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managedhealthcareexecutive.com > view > how-california-is-rewriting-the-pbm-playbook

How California is rewriting the PBM playbook

How California is rewriting the PBM playbook44+ min ago   (652+ words) Beginning this month, PBMs in California must prioritize health plan interests over their own, and CVS Caremark's CalPERS contract includes $250 million in performance guarantees. Taken together, these two efforts could signal a change in the relationship of PBMs, health plans…...

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managedhealthcareexecutive.com > view > national-health-expenditures-rise-7-2-in-2024-reaching-5-3-trillion

National health expenditures rise 7.2% in 2024, reaching $5.3 trillion

National health expenditures rise 7.2% in 2024, reaching $5.3 trillion2+ hour, 4+ min ago   (511+ words) United States health care spending rose to $5.3 trillion in 2024, accounting for 18% of the economy, as strong post-pandemic demand and high insurance coverage continued to drive costs upward. United States health care expenditures reached $5.3 trillion in 2024, or $15,474 per person, according to…...

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managedhealthcareexecutive.com > view > geospatial-study-ties-melanoma-hot-spots-to-farming-practices-in-pennsylvania

Geospatial Study Ties Melanoma Hot Spots to Farming Practices in Pennsylvania

Geospatial Study Ties Melanoma Hot Spots to Farming Practices in Pennsylvania6+ hour, 56+ min ago   (110+ words) Counties with more cultivated land and herbicide use had significantly higher melanoma rates, even after accounting for ultraviolet radiation and socioeconomic factors, a new geospatial study found. The authors noted that the entire high-incidence cluster falls within the 28-county catchment…...

@MHExecutive
managedhealthcareexecutive.com > view > children-s-hospital-of-philadelphia-and-soar-autism-center-launch-early-autism-care-network

Children’s Hospital of Philadelphia and Soar Autism Center launch early autism care network

Children’s Hospital of Philadelphia and Soar Autism Center launch early autism care network1+ day, 1+ hour ago   (509+ words) CHOP partners with Soar Autism Center to enhance early autism care access, reducing wait times and providing integrated therapy services for families. Children's Hospital of Philadelphia (CHOP) has partnered with Soar Autism Center to expand access to early autism care…...

@MHExecutive
managedhealthcareexecutive.com > view > study-highlights-high-costs-treatment-challenges-for-older-adults-with-her2-positive-advanced-gastric-cancer

Study highlights high costs, treatment challenges for older adults with HER2-positive advanced gastric cancer

Study highlights high costs, treatment challenges for older adults with HER2-positive advanced gastric cancer1+ day, 1+ hour ago   (608+ words) In practice, treatment didn't always mirror clinical trial protocols. About 58% of patients received trastuzumab with a chemotherapy doublet, such as FOLFOX or CAPOX, aligning with guidelines. But 16% got trastuzumab with monotherapy, often in older or frailer individuals, while 15% received it…...

@MHExecutive
managedhealthcareexecutive.com > view > tiktok-videos-on-breast-cancer-prevention-from-physicians-clinics-more-reliable-than-videos-from-nonphysicians-study-shows

TikTok videos on breast cancer prevention from physicians, clinics, more reliable than videos from nonphysicians, study shows

TikTok videos on breast cancer prevention from physicians, clinics, more reliable than videos from nonphysicians, study shows1+ day, 9+ hour ago   (385+ words) A recent study found that TikTok videos about breast cancer screening created by physicians are more accurate and reliable than those made by nonphysicians or private clinics, highlighting both the platform's growing role in health education and persistent quality gaps....

@MHExecutive
managedhealthcareexecutive.com > view > patient-facing-ehr-tool-improves-lung-cancer-screening-identification

Patient-facing EHR tool improves lung cancer screening identification

Patient-facing EHR tool improves lung cancer screening identification1+ day, 9+ hour ago   (149+ words) In a study of more than 31,000 adults, an EHR-integrated patient-facing tool significantly improved identification of patients eligible for lung cancer screening by more accurately ascertaining smoking history. Although the absolute increases were modest, the authors emphasized that even small relative…...

@MHExecutive
managedhealthcareexecutive.com > view > newer-biologics-show-strong-drug-survival-for-psoriasis-patients

Newer biologics show strong drug survival for psoriasis patients

Newer biologics show strong drug survival for psoriasis patients1+ day, 23+ hour ago   (477+ words) A recent study reveals ustekinumab outperforms adalimumab and secukinumab in drug survival for psoriasis, guiding treatment decisions for patients. However, clinical evidence on drug survival remains limited for newer biologics, including bimekizumab, according to the study. To address this gap,…...

managedhealthcareexecutive.com
managedhealthcareexecutive.com > view > risk-based-breast-cancer-screening-reliable-preferred-by-women-over-annual-screening-study-shows

Risk-based breast cancer screening reliable, preferred by women over annual screening, study shows

5+ day, 2+ hour ago   (600+ words) A nationwide randomized study showed that risk-based breast cancer screening safely detects cancer while reducing unnecessary screening for low-risk women and is favored by most patients over annual mammograms. Breast cancer screening based on individual risk rather than annual screening…...

Managed Healthcare Executive
managedhealthcareexecutive.com > view > a-conversation-with-elizabeth-mitchell-president-and-ceo-of-pbgh

A conversation with Elizabeth Mitchell, president and CEO of PBGH

A conversation with Elizabeth Mitchell, president and CEO of PBGH5+ day, 6+ hour ago   (1828+ words) In a wide-ranging interview, Mitchell discussed the Purchaser Business Group Health's health data demonstration project, employer fiduciary responsibility, consequences of the end of enhanced Affordable Care Act subsidies and direct contracting. Mitchell was interviewed by Peter Wehrwein, managing editor of…...