Allison is Associate Editorial Director for The American Journal of Managed Care® (AJMC®) and The Center for Biosimilars®. She joined AJMC® in 2017. She produces and oversees written, video, and podcast content across several disease states and issues surrounding value-based care and health policy.
She has an MPA from New York University. You can connect with Allison on LinkedIn.
CMS Expands Site-Neutral Payments, Extends 340B Drug Discounts
CMS announced a raft of proposed changes, including expanding its site-neutral payments between what Medicare pays for at physicians’ offices and off-campus hospital clinics, where rates are higher because of added hospital facility fees. The agency is also extending 340B drug discounts to off-site hospital clinics.
FDA Advisory Committee Votes Against Approving Mepolizumab for COPD
An FDA advisory committee voted 16-3 against recommending GlaxoSmithKline’s mepolizumab (Nucala) as an add-on treatment to inhaled corticosteroid-based maintenance treatments to reduce flare-ups in patients with chronic obstructive pulmonary disease (COPD).
State Insurance Mandates Could Decrease Number of Uninsured, Report Finds
If all states passed their own health insurance mandates similar to ones in New Jersey and Massachusetts, close to 4 million more Americans would have health insurance, and premium costs would drop an average of nearly 12%, according to a recent report from The Commonwealth Fund and the Urban Institute.
Rate of Osteoporosis Drug Treatment to Prevent Recurrent Fractures Dropping
A study of more than 97,000 elderly patients with hip fracture found they were not often prescribed osteoporosis medications in an effort to prevent future fractures, and in fact, the rates declined over 12 years—a finding that surprised researchers.
Short Telomeres May Signal Worse Outcomes in COPD
Patients with moderate-to-severe chronic obstructive pulmonary disease (COPD) who have short telomeres, a biomarker of aging, are more likely to have a worse quality of life and have a higher risk of exacerbations and death, according to a recent study, but daily azithromycin may help.
Doctors, Payers Think Transition to Value-Based Care Has Slowed, Survey Says
The shift to value-based care has stalled since 2017, according to a survey of health plan executive and providers commissioned by Quest Diagnostics. Quest said its third annual study suggests that physicians need better tools, like data access, and less complex quality measures to spur adoption of value-based healthcare, which focuses on care quality and patient outcomes rather than the quantity of services delivered.
White House Makes Case for Work Requirements in Safety-Net Programs
The White House released a report saying the time is right to impose work requirements on 3 noncash welfare programs—food stamps, housing assistance, and Medicaid. Adding work requirements to these programs would reduce dependency upon them by nondisabled, working-age beneficiaries receiving such assistance, as poverty as fallen since the programs were created.
Government Websites Hosting 20 Years' Worth of Guidelines Data to End
Providers, payers, and patients looking to do research on a clinical guideline need to get busy: They only have this weekend to download thousands of pages from federally funded websites that will close due to federal budget cuts in President Donald Trump’s budget.
Health Plans' Coverage of Specialty Drugs Shows Wide Variation, Study Finds
There is widespread variation in how commercial insurers cover specialty drugs, a recent Heath Affairs study found, with only 16% of the drug-indication pairs examined covered the same way. Fewer than half were covered consistently by at least 75% of the plans.
Additional Deaths, Health Disparities Forecast in Pair of Climate Change Studies
A pair of articles paint a devastating picture of the effects of climate change on human health. One paper cited increased air pollution spurred by air conditioning and another paper said that the decreased nutritional quality of staple crops will increase diseases like anemia and diarrhea.
CMS Cuts Budget for ACA Marketing to $10 Million for 2019 Plan Year
CMS cut the amount of money it is awarding to organizations that help individuals enroll in insurance for 2019 plans under the Affordable Care Act (ACA) by $26 million, and, for the first time, is encouraging the so-called “navigators” to also sign people up for health insurance that provides a narrower level of coverage than the plans under the ACA.
Asymptomatic Adults Do Not Need Peripheral Artery Disease Screening, USPSTF Says
The United States Preventive Services Task Force (USPSTF) decided that current evidence is insufficient to recommend screening for peripheral artery disease and cardiovascular risk with the ankle-brachial index in asymptomatic adults.
340B Health Says Changing Hospital Eligibility Will Slash Program
A day before legislators will hold hearings on 15 bills relating to the 340B drug discount program for hospitals, 340B Health, which represents those hospitals and providers, released a report that said more than half of the disproportionate share hospitals would lose eligibility under one Congressional proposal.
VBID Strategies to Encourage Drug Adherence Working, Review Finds
An updated review of value-based insurance design (VBID) as a strategy for increasing consumer adherence to prescription medications found moderate-quality evidence that such strategies are useful for increasing the use of high-value drug classes while lowering cost sharing.
Azar Tells 340B Meeting "Change Is Coming" After Trump Tweets About Drug Prices
About an hour before HHS Secretary Alex Azar was due to give a keynote speech about drug prices at the 340B Coalition Summer Conference, his appearance was foreshadowed by a tweet from President Donald Trump who singled out 1 drug company. Azar was at the conference to talk not only about drug prices but also changes to the 340B program.
Explosive Jumping Can Help Prevent Falls in Women With Osteoporosis Risk
Can older women with low bone mass decrease their risk of falls with a fitness trend called explosive jumping? One study says it’s possible, and that it may be worthwhile to incorporate muscle power training into traditional fall-prevention programs.
5 Things About Chronic Pain and Pain Management in the Age of Opioids
Payers and providers are looking to keep vulnerable patients in pain from becoming addicted to painkillers, but those who live with pain on a daily basis are understandably upset at the thought of losing access to medications they say keep them functional. Here are 5 takeaways from recent coverage about this important issue.
Global Report Calls for Urgent Interventions to Improve Healthcare Quality
The Organisation for Economic Co-operation and Development, the World Health Organization, and the World Bank released a report urging governments around the world to think seriously about planning for high quality care, noting that poor quality health services are holding back progress in countries of all income levels.
Folic Acid Fortification May Have Role in Sustaining Mental Health
Using a series of small public data sets, researchers found a positive association of prenatal exposure to folic acid fortification with subsequent cortical development in the brain—considered key for cognitive and mental health—through adolescence. The finding suggests that increased prenatal exposure to folic acid through food fortification may protect against psychosis through altered postnatal cortical development.