Managed Care e-News
Nov. 18, 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

1st look at health insurance rates for next year is encouraging
The New York Times
Early evidence suggests that competition in the new Affordable Care Act marketplaces is working. Health insurance premiums in major cities around the country are barely rising. That’s the conclusion of two studies of data about newly public insurance rates. One, from the Kaiser Family Foundation, a health research group, looked at 49 cities and found that prices for a popular type of plan are actually going down, on average.More

Compare the cheapest health insurance plans: bronze vs. catastrophic
U.S. News & World Report
In the state-run health insurance marketplaces, the government-approved health insurance plans are divided into five tiers: platinum, gold, silver, bronze and catastrophic. Analysts expect young adults to gravitate toward the bronze and catastrophic plans, which are the lowest-cost options.More

How ACOs can improve patient engagement
Although Medicare's Accountable Care Organizations have improved quality and netted savings, they must improve their patient engagement strategies, according to a Brookings Institution blog post. Research indicates that ACOs are having difficulty raising awareness among patients that have been assigned to an ACO — in fact, some patients don't even realize they're in an ACO. So patients may seek care outside their network. More

CMS: How to report only once for PQRS, meaningful use, ACOs
EHR Intelligence
Providers participating in the 2014 Physician Quality Reporting System program may not have to submit their quality data more than once in order to participate in additional programs, CMS said in an email update this week. Certain individual eligible professionals and group practices will be eligible to report once on a single set of clinical quality measures that will satisfy some of the requirements for programs such as Value Based Payment Modifier, Medicare EHR Incentive Program, Medicare Shared Savings Program Accountable Care Organization, Comprehensive Primary Care Initiative, and the Pioneer ACO program.More

FDA to Mallinckrodt: Generic Concerta doesn't measure up to J&J's brand
The FDA's new due diligence on generic drugs now has one victim: Mallinckrodt, which makes a knockoff version of Johnson & Johnson's ADHD drug Concerta. The Dublin-based drugmaker says the FDA is questioning whether its generic actually measures up to the brand.More

FDA approves meningitis vaccine after outbreak at colleges
The Hill
The Food and Drug Administration has approved a vaccine for a strain of meningitis that has infected students on college campuses across the U.S. this year. There are five main strains of the bacteria that causes meningitis, an infection of the bloodstream and lining that surrounds the brain and spinal cord: A, B, C, Y and W. The FDA has vaccines to prevent four of the five, but a vaccine for type B — known as MenB — was unavailable until now.More

Scientists use mind control to switch on genes
Swiss researchers say they've found a way to use brainwaves to activate specific genes in the body, the first proof of concept of a technology that could be used in the future to treat conditions like epilepsy and chronic pain. Their study, published in the journal Nature Communications, used mice and people to see if the "mind control" process could work. More

Nature, as well as nurture, shapes human gut microbiome
The composition of an individual's gut microbiome is influenced not just by environmental exposure but also by the genetics of the host. The resulting human gut microbiome affects host metabolism, thereby contributing to obesity.More

Overweight? You might need a lot more vitamin D
Yahoo Health
How much vitamin D should you take? Our current guidelines suggest identical amounts for 1-year-old kids all the way to 70-year-old adults. But new research has disproved this one-size-fits-all dosage, suggesting we consider one factor over all others — your weight. More

Older Americans unversed in the Internet 'know less about health'
Medical News Today
The Internet is a familiar tool of everyday life and an important source of information, including on health. Except, that is, for those who find themselves stranded on the wrong side of the "digital divide." Now, researchers warn that older Americans who are not online could be sidelined as the Internet's role in providing health information grows.More

Medicare plans to pay for lung cancer screening
NBC News
Medicare plans to start paying for lung cancer screening for people at high risk, a move that advocates say could save thousands of lives every year by catching the disease earlier. The Centers for Medicare & Medicaid Services made a formal proposal to start paying for low-dose CT scans to look for lung tumors for people with a high risk of the world’s No. 1 cancer killer.More

Chlamydia knocks out the body's own cancer defence
Medical Xpress
Infections due to the sexually transmitted bacterium Chlamydia trachomatis often remain unnoticed. The pathogen is not only a common cause of female infertility; it is also suspected of increasing the risk of abdominal cancer. A research team at the Max Planck Institute for Infection Biology in Berlin has now observed the breakdown of an important endogenous protective factor in the course of chlamydial infection.More

Hope on the horizon: Addressing the causes of schizophrenia
By Dorothy L. Tengler
Schizophrenia is a severe, chronic and generally disabling brain and behavior disorder — a type of illness or psychosis, causing severe mental disturbances that disrupt normal thoughts, speech and behavior. Schizophrenia is believed to be caused by a combination of genetic and environmental factors. Scientists have thought that several genes are associated with an increased risk of schizophrenia but that no gene alone causes the disease. In the journey to uncover the cause of this age-old disorder, a new theory is being explored — the role of C-reactive protein.More