Managed Care e-News
Mar. 20, 2012

Getting doctors to think about costs
The New York Times
Over the last two years, a senior resident in obstetrics and gynecology at Brigham and Women's Hospital in Boston has been collaborating with medical educators and healthcare economists to create a series of videos and educational materials designed to help medical students and doctors-in-training learn to make clinical decisions that optimize both quality of care and cost.More

Healthcare or else? Forced insurance rule to be decided
The Associated Press via Chicago Tribune
Death, taxes and now health insurance? Having a medical plan or else paying a fine is about to become another certainty of American life, unless the Supreme Court says no. People are split over the wisdom of President Barack Obama's healthcare overhaul, but they are nearly united against its requirement that everybody have insurance. More

Senate bill could roll back consumers' health insurance savings
ProPublica
Health insurance companies soon may have to pay more than a billion dollars back to their own customers. The rebate requirements were introduced as part of the 2010 healthcare reform law and are meant to benefit consumers. But now, an insurer-supported Senate bill aims to roll them back. More

FDA clears Cytori fat graft device
The Associated Press via CBS News
Shares of Cytori Therapeutics have jumped after the medical device maker said it received approval for a new version of its Puregraft system, which is used in cosmetic surgery. Plastic Surgeons use the device in fat grafting procedures that take fat from one part of the body and inject it into another. The device removes unwanted fluid, blood cells and debris from the fat and prepares it for grafting.More

FDA: Drug shows some sarcoma survival gains
Reuters
The drug Votrient extended the lives of a significant number of patients suffering from an aggressive form of cancer without the disease getting worse, but the drug did not improve overall survival rates, health regulators said. Food and Drug Administration staff said in a review the drug, known generically as pazopanib, has a safety profile for patients with soft-tissue sarcoma that is similar to indications for renal cell carcinoma.More

Prostate cancer screening study adds to debate over PSA tests
CBS News
Should men get routinely screened for prostate cancer? The question has been debated since a panel of medical experts said annual screening might do more harm than good for some men. A new study may cloud the debate even further.More

Leukemia gene mutations linked to survival odds
Reuters
Advances in genetic profiling are paving the way for more precise, and effective, treatment of the aggressive bone marrow cancer known as acute mylogenous leukemia, or AML, according to new research. Two studies show genetic testing can guide doctors in how best to use current therapies as well as identify new drug targets.More

Balmy winter downside? Eager ticks
The New York Times
While some experts say the prevalence of dog-biting ticks this mild winter indicates neither a more virulent tick nor an increased risk of Lyme disease in dogs and humans, a recent study by the Centers for Disease Control and Prevention found that data from dogs may help predict areas of Lyme disease emergence. More

Meth babies more prone to behavior problems
U.S. News & World Report
Children whose mothers used methamphetamine during pregnancy are more likely to suffer from behavioral problems like anxiety, depression, and moodiness. That's according to a study published in Pediatrics that tracked the babies of meth-using moms starting at birth and continuing through age 5. Children exposed to meth in the womb are more likely to "act out" behaviorally. More

Genomics changing management of chronic diseases
Medscape Medical News
Chronic diseases have been considered an area of healthcare in which advances in genomic medicine might ultimately yield the most benefits for public health. Diseases such as diabetes, cancer and many pediatric conditions are considered chronic diseases. Each lends support to the belief that exposure to risk factors, even before birth, alters gene expression in ways that favor the development of chronic disease.More

Obesity gene's role revealed in mice study
BBC News
Researchers believe they have identified why a mutation in a particular gene can lead to obesity. Mouse experiments suggested the body's message to "stop eating" was blocked if the animals had the mutation. The study, published in Nature Medicine, said the brain's response to appetite hormones was being disrupted.More

Examining the broad reach of depression
CBS News
VideoBriefThe Centers for Disease Control says roughly 1 in 10 Americans is depressed - the Land of Opportunity apparently offering a lot of opportunity for misery. U.S. depression rates have roughly tripled over two decades, according to several studies.More

Study links prenatal cellphone use and ADHD
Mother Nature Network
A new study from researchers from the Yale School of Medicine found exposing pregnant mice to radiation from a cellphone affected the future behavior of their offspring. Specifically, mice exposed to radiation as fetuses were more hyperactive, had more anxiety and poorer memory — symptoms that sound very similar to those associated with attention deficit hyperactivity disorder.More