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1.
Manag Care ; 28(5): 35-37, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31188109

RESUMO

The two CAR-T therapies approved for certain blood cancers have price tags of $475,000 and $373,000-and those prices don't include other costs for services that are integral to the treatments, such as harvesting a patient's T cells. Moreover, patients typically have a lengthy hospital stay after treatment.


Assuntos
Neoplasias/tratamento farmacológico , Receptores de Antígenos de Linfócitos T/uso terapêutico , Humanos , Linfócitos T
2.
Manag Care ; 28(1): 7-8, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30883314

RESUMO

It's the best-selling drug by revenue worldwide and manufacturer AbbVie has worked hard to fend off competition. Very hard. Humira faces competition in Europe, but it will probably take years before its market share is challenged in the United States.


Assuntos
Adalimumab/economia , Antirreumáticos/economia , Medicamentos Biossimilares , Custos de Medicamentos , Europa (Continente) , Estados Unidos
3.
Manag Care ; 27(8): 27-28, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-30142060

RESUMO

At the Mercy Virtual Care Center more than 850 employees deliver care by way of telehealth services to hospitals that are both inside and outside the Mercy system. Intermountain Healthcare has taken a similar approach, with its telehealth operation providing care to patients in more than 20 hospitals.


Assuntos
Hospitais Rurais , Telemedicina/métodos , Ocupação de Leitos , Doença Crônica , Controle de Custos , Custos Hospitalares , Humanos , Estudos de Casos Organizacionais , Inovação Organizacional , Objetivos Organizacionais , Estados Unidos
4.
Manag Care ; 27(8): 40-42, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-30142068

RESUMO

At telehealth walk-in centers, patients get care at the touch of a screen. They were able to choose from a long list of board-certified physicians for their virtual visit. Medical devices such as thermometers and blood pressure cuffs are also on hand.


Assuntos
Comércio , Hospitais , Telemedicina/organização & administração , Interface Usuário-Computador , Florida , Humanos , Sistemas Multi-Institucionais
5.
Manag Care ; 27(5): 32-34, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29763407

RESUMO

Sometimes patients are angry. Sometimes it is a symptom of their illness. Either way, nurses are on the front lines of health care and bear the brunt of the physical and verbal abuse from patients; gender may be a factor. In California, hospitals and other health care providers are now required to keep a log of violent incidents and develop violence prevention plans. Federal legislation has been introduced.


Assuntos
Recursos Humanos de Enfermagem , Exposição Ocupacional/prevenção & controle , Violência/prevenção & controle , Violência/estatística & dados numéricos , Local de Trabalho , Humanos , Fatores de Risco , Estados Unidos , United States Occupational Safety and Health Administration
6.
Manag Care ; 27(2): 14-17, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29451463

RESUMO

There's no question that sexual harassment-and worse-is common at the country's hospitals, clinics, research labs, and doctor's offices. Health care's gender imbalances create situations that are ripe for abuse: Women make up the majority of the workforce in health care but men still dominate positions of authority.


Assuntos
Pessoal de Saúde , Assédio Sexual/legislação & jurisprudência , Estados Unidos
7.
Manag Care ; 27(11): 36-38, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30620309

RESUMO

UnitedHealth Group, Humana, Centene, and Anthem have announced billions of dollars of deals to acquire primary care practices, hospice providers, and home health care companies. The insurers' foray into provider territory comes as the traditional contours of American health care are in flux.


Assuntos
Atenção à Saúde , Seguradoras , Seguro Saúde , Atenção Primária à Saúde , Estados Unidos
8.
Manag Care ; 27(11): 23-30, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30620304

RESUMO

Direct-acting antiviral drugs have revolutionized the treatment of hepatitis C and have some enthusiastic experts even go so far as to talk about eradicating the disease. The dark cloud in this otherwise rosy picture has been the price tags affixed to these drugs.


Assuntos
Antivirais/uso terapêutico , Hepatite C Crônica/tratamento farmacológico , Hepatite C , Hepacivirus , Humanos
9.
Manag Care ; 26(12): 18-19, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-29272233

RESUMO

Federal and state officials have moved this year to impose some preparedness requirements on providers that will have an effect in 2018 and years beyond. For instance, CMS' finalized emergency preparedness rules for health care providers that serve Medicare and Medicaid patients went into effect last month.


Assuntos
Planejamento em Desastres , Desastres , Administração de Instituições de Saúde , Casas de Saúde , Humanos , Medição de Risco , Estados Unidos
10.
Manag Care ; 26(12): 27-29, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-29272239

RESUMO

CMS chief Seema Verma wants to reshape the entitlement program that covers about 62 million people. Verma endorses "community engagement" - work or community service - as a condition for "able-bodied" people to get Medicaid coverage and accused the Obama administration of the "soft bigotry of low expectations" for opposing such a requirement.


Assuntos
Emprego/legislação & jurisprudência , Medicaid/tendências , Definição da Elegibilidade , Política de Saúde , Humanos , Medicaid/legislação & jurisprudência , Política , Governo Estadual , Planos Governamentais de Saúde , Estados Unidos
11.
Manag Care ; 26(9): 31, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-29068307

RESUMO

Oscar Health, a small insurer with big ambitions, has been enlisted to assist the storied Cleveland Clinic launch its own health plan. Each member of the plan will be matched with a care team made up of primary care provider, physician assistants, and other health care professionals.


Assuntos
Centros Médicos Acadêmicos , Cobertura do Seguro/organização & administração , Seguro Saúde , Seguro Saúde/economia , Ohio , Estudos de Casos Organizacionais
12.
Manag Care ; 26(7): 28-29, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28895832

RESUMO

The ACA drove down the uninsured rate despite the lack of Medicare expansion, but major insurers have left the market. In some rural areas, Florida Blue is the only health plan in the game. Also in the mix: Consumers here usually pick the lowest-cost plan available.


Assuntos
Medicare , Florida , Seguradoras , Pessoas sem Cobertura de Seguro de Saúde , Luz Solar , Estados Unidos
13.
Manag Care ; 26(4): 16-18, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-28511757

RESUMO

The trend lines and bar charts are marching up. Investors are investing, insurers are extending coverage, health care systems are getting on board. But there at some skunks at the telehealth garden party: research suggesting quality and utilization problems and lingering uncertainty about reimbursement.


Assuntos
Reembolso de Seguro de Saúde , Telemedicina , Cobertura do Seguro , Telemedicina/economia , Telemedicina/normas , Telemedicina/estatística & dados numéricos , Estados Unidos
14.
Manag Care ; 26(2): 27-30, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-28271987
17.
Manag Care ; 25(12): 18-19, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-28121551

RESUMO

Despite its complexity and swarm of new acronyms, MACRA seems like a habitable dry land in comparison to the turbulent waters of the rest of health care-predictable, supported by both parties, and adjusted in the final rule so its effect on providers in 2017 will be milder than feared.


Assuntos
Organizações de Assistência Responsáveis/legislação & jurisprudência , Reforma dos Serviços de Saúde/legislação & jurisprudência , Medicare Access and CHIP Reauthorization Act of 2015 , Patient Protection and Affordable Care Act , Política , Centers for Medicare and Medicaid Services, U.S. , Governo Federal , Previsões , Regulamentação Governamental , Humanos , Estados Unidos
18.
Manag Care ; 25(12): 31, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-28121559

RESUMO

Health care ranked ninth in terms of its cybersecurity in a recent report by SecurityScorecard, a company that provides risk monitoring and security ratings. The health care industry is widely infected with malware and has come under repeated ransomware attacks.


Assuntos
Segurança Computacional , Seguradoras , Humanos , Estados Unidos
19.
Manag Care ; 25(9): 8-9, 2016 09.
Artigo em Inglês | MEDLINE | ID: mdl-28121565

RESUMO

9 million Americans buy health insurance outside the ACA exchanges. They make too much money to be eligible for subsidies and can often get coverage with a broader network of providers.


Assuntos
Trocas de Seguro de Saúde/legislação & jurisprudência , Seguro Saúde/economia , Seguro Saúde/legislação & jurisprudência , Patient Protection and Affordable Care Act , Humanos , Cobertura do Seguro/legislação & jurisprudência , Estados Unidos
20.
Manag Care ; 25(8): 29-32, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-28121583

RESUMO

Guideline writers are dialing back breast screening recommendations because of concerns about false positives and overdiagnoses. For instance, there's the debate about at what age screening should start. Meanwhile, advocates and some clinicians are pulling in the opposite direction-for more coverage, especially for 3D mammography.


Assuntos
Neoplasias da Mama/diagnóstico por imagem , Imageamento Tridimensional , Mamografia , Neoplasias da Mama/diagnóstico , Feminino , Humanos , Cobertura do Seguro , Seguro Saúde , Pessoa de Meia-Idade , Saúde da Mulher
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