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Financial, Psychological Burden of Abortion Care in US Raises Calls for Expanded Insurance

November 13th 2024

There are significant financial and psychological burdens of abortion care in the US, especially for those traveling out of state due to local restrictions in the increasingly restrictive post-Dobbs landscape.

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Infant Mortality Increases Across US Following Dobbs Decision

October 25th 2024

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Cost Barriers Continue to Limit Access to Fertility Care

October 24th 2024

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Etonogestrel Contraceptive Implants Reduce Pain Crises in Women With Sickle Cell Disease

October 23rd 2024

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Aetna Announces Simplified Access to Fertility Services

August 27th 2024

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This Week in Managed Care: February 15, 2019
February 15th 2019

This Week in Managed Care: February 15, 2019

This week, the top managed care news included increased demand for long-acting contraception since President Trump took office; a payer decision on an insulin pump alarmed diabetes advocates; and despite being involved in cancer treatment decisions, many primary care providers don't feel prepared to do so.
What We're Reading: Pediatric Mental Health Care; Brain Cancer Immunotherapy; Preventing Perinatal Depression
February 13th 2019

What We're Reading: Pediatric Mental Health Care; Brain Cancer Immunotherapy; Preventing Perinatal Depression

AJMC Staff
Half of children in with treatable mental health disorders in the United States do not get treatment; a small study demonstrated benefit with immunotherapy for glioblastoma; a task force recommends counseling services for new mothers at risk of depression.
Despite Being Involved in Cancer Treatment Decisions, PCPs Lack Knowledge, Confidence
February 13th 2019

Despite Being Involved in Cancer Treatment Decisions, PCPs Lack Knowledge, Confidence

Jaime Rosenberg
While one-third of primary care providers (PCPs) reported participating in breast cancer treatment decisions with their patients, a significant amount of them also indicated that they were not comfortable or did not feel that they had the necessary knowledge to participate in the treatment decision-making process.
Treatment Advances Averted More Than Half a Million Breast Cancer Deaths Over 3 Decades
February 12th 2019

Treatment Advances Averted More Than Half a Million Breast Cancer Deaths Over 3 Decades

Wallace Stephens
Preventive screening and treatment advances have contributed to saving lives for patients with breast cancer. A new study has identified that these changes could be responsible for averting up to 614,500 breast cancer deaths since 1989.
Women's Metabolic Brain Age Consistently Lower Than Men's
February 9th 2019

Women's Metabolic Brain Age Consistently Lower Than Men's

Samantha DiGrande
As both men and women age, metabolism tends to slow down with time. A recent study, however, found that women retain a higher metabolic rate throughout their lifespan.
Demand for Long-Acting Contraception Increased in Wake of Concerns About Birth Control Access
February 9th 2019

Demand for Long-Acting Contraception Increased in Wake of Concerns About Birth Control Access

Laura Joszt, MA
In the 30 days after the 2016 presidential election, demand for long-acting reversible contraceptives increased more than 20% compared with the same time the previous year.
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February 5th 2019

Ariadne Labs: Study Finds Campaign to Educate Women on Hospital C-section Rates Does Not Change Their Choice of Hospitals

A targeted effort to make hospital cesarean delivery rates transparent and understood by women increased their awareness of this important quality measure, but did not drive them to choose hospitals with lower rates, according to a new study in The American Journal of Managed Care®.
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February 4th 2019

Does Comparing Cesarean Delivery Rates Influence Women’s Choice of Obstetric Hospital?

Rebecca A. Gourevitch, MS Ateev Mehrotra, MD, MPH Grace Galvin, MPH Avery C. Plough, BA Neel T. Shah, MD, MPP
This randomized controlled trial finds that a hospital cesarean delivery rate comparison tool affects women’s perceptions but not where they choose to deliver.
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February 2nd 2019

Maternal Deaths, and Disparities, Become a Grassroots Cause

Mary Caffrey
Rates of maternal deaths have climbed over a generation in the United States while falling in other developed countries. African American women are more than 3 times more likely to die in childbirth than white women. A new federal law and efforts in states like New Jersey seek to turn the tide.
Maternal Stroke Risks at Delivery Include Infections, Race, Preliminary Research Finds
February 1st 2019

Maternal Stroke Risks at Delivery Include Infections, Race, Preliminary Research Finds

Allison Inserro
Stroke-related health risks of giving birth are highlighted in 2 posters that will be presented at the American Stroke Association's International Stroke Conference 2019, being held February 6-9, 2019, in Honolulu, Hawaii.
Women Twice as Likely as Men to Suffer Severe Depression After a Stroke, Data Show
January 30th 2019

Women Twice as Likely as Men to Suffer Severe Depression After a Stroke, Data Show

Mary Caffrey
The study followed more than 2300 men and women for 5 years and found different patterns of depression symptoms between the genders.
Physical Activity Less Connected to Lifespan for Women Than Men
January 26th 2019

Physical Activity Less Connected to Lifespan for Women Than Men

Mary Caffrey
The study counted all kinds of activity, including walking to work, repairs around the house, and, of course, sports.
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January 22nd 2019

Delaying Newborn Baths Boosts Breastfeeding, Study Finds

Mary Caffrey
A nurse at the Cleveland Clinic launched the initiative after mothers asked to delay their newborns' baths to increase their ability to take to nursing.
African American Women Are at a Disadvantage in Preventing Breast Cancer
January 16th 2019

African American Women Are at a Disadvantage in Preventing Breast Cancer

Kelly Davio
Breast cancer risk estimation models identify women who are at high risk based on a variety of factors, and women who are identified as being at high risk may be able to reduce their chance of breast cancer through preventative measures such as prophylactic surgeries or chemoprevention medications. However, uptake of these preventative treatments varies among racial groups, new research from The Ohio State University finds that racial disparities in healthcare are to blame.
Blocking Cell Signals Points to Possible Treatment for Osteoporosis
January 14th 2019

Blocking Cell Signals Points to Possible Treatment for Osteoporosis

Mary Caffrey
Authors noted that because experiments are typically done only on male mice, this brain signaling pathway controlling bone growth had never been discovered.
Understanding Why Women With Obesity Don't Breastfeed
January 12th 2019

Understanding Why Women With Obesity Don't Breastfeed

Mary Caffrey
Rather than offer support, physicians often reinforced the women's feeling of not being in control of their decisions, according to a study looking at why obese women are less likely to start or keep breastfeeding.
Cervical Cancer Screening Rates "Unacceptably Low," Researchers Find
January 10th 2019

Cervical Cancer Screening Rates "Unacceptably Low," Researchers Find

Jaime Rosenberg
Less than two-thirds of women aged 30 to 65 years were up to date with cervical cancer screenings in 2016. The percentage was even lower for women aged 21 to 29, with just over half up to date on screenings.
Medical Criteria for Contraception Increased Use by Medicaid Enrollees, CDC Says
January 4th 2019

Medical Criteria for Contraception Increased Use by Medicaid Enrollees, CDC Says

Mary Caffrey
Publishing a list of conditions for which long-acting birth control is medically indicated increased uptake among women in Medicaid, but overall use remains low.
First-Time Mothers Giving Birth Vaginally Have Higher Risk of Later Pelvic Floor Problems
January 3rd 2019

First-Time Mothers Giving Birth Vaginally Have Higher Risk of Later Pelvic Floor Problems

Allison Inserro
A woman's risk of later pelvic floor disorders is strongly associated with how her first infant is delivered, according to a recent study.
US Women Dying in Childbirth but Spending More on Healthcare, Under Stress, Report Finds
December 28th 2018

US Women Dying in Childbirth but Spending More on Healthcare, Under Stress, Report Finds

Mary Caffrey
The Commonwealth Fund report compared the status of health and healthcare for women in the United States to that of 10 other wealthy countries, including the United Kingdom, Canada, Germany, and Australia.
Researchers Improve Knowledge of PCOS With Discovery of 3 More Genes
December 27th 2018

Researchers Improve Knowledge of PCOS With Discovery of 3 More Genes

Allison Inserro
Polycystic ovary syndrome (PCOS) affects 10% of women, but it is often misdiagnosed or missed entirely by physicians. Now, researchers have identified the genetic underpinnings of the syndrome, including 3 new loci, a causal link to depression, and a male phenotype for PCOS.
Longer Breastfeeding Duration Shown to Reduce Waist Size Over the Long Term
December 20th 2018

Longer Breastfeeding Duration Shown to Reduce Waist Size Over the Long Term

David Bai, PharmD
Women who breastfed for longer than 6 months had a smaller waist circumference and body mass index (BMI) compared with women who have not breastfed or have breastfed for a shorter duration, according to the results of a recent study.
Preventing Maternal Deaths Act Headed to Trump's Desk
December 18th 2018

Preventing Maternal Deaths Act Headed to Trump's Desk

Mary Caffrey
In the past, data-gathering on pregnancy-related deaths has been irregular and review committees have not always addressed prevention.
Diet Has Minimal Association With Breast Cancer Risk in Postmenopausal Women, Study Finds
December 12th 2018

Diet Has Minimal Association With Breast Cancer Risk in Postmenopausal Women, Study Finds

David Bai, PharmD
Only alcohol was found to have a strong positive correlation with breast cancer risk in a recent study looking at diet in postmenopausal women.
Premature Birth May Induce Variability in the Mother's Systolic Blood Pressure
December 11th 2018

Premature Birth May Induce Variability in the Mother's Systolic Blood Pressure

AJMC Staff
The authors of a study conducted in China assessed nearly 2000 women who were to identify whether premature birth leads to variability in long-term systolic blood pressure.
EULAR Recommendations for Abnormalities in Knee Osteoarthritis Need an Update
December 6th 2018

EULAR Recommendations for Abnormalities in Knee Osteoarthritis Need an Update

David Bai, PharmD
A new study has recommended updated cutoffs for synovial effusion and hypertrophy to help screen for patients with symptomatic radiographic knee osteoarthritis.
Canadian Health Agencies Release Physical Activity Guidance During Pregnancy
December 1st 2018

Canadian Health Agencies Release Physical Activity Guidance During Pregnancy

Surabhi Dangi-Garimella, PhD
The Society of Obstetricians and Gynaecologists of Canada and the Canadian Society for Exercise Physiology have released consensus guidelines that will provide guidance for pregnant women as well as their clinical care providers on prenatal physical activity.
Quality Antenatal Care Lacking in Low-Income Countries
November 27th 2018

Quality Antenatal Care Lacking in Low-Income Countries

David Bai, PharmD
Patients in low-income countries receive similar antenatal care coverage as patients in high-income countries. However, they receive inequitable quality of antenatal care for 3 essential services: blood pressure monitoring, urine and blood tests, according to a study published in Lancet Global Health.
Inflammatory Disease Activity, Corticosteroid Use Increase Risk of Preterm Delivery
November 24th 2018

Inflammatory Disease Activity, Corticosteroid Use Increase Risk of Preterm Delivery

Surabhi Dangi-Garimella, PhD
Rheumatoid arthritis and juvenile idiopathic arthritis increase the risk of preterm delivery (PTD) in pregnant women. Additionally, treatment with corticosteroid can lead to a 2- to 5-fold increased risk of PTD in both groups, independent of disease activity.
Ultrasound Safer Than MRI to Monitor Rheumatoid Arthritis in Pregnancy
November 20th 2018

Ultrasound Safer Than MRI to Monitor Rheumatoid Arthritis in Pregnancy

David Bai, PharmD
Ultrasounds are a safer and equally effective diagnostic tool compared with magnetic resonance imaging (MRI) to diagnose and monitor pregnant women with suspected active rheumatoid arthritis (RA), according to a new report published in Radiology Case Reports.
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