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A national study of 120 payers has found that nearly two-thirds of payments are now based on value, and value-based care is helping stakeholders to achieve the triple aim of lower costs, improved health, and better patient experiences.

The risk of autism spectrum disorder (ASD) in children was higher in mothers with type 1 diabetes (T1D), a recent study found.

Using the example of low back pain, a study in JAMA Open suggests insurers could help to reduce opioid overuse by expanding access to nonopioid alternatives through improved coverage and reimbursement policies.

This week in managed care, the top stories included Atul Gawande, MD, being named the CEO of the Amazon–Berkshire Hathaway–JPMorgan Chase healthcare venture; the Trump administration finalized rules for creating association health plans; an analysis found some cancer types are represented more than others in the Oncology Care Model.

Enrollment in Medicare Advantage plans has grown sharply to cover one-third of all Medicare beneficiaries. During that growth, customer satisfaction with these plans remains stable, according to a new report from J.D. Power.

On June 14, 2018, the Senate Judiciary Committee voted 16 to 5 to report the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act to the Senate floor. Here are 5 key things to know about the proposed legislation.

Coverage of our peer-reviewed research and news reporting in the healthcare and mainstream press.

A Trump plan to consolidate government would change responsibilities of FDA, HHS, and other agencies; a new website spotlights gaps in pandemic preparedness; health insurer Cigna announced a plan to reduce opioid overdoses.

For many patients with migraine, cannabis served as a substitute for other pain medications, including opioids.

Patients with myelofibrosis who were treated with Janus-kinase (JAK) 1/2 inhibitors have an increased risk for developing B-cell lymphoma. However, researchers believe there is a pre-existing B-cell clone that patients can be tested for before treatment.

As CMS proposes to alter how it reports patient safety data, the Leapfrog Group released a report saying more hospitals are reporting infections since 2015.

In a recent study presented at the European Academy of Neurology Annual Meeting held in Lisbon, Portugal, from June 16 to 19, researchers found that the levels of neurofilament light chain (NfL) can be a reliable predictor of disease worsening in relapsing-remitting multiple sclerosis (RRMS) patients.

In a statement released yesterday, the FDA has announced that it is restricting the use of pembrolizumab (Keytruda) and atezolizumab (Tecentriq) for patients with locally advanced or metastatic urothelial cancer who are not eligible for cisplatin-containing therapy.

The opioid epidemic remains a major issue. While technology and data can be used to help combat the crisis, they are not silver bullets, and there remains a lot of work to do, said speakers at an event hosted by The Hill.

The progression of chronic obstructive pulmonary disease (COPD) can often be slowed with smoking cessation. However, among socioeconomically disadvantaged groups, many patients with COPD continue to smoke and have the lowest quit rates. A recent study investigated bupropion and varenicline and their use among different socioeconomic patterns.

Although the Trump administration has slowly been chipping away at the Affordable Care Act (ACA), health insurers are feeling more confident in the ACA marketplaces; New York and Massachusetts are suing the administration over the fact that association health plans can bypass many of the ACA's requirements; a new flu vaccine was slightly more effective in seniors during last winter.

CMS Administrator Seema Verma said the agency is seeking public comment on the so-called Stark Law, which was enacted to prevent independent physicians from referring Medicare patients to facilities where they have a financial benefit. The agency said it was focusing, among other things, on how the law may impede care coordination.

TAILORx is very good news for an estimated 60,000 women a year, who in years past would have received chemotherapy, possibly risking long-term physical and mental side effects, in addition to experiencing what is now an additional and recognized side effect of cancer treatment: financial toxicity.

For people living with HIV who achieve viral suppression from antiretroviral therapy, there is a reduced risk of developing both AIDS-defining cancer and non-AIDS-defining cancer.

The Justice Department said that Healogics, a Florida-based wound care chain, agreed to pay up to $22.51 million to settle allegations that it violated the False Claims Act by knowingly causing wound care centers to bill Medicare for medically unnecessary and unreasonable hyperbaric oxygen (HBO) therapy.

The guidance from the American College of Physicians continues to drive debate on how to care for adults with diabetes.

While receiving a diagnosis of type 2 diabetes is common for US adults, African American and Latino adults over age 50 who receive a new diabetes diagnosis may have another health issue to be concerned about: pancreatic cancer.

How many uninsured people in the United States are eligible for coverage under the Affordable Care Act (ACA)? A new analysis from the Kaiser Family Foundation (KFF) found that 14.8 million people could gain coverage, either through Medicaid or by enrolling in a marketplace plan.

Last week, Bristol-Myers Squibb announced that the China National Drug Administration approved the country’s first immuno-oncology and first PD-1 therapy, nivolumab (Opdivo), for the treatment of locally advanced or metastatic non-small cell lung cancer (NSCLC).

Compared with the general population, adults who survive an opioid overdose are 24 times more likely to die during the year after the incident from a variety of mental health and medical conditions, including from substance use–associated diseases and suicide, according to a study published in JAMA Psychiatry.

Amazon, Berkshire Hathaway, and JPMorgan Chase have tapped Atul Gawande, MD, general and endocrine surgeon at Brigham and Women’s Hospital, and professor of surgery at Harvard T.H. Chan School of Public Health and Harvard Medical School, to become the chief executive officer of their healthcare company, effective July 9.

Physicians participating in the Oncology Care Model now provider care for approximately 21% of Medicare patients with cancer. An analysis from Avalere Health found that those doctors treat some types of cancers more than others.

The Trump administration is proposing to halt the public disclosure of hospital infections on the CMS Hospital Compare website; the American Medical Association (AMA) is opposing the proposed merger between CVS Health and Aetna after an analysis of the impact; and health experts are warning about the short- and long-term health impacts of the current zero tolerance immigration policy.

A new rule from the Trump administration finalizes ability for small businesses and self-employed individuals to band together to purchase health insurance that is less expensive and does not have to fully comply with the Affordable Care Act (ACA).

A recent study looked to improve the monitoring of treatments for patients with multiple sclerosis (MS) by quantifying gait characteristics and gait deficits in laboratory and daily life conditions.