Managed Care Calendar

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Issue

  • Issue: 
    January 2010

    Pilot Project Excludes Medicare Payments for Primary Care

    Capping off a year of hard-fought debate over reforming healthcare, and specifically health insurance, the Mayo Clinic made holiday-season headlines with the initiation of a 2-year pilot project involving a 5-physician family practice clinic in Glendale, Arizona, that has opted out of accepting Medicare payments for primary care starting January 1. Initially announced in October, the decision to temporarily stop accepting Medicare reimbursement for primary car

  • Issue: 
    January 2010

    Increases in total national healthcare costs have slowed
    along with the rest of the economy, but health spending continues to grow
    faster than gross domestic product (GDP). New National Health Expenditure
    Accounts (NHEA) data released by the Centers for Medicare & Medicaid Services
    (CMS) show that health spending in the United States grew by 4.4% in 2008, and
    the portion of GDP devoted to healthcare continues to increase. Meanwhile, the
    number of new pharmaceuticals approved by the US Food and Drug Administration
    (FDA) remained stable in 2009, and spending on pr

  • Issue: 
    January 2010

    In an article in the Journal of the American Medical Association [2009;302(15):1685-1692], Laura Esserman, MD, MBA, Yiwey Shieh, and Ian Thompson, MD, offer insight into the thinking behind screening for breast cancer and prostate cancer. They note that those 2 cancers account for 26% of all cancers in the United States, with approximately 194,280 patients diagnosed with breast cancer and approximately 192,280 patients diagnosed with prostate cancer each year.

    The outcomes for localized versus advanced disease are widely different: breast cancer 5-year survival rates are

  • Issue: 
    January 2010

    New Orleans—During a late breaking abstract session at the ASH conference, Giuseppe Saglio of the University of Turin, San Luigi Hospital, Orbassano, Italy, presented results of the ENESTnd (Evaluating Nilotinib Efficacy and Safety in Clinical Trials-Newly Diagnosed Patients) trial, a phase 3, randomized open-label, multicenter study that compared the efficacy and safety of 300 or 400 mg twice a day of nilotinib with 400 mg imatinib daily in patients with newly diagnosed Philadelphia chromosome chronic myeloid leukemia (Ph + CML) in chronic ph

  • Issue: 
    January 2010

    Saphris
    (asenapine)

    Saphris (asenapine) is an atypical antipsychotic indicated for acute treatment of schizophrenia in adults and acute treatment of manic or mixed episodes associated with bipolar I disorder in adults. Asenapine is administered via 5-mg or 10-mg sublingual tablets that are placed under the tongue and allowed to dissolve completely. For schizophrenia, the recommended starting dose of asenapine is 5 mg twice daily. For bipolar disorder the recommended starting dose is 10 mg twice daily, and the dose can be decreased to 5 mg twice daily if pati

  • Issue: 
    January 2010

    Researchers have identified a genetic marker that makes carriers more susceptible to increased body mass index (BMI) and obesity when consuming diets high in saturated fat, according to a report in the Archives of Internal Medicine [2009;169(20):1897-1906].

    Participating investigators were associated with Tufts University, Boston University, the University of Valencia, the University of Alabama, Jaume I University (Castellón,

  • Issue: 
    January 2010

    New Drug for Rheumatoid Arthritis
    The FDA has approved tocilizumab (Actemra) for the treatment of adults with moderate to severe rheumatoid arthritis who have not adequately responded to or cannot tolerate other approved drug classes for rheumatoid arthritis. Recommendations for the use of tocilizumab is limited to patients who have failed other approved therapies because of serious safety concerns that were noted in clinical studies. These safety concerns include elevated liver enzymes, elevated low-density lipoprotein (LDL) or bad cholesterol, hypertension, and gastr

 


REQUIP XL is an oral dopamine agonist medication for Parkinson’s disease and had demonstrated significant improvement in the symptoms of Parkinson’s disease.

 

 


The Role of Immune Function in the Changing Landscape of RRMS Therapies

 

 

 


Gastroesophageal reflux disease (GERD) is an important
managed care health concern because it is one of the most common gastrointestinal (GI) disorders in the United
States. GERD affects nearly 18.6 million Americans, according to a national healthcare database analysis.

 

 


Parkinson’s disease (PD) is a progressive
and disabling neurologic disorder. The disease is the most prevalent type of parkinsonism, a clinical syndrome caused by lesions in the basal ganglia, predominantly in the substantia nigra, which produces deficits in motor behavior.

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