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Special needs plans seek to avoid moratorium by providing more data to congress

Officials from special needs plan providers said Thursday at a Capitol Hill briefing that they will provide Congress with more data on the services the plans provide to beneficiaries with severe chronic medical conditions, CQ HealthBeat reports.

26 Apr 2008

Leavitt calls on successor to continue Bush administration's 'Four Cornerstones' plan

HHS Secretary Mike Leavitt on Wednesday urged his successor to continue with the Bush administration's "four cornerstones" initiative that promotes collaborative efforts to improve the national health care system and reduce costs, CQ HealthBeat reports.

24 Apr 2008

CMS adds searchable database of lowest-quality nursing homes nationwide to web site

CMS on Thursday added to the Nursing Home Compare Web site a searchable database with the names of nursing homes that rank in the lowest 5% to 10% in quality based on state inspection results, the Wall Street Journal reports

24 Apr 2008

Self-referring physicians behind increase in diagnostic imaging

Physicians who refer patients to their own facilities or machines for scans account for much of the increase in diagnostic imaging ordered for privately insured patients said a Baylor College of Medicine expert in a commentary that appears in the current issue of the journal Medical Care.

24 Apr 2008

Blacks on Medicaid carry heavier cancer burden than whites do

African-American patients receiving Medicaid benefits have markedly higher rates of breast, prostate, colorectal and lung cancer than whites on Medicaid according to a recent study.

24 Apr 2008

Medicare prescription drug benefit improved access to medications for most seniors, but sickest seniors continued skipping pills because of cost issues, study finds

The percentage of seniors who said they skipped taking medications because of costs declined after the Medicare prescription drug benefit took effect in January 2006, but the sickest beneficiaries still skip prescriptions because they cannot afford to pay for them, according to a study published Wednesday in the Journal of the American Medical Association, Reuters reports.

23 Apr 2008

NACDS seeks passage of E-prescribing bill to finance Medicaid reimbursement rule change

National Association of Chain Drug Stores CEO Steven Anderson on Tuesday in a letter asked lawmakers to pass a bill (HR 4296) that would require physicians who participate in Medicare to adopt e-prescribing by 2011 to finance legislation (S 1951, HR 3700) that would revise a new rule related to Medicaid reimbursements to pharmacies, CongressDaily reports (Edney, CongressDaily, 4/23).

23 Apr 2008

Sickest patients still struggle under new Medicare Part D benefit

A recent study finds that the advantages of the new Medicare Part D drug benefit-a program that for the first time offers Medicare recipients prescription drug coverage-are mixed.

22 Apr 2008

Still lack of knowledge regarding Medicare's Part D prescription drug program

There still appears to be some lack of knowledge regarding Medicare's Part D prescription drug program, although there is evidence that cost-related medication nonadherence may have improved overall, according to two studies in the April 23/30 issue of JAMA, the Journal of the American Medical Association.

22 Apr 2008

New cancer report - facts and figures 2008

An annual report from the American Cancer Society highlights that long-term favorable trends have stalled for several factors that have been responsible for declining cancer death rates in the U.S.

22 Apr 2008

Health care debate to produce sharp differences between parties in Presidential election

The Wall Street Journal on Saturday examined how health care will produce "some of the sharpest differences" between Democrats and Republicans in the presidential election as the candidates "respond to increasing economic anxiety about many issues."

21 Apr 2008

Health insurers experience effects of recent economic downturn despite history of resisting recession

The Wall Street Journal on Monday examined "what is shaping up to be a shaky earnings season" for health insurers in the face of the current economic recession.

21 Apr 2008

HHS appeals decision that requires release of Medicare physician claims data

HHS last week in the U.S. Court of Appeals for the District of Columbia filed an appeal of an August 2007 court decision that requires the department to release Medicare claims data on more than 40 million beneficiaries and 700,000 physicians, the Los Angeles Times reports (Alonso-Zaldivar, Los Angeles Times, 4/19).

21 Apr 2008

New York Times examines increasing prices of specialty drugs distributed exclusively by pharmacy benefit managers

The New York Times on Saturday examined how pharmacy benefit managers in recent years "have built lucrative side businesses ... acting as exclusive or semi-exclusive distributors of expensive specialty drugs."

21 Apr 2008

Pharmaceutical Care Management Association response to New York Times article on biotech medicine costs

The Pharmaceutical Care Management Association (PCMA) issued the following statement today regarding a story to be published in tomorrow's New York Times.

18 Apr 2008

New Democrat coalition, New York City officials announce proposal for Federal health care IT program

Members of the New Democrat Coalition on Tuesday announced a proposal that would use a New York City health care information technology program as a legislative template for a federal program, CQ HealthBeat reports.

18 Apr 2008

NEJM article examines U.S. physician shortage

In this week's issue of the New England Journal of Medicine, national correspondent John Iglehart examines efforts by medical schools to enroll and train more physicians, as well as the lack of action by the federal government and private health insurance industry to address concerns about physician shortages in the U.S.

18 Apr 2008

New clues to cataract formation

It is the No. 1 line-item cost of Medicare reimbursement and affects more than 20 million people in the United States. Cataracts, which can have devastating effects on the eye, affect 42 percent of the population between the ages of 70 and 80, and 68 percent of the population over the age of 80, according to the National Eye Institute.

17 Apr 2008

Creatinine increase in elderly means increased renal disease, mortality

Even small increases in serum creatinine levels during hospitalization raise the risk of end stage renal disease and mortality of elderly patients over the long term, according to a University of Alabama at Birmingham (UAB) study in the Archives of Internal Medicine.

16 Apr 2008

Increase in hip and knee replacements in the US

With the graying of America's Baby Boomer generation, arthritis is a growing health concern.

15 Apr 2008

Medicare News and Research

Special needs plans seek to avoid moratorium by providing more data to congress

Leavitt calls on successor to continue Bush administration's 'Four Cornerstones' plan

CMS adds searchable database of lowest-quality nursing homes nationwide to web site

Self-referring physicians behind increase in diagnostic imaging

Blacks on Medicaid carry heavier cancer burden than whites do

Medicare prescription drug benefit improved access to medications for most seniors, but sickest seniors continued skipping pills because of cost issues, study finds

NACDS seeks passage of E-prescribing bill to finance Medicaid reimbursement rule change

Sickest patients still struggle under new Medicare Part D benefit

Still lack of knowledge regarding Medicare's Part D prescription drug program

New cancer report - facts and figures 2008

Health care debate to produce sharp differences between parties in Presidential election

Health insurers experience effects of recent economic downturn despite history of resisting recession

HHS appeals decision that requires release of Medicare physician claims data

New York Times examines increasing prices of specialty drugs distributed exclusively by pharmacy benefit managers

Pharmaceutical Care Management Association response to New York Times article on biotech medicine costs

New Democrat coalition, New York City officials announce proposal for Federal health care IT program

NEJM article examines U.S. physician shortage

New clues to cataract formation

Creatinine increase in elderly means increased renal disease, mortality

Increase in hip and knee replacements in the US

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