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John B. Watkins, PharmD, MPH, BCPS, pharmacy manager for formulary development at Premera Blue Cross, discussed using cost-effectiveness data for formulary decisions.

This week The American Journal of Managed Care offers a special episode of highlights from the American Society of Hematology's annual meeting, including sessions on newly approved treatments, how the move to pay-for-performance affects hematologists, and the increasing role of patient-reported outcomes.

In addition to being responsible for longer hospital stays and readmissions, Clostridium difficile is increases hospital costs by 40%, according to a new study conducted by Premier, Inc.

Most senior healthcare executives agreed that a healthcare system that embraces transparency will produce safer care and better outcomes, but a minority are happy with the current degree of transparency in their organization.

Emil Chiauzzi, PhD, research director, client services at PatientsLikeMe, sat down for an interview at the ISPOR 20th Annual International Meeting to discuss using social media for patient engagement and improving the relationships between researchers and patients.

What we're reading, December 25, 2015: a drug that is currently free could get very costly; this year's flu season is expected to be mild; and before they went on recess, members of Congress introduced a number of healthcare-related bills.

Top 10 videos from The American Journal of Managed Care's Summit and Insight programs.

St. Peter's University Hospital of New Brunswick argued that it will suffer irreparable harm if Horizon's OMNIA plan takes effect in the new year and it is not included in the preferred hospital tier.

A new study has provided the first strong evidence that warfarin can interact adversely with anti-diabetes drugs and cause serious hypoglycemic events.

Opioid prescribing patterns are far less skewed than initially thought. New research has found that most opioid prescriptions are actually distributed by the broad population of US general practitioners.

The rising cost of drugs was in the spotlight in 2015, and the manuscripts in The American Journal of Pharmacy Benefits highlights the growing concerns of the healthcare industry in regards to rising expenditures.

What we're reading, December 24, 2015: more than half of Affordable Care Act co-ops will be closed by the end of 2015, but this could have been avoided; 5 senators are pressing CMS for information on containing drug costs; and a task force does not recommend screening all teens and children for high cholesterol.

The new rule has been issued just as states are cracking down on the practice of balance billing patients who take steps to use in-network hospitals, only to be balanced billed anyway if they are seen by a provider not on their health plan.

With the Affordable Care Act endangered during the first half of 2015, many popular newsroom stories concerned President Obama's signature legislation.

It appears Sanofi will use a priority review voucher to catch up in the process to Novo Nordisk, which submitted an NDA for Xultophy in late September.

2.0 Credits - CPE | Expires 12/12/16

What we're reading, December 23, 2015: CMS releases data on the most expensive Medicare drugs, while HHS reports strong enrollment numbers on HealthCare.gov, and Hillary Clinton outlines a plan to spend $20 billion on Alzheimer's disease research.

New legislation would allow drug companies more flexibility in how they communicate health economic information to health plans.

As the healthcare system moves to an environment of value-based payment, bundled payments could become the next step in healthcare transformation. However, there are both opportunities and risks in this form of value-based payment, explained Michael Ciarametaro, MBA, director of research at the National Pharmaceutical Council, at the ISPOR 20th Annual International Meeting.

The statement from the obstetricians and gynecologists said that there aren't enough certified genetic counselors to meet demand. In a statement, the groups said this will limit access to care if patients must wait for assistance before ordering tests.

The effort aims to prevent diabetes by urging Americans to get annual checkups and know 4 key numbers: BMI, blood pressure, blood sugar, and cholesterol.

What we're reading, December 22, 2015: experts recommend using statins in adults between the ages of 40 years and 75 years; Republicans and Democrats are equally concerned about rising healthcare costs; and Martin Shkreli now fired as CEO of a second company.

The most read articles in The American Journal of Managed Care's Evidence-Based Oncology ranged from personal narratives to healthcare policy issues that impact the broader population.

PatientsLikeMe received a grant to work with the National Quality Forum to develop patient-reported outcome measures.

A new study finds that Medicare recipients can prevent hospital admissions if they seek medical assessment from clinical home visits, which increase the number of visits to the doctors while reducing the costs of healthcare because of treatment in less-costly sites.

The award is believed to be the largest in Indiana under the Americans with Disabilities Act for a person with diabetes.

Featuring stories about single-payer healthcare, studies on alcohol, and superbugs.

An analysis revealed growing evidence of improved access to and affordability of care after the implementation of the Affordable Care Act, but gaps remain, especially for low-income adults.

During 2015, the most popular papers published by The American Journal of Managed Care included studies on predicting adherence, engaging members and providers in chronic care management programs, care fragmentation among chronically ill patients, and using behavioral health interventions to improve outcomes and reduce costs.

Nearly half of insured American adults are unaware that they should have an annual medical check-up and are ignorant to the fact that their insurance covers the annual check-up and there is no cost out-of-pocket associated with it.