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The Hill
The pharmaceutical industry is opening a new line of attack against health insurers in the escalating battle over drug prices. Global drug lobby the Biotechnology Innovation Organization (BIO) is accusing insurance companies of funneling cash into a little-known outside group that recommends its own drug prices with hopes of driving down overall costs.
The decade-old group, called the Institute of Clinical and Economic Review (ICER), has been hailed as a "Consumer Reports" for prescription drugs and is one of the only sources of drug data available to the public. "I think trying to silence ICER because you don't like their conclusions is probably not a good idea," Medicaid Health Plans of America CEO Jeff Myers said.
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California Healthline
High prices for new hepatitis C drugs have forced California health officials to budget nearly $1 billion next year in additional payments for managed care plans to treat Medi-Cal patients infected with the disease. The health insurance industry calls the arrangement a "patch on the problem" of unsustainable drug pricing.
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MHPA
We're less than 90 days until mhpa2016, the largest Medicaid managed care annual conference. There is only one more week until early-bird registration rates end.
Register here.
Learn more about mhpa2016 by visiting us at medicaidconference.com.
Relias and MHPA
Relias Learning is one of the sponsors of mhpa2016. Relias provides online training courses designed specifically to help address the new challenges of integrated care and successfully managing the care of high-cost members with complex medical, behavioral and social needs. Relias currently serves more than 5,000 health and human services organizations and recently launced a new solution designed exclusively for our payer customers.
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The Huffington Post
Kentucky Gov. Matt Bevin wants to enact a major overhaul of the state's Medicaid program — and vows to let the Obamacare expansion that covers hundreds of thousands of poor residents disappear if federal authorities don't agree to his plan.
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The Columbus Dispatch
Ohio Gov. John Kasich signed an executive order today to fund after-school enrichment programs for poor children, help moms with low birth-weight babies, boost former prisoners, and provide winter coats for kids. Kasich also issued another executive order expanding access to addiction treatment by including licensed independent chemical dependency counselors in Medicaid coverage.
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* Prevent high cost events * Optimize risk management
* Close quality gaps * Streamline care transitions *
Utilize post-acute analytics to build your network, get started today!
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Purdue Pharma L.P.
This week's Webinar Wednesday will provide an overview of the evolving technology being used to impart abuse deterrence to opioid analgesics that are currently marketed in the US and are in development. It includes:
- A review of the rationale for developing opioid analgesic drug products that deter particular methods of abuse
- Highlights of the federal strategy to reduce both the prevalence and consequences of opioid analgesic abuse
- Information to help locate FDA-approved abuse-deterrence claims with in a drug product’s label.
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The Times-Picayune
Louisiana Department of Health officials had enrolled more than 220,000 people into the state's Medicaid expansion as of 9 a.m., June 22, with 9,000 of those people coming from the food stamp rolls. About 105,000 people receiving food stamp benefits were sent letters asking them to respond to four questions about whether they wanted to be enrolled in Medicaid. But with less than 10 percent of people responding so far, there may need to be a new push to find food stamp recipients who are eligible and not yet enrolled, said Ruth Kennedy, who is leading Medicaid expansion enrollment.
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Arkansas Online
Several groups, including Arkansas' largest health insurer, have critiqued components of the state's plan to seek federal approval for a revised version of the private option and a waiver extension through 2021. The state Department of Human Services received nine written comments prior to Friday's public comment deadline.
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The New York Times
Healthcare fraud sweeps across the country have led to charges against 300 people including doctors, nurses, physical therapists and home health care providers accused of bilking Medicare and Medicaid, the government announced Wednesday. The sweep spread from southern California to southern Florida and Houston to Brooklyn, New York, with arrests being made over three days.
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Inside Health Policy (Subscription required)
MHPA's Jeff Myers comments on the Advancing Care for Exceptional (ACE) Kids Act of 2015
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