Managed Care e-News
Nov. 4, 2014

Journal of Managed Care Medicine new website released

The Journal of Managed Care Medicine (JMCM) has released its new website at The website features current issues, past issues, supplements and much more. Be sure to visit the website for updates on the latest topics in managed care medicine.

If you are interested in advertising on the website or in JMCM, please click here.

If you would like a free subscription to the Journal of Managed Care Medicine, click here and fill out the form.More

Fall Managed Care Forum 2014

The Fall Forum will feature the first Annual Innovation Awards for the NAMCP Medical Directors Institute, AAMCN and AAIHDS. If you are interested in applying for this award, please contact Katie Eads at or 804-527-1905 and we will send you an application.

The Fall Forum will be held Nov., 12-13, 2014 at the Bellagio Resort in Las Vegas, Nevada for medical directors, nurses and administrators.

The Forum features up-to-date, useful information on the ACA and healthcare changes, trends and how to improve patient outcomes.

Click here to see the agenda, speakers, register and for more information on the conference.More

Who would have health insurance if Medicaid expansion weren't optional
The New York Times
In 2012, the Supreme Court ruled that a cornerstone of the Affordable Care Act — its expansion of Medicaid to low-income people around the country — must be optional for states. But what if it had ruled differently? More than 3 million people, many of them across the South, would now have health insurance through Medicaid, according to an Upshot analysis of data from Enroll America and Civis Analytics.More

The real reason you'll want an Apple Watch: Your health insurance will go down
Business Insider
If you're a safe driver, insurance companies will cut the rates you pay on car insurance. The same thing will happen for Apple Watch, this startup investor predicts. Apple Watch applications will monitor how you sleep, how much you exercise, and what you eat. If you follow certainly guidelines, your health insurance premiums will go down. More

To quarantine or not? A question of trust
By Joan Spitrey
As the debate rages on regarding quarantines ordered by state governors, Kaci Hickox — the nurse who was ordered home quarantine — refuses to comply. So the national conversation continues. As a nurse, Hickox needs to set an example. It appears she wants to make a point that she is not infectious, but her message is not being heard through its delivery of selfishness. Although all do not agree upon the current course of action, there are a few things we all agree on. More

ACO gains in 1st years are 'promising, not overwhelming'
Two studies on the cost, care quality and patient experience associated with accountable care organizations published in the Oct. 30 issue of the New England Journal of Medicine point to moderate cost savings and gains in quality and access in the payment model's first years. An accompanying editorial by Lawrence Casalino, M.D., Ph.D., summarized ACOs' progress, according to these studies, as "promising but not overwhelming." More

New CMS ACO model to promote accountable care in rural areas
Healthcare Finance News
To date, of the more than 330 Medicare Shared Savings Program accountable care organizations, 93 percent have been located in high or mixed population density areas, and very few Rural Health Clinics or Critical Access Hospitals have become MSSP ACOs. Thus, rural America has been relatively untouched by this major accountable care program.More

FDA approves Trumenba vaccine for meningitis B
Meningococcal disease is a life-threatening illness caused by bacteria that infect the bloodstream and the lining that surrounds the brain and spinal cord. The bacterium N. meningitidis is a leading cause of bacterial meningitis. The bacteria are passed from person to person through respiratory or throat secretions, which can be spread by coughing, kissing, or sharing eating utensils.More

FDA advisory panel gives tepid support to new Daiichi Sankyo Drug
The FDA’s Cardiovascular and Renal Drugs Advisory Committee voted 9-1 in favor of approval for Daiichi Sankyo’s edoxaban, but the outcome will likely result in a drug that will be on the market but that few physicians will prescribe until further studies are performed. Edoxaban will almost certainly become the fourth new oral anticoagulant to receive FDA approval. More

Scientists link 60 genes to autism risk
Researchers have found dozens of new genes that may play a role in causing autism, according to two studies published in the medical journal Nature. Scientists identified 60 genes with a greater than 90 percent chance of increasing a child's autism risk. Previous research has yielded only 11 genes that had been confirmed with this level of certainty.More

Study: 2 genes may contribute to violent crime
CBS News
Whether criminals are born with an innate tendency to hurt others, are slaves to mental disorders, or are molded by factors such as childhood trauma, a history of abuse or too many violent video games is a persistent and complicated question. Now, new research suggests that genetics may in fact contribute to a propensity for violent criminal behavior.More

Can your genes affect your response to Ebola? That's the case in these mice
The Washington Post
Scientists have found a better way to study Ebola in the lab. When they infected a fleet of specially bred mice with the virus, they saw a range of reactions, from zero symptoms to death by hemorrhagic fever. By studying how different genes in mice change the course of infection, they could determine what genes make humans more vulnerable to death by Ebola.More

Study: Resveratrol may hinder effects of exercise
Fox News
Resveratrol, a compound in red wine, has been heralded in past studies for health benefits such as lowering blood pressure and slashing heart disease risk. But one of its supposed perks — enhancing the effects of exercise — has been challenged in new research. According to a small study published in the November 2014 issue of the journal Applied Physiology, Nutrition and Metabolism, resveratrol may impede the body’s response to physical training.More

New milk study misses the real point — milk isn't the problem
By Lauren Swan
A group of Swedish researchers has people panicking — all these years they've been drinking milk, and it turns out milk is dangerous and unhealthy, despite numerous studies proving otherwise. Milk, a new study says, is damaging to your bones and heart; it can even raise your chances of cancer and cause hip fractures in women. Got milk? Yes, too much, apparently. So should everyone just ditch milk altogether? The evidence against milk seems pretty damning if you conveniently ignore one of the most important words in the study title: cohort. More

Single blood test could one day spot cancer sooner
A single blood test to detect cancer earlier is a step closer, scientists in the U.K. say, after they discovered more than 800 possible signs of cancer in the blood, called biomarkers, in people with cancer. All cancers leave markers in the blood, and that raises the possibility of a general screening test for many different kinds of cancer.More

Sea sponge-derived drug could extend life for breast cancer patients
Medical News Today
Triple negative breast cancer is a subtype of the disease defined by the absence of hormone receptors for estrogen and progesterone, and lack of expression of a protein called HER2. This subtype is responsible for a disproportionate percentage of breast cancer deaths. Now, a cancer drug developed from a sea sponge could add an extra five months of life for women with an advanced form of the disease.More

Under Obamacare, mental health lacking
U.S. News & World Report
A flood of patients who have become newly insured under the Affordable Care Act are visiting doctor's offices and hospitals, causing some health workers to worry about how they can provide care to everyone in need. One group, however, isn't lining up for care: People with mental health issues or substance use disorders.More

Evidence that heart health and mental health are linked
The Huffington Post
A new study provides more evidence that mental health and physical health are linked. The study, presented at a meeting of the Canadian Cardiovascular Congress, shows an association between having a mental disorder — including schizophrenia, depression, anxiety and bipolar disorders — and an increased risk of heart disease or stroke.More