Are providers ready for biosimilars? – Healthcare Economist
Perhaps more education is needed. That is the conclusion from a paper by Giovatto et al. (2024). The authors conducted an online survey of US prescribers and health system specialty pharmacists practicing in the rheumatology, dermatology, and gastroenterology. Among the 31 prescribers and 44 pharmacists who responded to the survey: […]
Good practices for incorporating family and caregiver spillovers into health economic evaluations – Healthcare Economist
Illnesses impact not only the patients, but oftentimes impact caregivers and family members as well. However, most economic analyses do not incorporate a diseases’ spillover impacts on caregivers. …a recent review of NICE evaluations revealed that only 3% of technology appraisals included caregiver health-related quality of life (HRQoL) in cost-utility […]
Whistleblower Accuses Aledade, Largest US Independent Primary Care Network, of Medicare Fraud
A Maryland firm that oversees the nation’s largest independent network of primary care medical practices is facing a whistleblower lawsuit alleging it cheated Medicare out of millions of dollars using billing software “rigged” to make patients appear sicker than they were. The civil suit alleges that Aledade Inc.’s billing apps and other software and guidance […]
Journalists Examine Medicaid Unwinding, Farmworkers’ Mental Health, and the Big Opioid Payback
KFF Health News senior correspondent Aneri Pattani discussed how Mobile, Alabama, is weighing whether to use opioid settlement funds to pay treatment costs now or invest in long-term solutions to cut future addiction rates on NPR’s “Morning Edition” on Feb. 27. Click here to hear Pattani on “Morning Edition” Read Pattani’s series, “Payback: Tracking the […]
Long term care spending around the world – Healthcare Economist
A great paper by Gruber et al. 2023 looks at the evolution of long-term care for ten countries: Canada, Denmark, England, Germany, Italy, Japan, the Netherlands, Singapore, Spain and the United States. Long-term care is divided into three categories: institutional care, formal home care, and informal care. For the 10 […]
Stakeholder Perspectives on CMS’s 2025 Notice of Benefit and Payment Parameters: State Insurance Departments and Marketplaces
By Maanasa Kona and Rachel Schwab In November, the Biden administration released the proposed Notice of Benefits and Payment Parameters (NBPP) for plan year 2025, an annual rule setting standards for the Affordable Care Act (ACA) Marketplaces and health insurers. A detailed two-part summary of NBPP 2025 can be found on Health Affairs Forefront here […]
When to Go to Urgent Care vs. The Emergency Room
While your primary care doctor should be your first choice in non-emergency medical situations, they may not always be an option. Illnesses and injuries often occur unexpectedly in the middle of the night or on the weekends when your doctor’s office may not be open. Should you go to an urgent care facility or an […]