Managed Care e-News
Dec. 9, 2014

2014 Innovation Award Winners

NAMCP, AAMCN and AAIHDS are pleased to announce the winners of the first annual Innovation Awards, which recognize a company or organization that is improving outcomes, costs or quality using an innovative method in the workplace. The award winners are as follows:

NAMCP Medical Directors Institute Innovation Award Winner: Yale-New Haven

AAMCN Innovation Award Winner: MDWise

AAIHDS Innovation Award Winner: Keystone First, an affiliate of AmeriHealth Caritas

Save the date: 2015 Spring Managed Care Forum

Save the date for the 2015 Spring Forum being held April 23-24, 2015 at Disney's Yacht & Beach Club. More information will be available shortly.More

In healthcare, managing access rights is a necessary mandate
By Dean Wiech
Access to critical data is paramount criteria for business success. Physicians and nurses need access to patients' records to insure proper delivery of care, and encumbering employees and internal stakeholders by placing too many restrictions or complicated access methodologies upon internal systems can have catastrophic consequences. However, too little control or restrictions to information in internal systems can lead to violations for healthcare organizations. More

Why millennials hate their least expensive healthcare option
Health plans that shift more up-front costs onto you are rapidly becoming the norm. But millennials don't seem happy about taking on the risk, even in exchange for a lower price. Millennials want their parents' old health insurance plan. A new survey from Bankrate found that almost half of 18-to-29-year-olds prefer a health plan with a lower deductible and higher premiums — meaning millennials would rather pay more out of their paycheck every month and pay less when they go to the doctor.More

Healthcare law is not one-size-fits-all, and here's why
The New York Times
One criticism of the Affordable Care Act is that it imposes a costly, one-size-fits-all standard, drastically increasing premiums by requiring everyone to buy health insurance that covers the same mandated benefits. This is not so. It’s true that the health reform law imposes some requirements — “essential health benefits” — on what individual market and small business plans offer.More

Riskless ACOs may invite abuse
Modern Healthcare
The hope that accountable care would rapidly diffuse across the healthcare landscape to help reduce costs suffered another setback when federal officials last week admitted few Medicare ACOs are ready to assume financial risk. To keep existing ACOs from dropping out, the CMS proposed an expanded menu of incentives to keep hospitals and doctors involved while postponing when providers would actually face potential losses for three more years. More

5 key changes providers can expect from the new ACO rule proposal
Healthcare Dive
When CMS unveiled its accountable care organization program in 2011, it was met with trepidation from some healthcare providers, many of whom were uncomfortable with the parameters of risk and reward outlined in the program. More

For treatment of polycythemia vera, FDA approves Jakafi, a targeted therapy
The FDA approved Jakafi, a pill, for use in treating polycythemia vera. The drug, a targeted kinase inhibitor manufactured by Incyte, offers a needed option for some people affected by this serious blood disorder, a type of myeloproliferative disease.More

Amgen says FDA approves Xgeva as a treatment for rare bone-destroying cancer complication
The Associated Press via Fox News
Amgen's Xgeva, which is used to treat bone disorders related to cancer, received an additional U.S. marketing approval. The Food and Drug Administration approved Xgeva as a treatment for hypercalcemia of malignancy, a condition in which a patient's bones break down at an accelerated rate, the company said.More

Sifting through genes in search of answers on Ebola
The New York Times
An old two-story brick building in a shabby part of town, formerly a distribution center for Budweiser beer, is now the world’s most powerful factory for analyzing genes from people and viruses. And it is a factory. More

How well you sleep may depend on your genes
HealthDay News via CBS News
How much sleep you get each night may depend to some extent on your genes, a new study suggests. "Sleep patterns are influenced by genetic differences," said study co-author Dr. Daniel Gottlieb, a sleep researcher and associate professor of medicine at Harvard Medical School.More

Genes that cause pancreatic cancer identified by new tool
Medical Xpress
A technique that can identify causes of cancer invisible to genetic sequencing has uncovered large sets of previously unknown pancreatic cancer genes. It is hoped that this study will boost research into a disease that is still poorly understood and for which five-year survival rates have stood at around 5 per cent for the past four decades.More

Genes may play greater role in Lou Gehrig's disease
The Huffington Post
In most cases of Lou Gehrig's disease, or amyotrophic lateral sclerosis, it's not known what caused the condition, but a new study finds genes may play a larger role than previously thought. Only about 5 to 10 percent of people with ALS have family members with the disease, meaning the cases have a known genetic component.More

The other reason canned food is raising your blood pressure
If your food or drink comes out of a can, chances are it’s not the healthiest choice for your blood pressure, thanks to all that salt preserving your beans, for example. But the latest research suggests there may be another reason to avoid canned goods.More

Study: No increase in risky sexual activity with HPV vaccine
Chicago Tribune
Vaccinating young girls against the sexually transmitted human papillomavirus does't lead to an increase in risky sexual activity, a new study shows. Teen girls in the study who were vaccinated against HPV were no more likely to become pregnant or contract another sexually transmitted infection than girls who were not vaccinated, the researchers found.More

Most elderly breast cancer patients receive unnecessary radiation
Medical News Today
In 2004, a randomized clinical trial supported the omission of radiation treatment in elderly female patients with early-stage breast cancer. Despite this evidence, a new study reports that almost two-thirds of this group of patients still receive this treatment today.More

'60 Minutes' cancer doctor's revolutionary idea: Taking big data seriously
Cancer pioneer and entrepreneur Patrick Soon-Shiong’s appearance on 60 Minutes has ignited an impassioned discussion, focused on two key questions: is Soon-Shiong’s approach really revolutionary, and what’s the evidence he’s on the right track?More

7.6 percent of Americans are depressed, but few seek mental health treatment
Los Angeles Times
About 1 in 13 Americans was suffering from depression at some point between 2009 and 2012, yet only 35 perent of people with severe depression and 20 percent of those with moderate depression said they had sought help from a mental health professional, according to a new report from the U.S. Centers for Disease Control and Prevention.More

The mental health of the college athlete
The Wall Street Journal
The apparent suicide of Ohio State football player Kosta Karageorge underscores Brian Hainline ’s argument that college athletes need better mental-health services. “Some student-athletes, if they are injured, think everything they stand for has gone away,” Hainline said. “There is a desire to become good at all costs that can lead students into unhealthy or ethically challenging situations.”More