Managed Care e-News
May. 21, 2013

With high deductible health plans, it pays to shop around for care
Kaiser Health News, The Philadelphia Inquirer
Welcome to the new world of health insurance where high deductible plans are growing more popular and the consumers in those plans often have an incentive to haggle with providers. Although many plans still protect people from high out-of-pocket costs for care, these days an increasing number of consumers have cheaper, high deductible plans where they must cover the first $1,000, $5,000 or even $10,000 of care before insurance kicks in.More

Primary care docs average more hospital revenue than specialists
HealthLeaders Media
A survey of hospital CFOs shows primary care physicians generated a combined average of $1,566,165 for their affiliated hospitals in the last year. Other specialties generated a combined annual average of $1,424,917, the lowest average in five years, data shows.More

CMS easing rules on Medicaid changes
MedPage Today
The Obama administration is trying to allow states greater flexibility to change their Medicaid programs without asking the federal government for special waivers, a top health official said. For example, the Centers for Medicare and Medicaid Services has tried to ease regulations in recent months — beginning last August — to allow states to create integrated delivery models for Medicaid without such waivers, researchers said.More

Study: Older whooping cough vaccine more effective
HealthDay News
The older vaccine for whooping cough that was phased out in the late 1990s is more effective than the current version of the vaccine, a new study contends.More

Gout: No help from vitamin C
Medscape Today
Vitamin C added little to the urate-lowering effect of standard gout treatment and was clinically ineffective when used alone, according to a small randomized trial. According to researchers, the study objective was to determine whether reductions in serum urate reported in a previous article by Huang et al in healthy control participants given vitamin C (500 mg/day) would also occur in patients with gout. More

Study: Extra vitamin D may ease Crohn's symptoms
HealthDay News
Vitamin D supplements may help those with Crohn's disease overcome the fatigue and decreased muscle strength associated with the inflammatory bowel disease, according to new research.More

Genetic testing guidelines under fire
LiveScience via Fox News
If you underwent a genetic test for a heart condition, but the test also revealed that you have a high risk of colon cancer, would you want to know? A respected scientific society says your doctor should tell you, but the group is receiving criticism for its recommendation that "incidental findings" of genetic tests be shared with patients.More

Use of theranostic nanoparticles nanoparticles for cancer treatment drugs
By Archita Datta Majumdar
n ongoing global research for combating cancer, new theories constantly surface to fuel newer dimensions of treatment and therapy. Perhaps none has generated as much hope as the latest theory of using nanoparticles to create new-age cancer drugs.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

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.More

K tries out new model for gene testing in cancer patients
Reuters
Britain launched a research program that should eventually allow all cancer patients to have access to the kind of genetic analysis that led Hollywood star Angelina Jolie to decide to undergo a double mastectomy.More

With breast cancer discovered at age 26, a young woman confronts her mortality
The Washington Post
Kathryn Petrides writes: "In a lifetime, the overall risk of a woman's developing breast cancer is one in eight. But try looking up statistics for having breast cancer at age 24, when my lump was already there, and you won't find any. Even the risk calculators you get at the doctor's office begin at age 30."More

CDC: Up to 1 in 5 children suffer from mental disorder
Reuters
Up to 20 percent of children in the United States suffer from a mental disorder, and the number of kids diagnosed with one has been rising for more than a decade, according to a report released by the U.S. Center for Disease Control and Prevention.More

Study: Depression almost doubles risk of stroke in middle-aged women
Medical Daily
A 12-year Australian study found that depressed middle-aged women face almost double the risk of having a stroke. Researchers analyzed survey results from the nationally representative Australian Longitudinal Study on Women's Health. Participants answered questions about their mental and physical health and other personal details every three years in the period from 1998 to 2010.More