limited and enumerated powers that the framers envisioned.

2 Feb 2011

PCMA finds Ohio's Medicaid program can save $135 million over the next decade

Ohio's Medicaid program could cost taxpayers an additional $1.6 billion next year, a 49 percent jump in the state's share of costs for the health care program covering more than 2 million poor and disabled Ohioans, according to new information released by the Governor's Office of Health Transformation.

1 Feb 2011

Roundup: Calif. wrestles with prison health costs; Texas legislator challenges GOP thinking; Mass. Gov. seeks remedy for municipal workers' health expenses

Amid California's budget crisis, the receiver put in charge of the prison health system by a federal judge has spent $82 million on blueprints for medical facilities that have been largely scrapped, more than $50,000 a month on an architectural consultant and millions hiring medical professionals — more per inmate than in many other states.

27 Jan 2011

Managed Care News and Research

Questcor's pricing issue

First Edition: February 14, 2011

State roundup: Fla. preps for Medicaid overhaul; Funding cut fears in Mass., Texas; Calif. exchange board's challenges

NeoGenomics fourth quarter revenue increases 12% to $8.8 million

NCCN praises Aetna for evidence-based approach to treat cancer

Virtues of Patient Protection and Affordable Care Act a 'mixed bag' for older Americans

MedRisk creates Risk Information and Business Intelligence unit

Steep reductions in co-pays may not motivate seniors to seek mental health care: Study

Humira and Enbrel have best overall clinical profile for treatment of moderate to severe psoriasis: Survey

Updating approach to pharmacy benefits will help Florida Medicaid save $462 million

Governors face painful budget choices

Ameritox makes significant strides to advance its industry leadership position

PharmaMarketing Summit 2011 to focus on missing elements in pharmaceutical marketing

Tenet signs multi-year agreement with UnitedHealthcare

Governors get advice from Obama administration on how to handle Medicaid

HHS encourages lower-cost drug usage to help reduce Medicaid spending

Roundup: Fla., Texas, Minn., Ga., Conn., Mass. officials examine state health programs

Viewpoints: On Judge Vinson's decision; Medicaid and long-term care; Doctors' ennui; Insurers' profits

PCMA finds Ohio's Medicaid program can save $135 million over the next decade

Roundup: Calif. wrestles with prison health costs; Texas legislator challenges GOP thinking; Mass. Gov. seeks remedy for municipal workers' health expenses

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