Managed Care e-News
May. 7, 2013

Report: Medicare should develop ACOs
MedPage Today
Medicare should move to accountable care-like organizations where providers receive a globally capitated payment for their patients and must meet quality measures for full payment, health policy experts said. A group of experts released a plan that called for creating "Medicare Comprehensive Care," organizations that collaborate to oversee the treatment of a patient.More

Hospital execs project shift to outpatient care, more HIT spending
FierceHealthcare
Only about a third of hospital and practice executives think inpatient admissions will increase this year, a new survey shows, down 30 percent from a year ago. But more than two-thirds think outpatient volume will increase, according to the spring 2013 Economic Outlook survey from Charlotte, N.C.-based Premiere, a healthcare purchasing alliance.More

Financial report: Retirement the top concern for physicians
By J. Christopher Burke
The complexity of practicing medicine has never been as great as it is now. Physicians struggle with a multitude of issues every day, and their tremendous focus on patients and the business of medicine can come at the expense of taking care of their personal financial matters. This insight really came to life in the results of a national poll conducted by AMA Insurance: 2013 Report on U.S. Physicians' Financial Preparedness.More

3 ways to improve patient experience, operations
FiercePracticeManagement
Even though most patients say they're generally satisfied with the service they get at the doctor's office, some perennial complaints persist. The June issue of Consumer Reports not only ranked patients' top gripes about their experiences at physician offices, but broke them down by demographics.More

FDA panel votes against kidney cancer drug
Reuters
An advisory panel to the Food and Drug Administration recommended that the agency reject a kidney cancer drug made by Aveo Pharmaceuticals Inc and Astellas Pharma Inc., saying data from the clinical trial were inconsistent.More

Study: Girls may need fewer Gardasil shots
HealthDay News
Preteen girls may get the same immune response against human papillomavirus with two doses of vaccine as young women get with the full three-shot series, a new study suggests.More

Urologists' group issues updated guidelines on PSA test
HealthDay News
New guidelines from the nation's leading group of urologists on the controversial PSA test for prostate cancer highlight the importance of discussions between a man and his doctor. Especially for men in their late 50s and 60s, the usefulness of the blood test may have to be decided on a case-by-case basis, according to new recommendations from the American Urological Association.More

New drug OK'd for rare genetic disease
MedPage Today
A long-acting oral form of cysteamine bitartrate (Procysbi) has won FDA approval for treating nephropathic cystinosis for patients age 6 and older, the agency said. The disease, which the FDA said affects some 500 patients in the U.S. and 3,000 worldwide, arises from a genetic defect that causes cystine amino acids to accumulate in cells. Eventually, this buildup becomes toxic and leads to kidney dysfunction.More

Financial report: Retirement the top concern for physicians
By J. Christopher Burke
The complexity of practicing medicine has never been as great as it is now. Physicians struggle with a multitude of issues every day, and their tremendous focus on patients and the business of medicine can come at the expense of taking care of their personal financial matters.More

Medicare revises readmissions penalties — Again
Kaiser Health News
In its effort to crack down on repeat hospitalizations, Medicare has its own readmission: for the second time in six months, it has erred in calculating penalties for more than 1,000 of the nation’s hospitals.More

Gut bugs are implicated in heart attacks and stroke
Reuters
Thousands of heart attack victims every year have none of the notorious risk factors before their crisis — not high cholesterol, not unhealthy triglycerides.More

Medicare panel pans gene tests for cancer
MedPage Today
A Medicare advisory panel expressed little support for genetic testing to help determine the previously unknown origin of metastatic tumors and separate genetic tests to spot cervical cancer sooner.More

Skin cancer history linked to other cancers
Dermatology Times
Patients who have had nonmelanoma skin cancer are at a greater risk of contracting a secondary cancer at another site, researchers have found. More

CDC: Steep rise in suicides among middle-aged Americans
HealthDay News
The number of middle-aged Americans who have committed suicide has risen sharply in the past decade, federal health officials reported. Experts aren't sure why the jump in deaths has occurred, but point to the recession as a possible contributing factor.More

Attention-deficit drugs face new campus rules
The New York Times
Dozens of colleges are tightening the rules on the diagnosis of A.D.H.D. and the subsequent prescription of amphetamine-based medications like Vyvanse and Adderall. Some schools are reconsidering how their student health offices handle A.D.H.D., and even if they should at all.More

Girls with autism may need different treatments than boys
HealthDay News
With four to five times more males affected by autism spectrum disorders than females, much less is known about girls with autism. Fortunately, more research is beginning to focus on autism in girls, researchers said.More