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June 2012 - FRMC

06/19/2012
Eileen Koutnik-Fotopoulos
Morbidity from influenza is significant in people ³65 years of age. As a result, annual vaccination is recommended to reduce the burden of influenza in this patient population. New analysis suggests, however, that the influenza vaccination...
Morbidity from influenza is significant in people ³65 years of age. As a result, annual vaccination is recommended to reduce the burden of influenza in this patient population. New analysis suggests, however, that the influenza vaccination...
Morbidity from influenza is...
06/19/2012
First Report Managed Care
Department
06/19/2012
Eileen Koutnik-Fotopoulos
Results from a small study found that inhibition of intrathecal antibody synthesis is associated with a complete therapeutic response to natalizumab in patients with aggressive multiple sclerosis (MS). Treatment with natalizumab decreased the...
Results from a small study found that inhibition of intrathecal antibody synthesis is associated with a complete therapeutic response to natalizumab in patients with aggressive multiple sclerosis (MS). Treatment with natalizumab decreased the...
Results from a small study found...
06/19/2012
First Report Managed Care
Department
06/19/2012
Mary Beth Nierengarten
Most of the substantial increase in Clostridium difficile infections (CDIs) over the past decade in the United States is related to healthcare exposures that may be prevented by reducing unnecessary antibiotic use and interrupting...
Most of the substantial increase in Clostridium difficile infections (CDIs) over the past decade in the United States is related to healthcare exposures that may be prevented by reducing unnecessary antibiotic use and interrupting...
Most of the substantial increase...
06/19/2012
First Report Managed Care
Department
06/19/2012
Kevin L. Carter
Although the 23-valent pneumococcal polysaccharide vaccine (PPSV23) has been recommended for prevention of invasive pneumococcal disease (IPD) in adults since 1983, there have been no conclusive assessments of its ability to prevent...
Although the 23-valent pneumococcal polysaccharide vaccine (PPSV23) has been recommended for prevention of invasive pneumococcal disease (IPD) in adults since 1983, there have been no conclusive assessments of its ability to prevent...
Although the 23-valent...
06/19/2012
First Report Managed Care
06/19/2012
Eileen Koutnik-Fotopoulos
New Orleans—Chronic migraine (CM) patients treated with onabotulinumtoxinA reported a significant decline in emergency department (ED) visits. The results were presented at the AAN meeting during a poster session. The poster was titled...
New Orleans—Chronic migraine (CM) patients treated with onabotulinumtoxinA reported a significant decline in emergency department (ED) visits. The results were presented at the AAN meeting during a poster session. The poster was titled...
New Orleans—Chronic migraine...
06/19/2012
First Report Managed Care
06/19/2012
Eileen Koutnik-Fotopoulos
Despite many treatments available to help prevent migraine in certain people, most migraine sufferers do not use them.
Despite many treatments available to help prevent migraine in certain people, most migraine sufferers do not use them.
Despite many treatments...
06/19/2012
First Report Managed Care
06/19/2012
Tim Casey
Healthcare spending in the United States has reached $2.25 trillion, accounting for 16% of the country’s gross domestic product (GDP). 
Healthcare spending in the United States has reached $2.25 trillion, accounting for 16% of the country’s gross domestic product (GDP). 
Healthcare spending in the...
06/19/2012
First Report Managed Care
06/19/2012
Tim Casey
Orlando—Patients with atrial fibrillation (AF) typically take warfarin to prevent strokes, but pharmaceutical companies are investing significant time and money to find alternative therapies. The FDA approved Pradaxa® (dabigatran etexilate)...
Orlando—Patients with atrial fibrillation (AF) typically take warfarin to prevent strokes, but pharmaceutical companies are investing significant time and money to find alternative therapies. The FDA approved Pradaxa® (dabigatran etexilate)...
Orlando—Patients with atrial...
06/19/2012
First Report Managed Care
06/19/2012
Tim Casey
Orlando—In nearly 5 decades as a doctor, Sam JW Romeo has seen numerous industry innovations that did not improve care or cut costs. He is now the medical director at Tower Health & Wellness Center in Turlock, California, which he and other...
Orlando—In nearly 5 decades as a doctor, Sam JW Romeo has seen numerous industry innovations that did not improve care or cut costs. He is now the medical director at Tower Health & Wellness Center in Turlock, California, which he and other...
Orlando—In nearly 5 decades as a...
06/19/2012
First Report Managed Care
Conference Insider
06/19/2012
Tim Casey
Orlando—Soon after the Department of Health and Human Services (HHS) announced the proposed regulations for accountable care organizations (ACOs) in March 2011, many constituencies in the healthcare industry derided the rules as too...
Orlando—Soon after the Department of Health and Human Services (HHS) announced the proposed regulations for accountable care organizations (ACOs) in March 2011, many constituencies in the healthcare industry derided the rules as too...
Orlando—Soon after the...
06/19/2012
First Report Managed Care
06/19/2012
Tim Casey
For years, the federal government and states have attempted to rein in costs associated with Medicare and Medicaid.
For years, the federal government and states have attempted to rein in costs associated with Medicare and Medicaid.
For years, the federal...
06/19/2012
First Report Managed Care
06/19/2012
Jill Sederstorm
A survey of state Medicaid officials and their coverage of HIV screening found that about half of the states surveyed cover routine HIV screening through their Medicaid program while the other half cover only medically necessary testing. The...
A survey of state Medicaid officials and their coverage of HIV screening found that about half of the states surveyed cover routine HIV screening through their Medicaid program while the other half cover only medically necessary testing. The...
A survey of state Medicaid...
06/19/2012
First Report Managed Care
06/19/2012
Tori Socha
In a special communication posted online in the Journal of the American Medical Association, Daniel M. Berwick, MD, MPP, and Andrew D. Hackbarth, MPhil, offered a strategy aimed at Eliminating Waste in US Healthcare [JAMA....
In a special communication posted online in the Journal of the American Medical Association, Daniel M. Berwick, MD, MPP, and Andrew D. Hackbarth, MPhil, offered a strategy aimed at Eliminating Waste in US Healthcare [JAMA....
In a special communication...
06/19/2012
First Report Managed Care
06/19/2012
Tori Socha
Obesity and type 2 diabetes mellitus continue to present one of the most difficult challenges to public health worldwide. Complications associated with diabetes include both macrovascular and microvascular diseases and events such as...
Obesity and type 2 diabetes mellitus continue to present one of the most difficult challenges to public health worldwide. Complications associated with diabetes include both macrovascular and microvascular diseases and events such as...
Obesity and type 2 diabetes...
06/19/2012
First Report Managed Care
06/19/2012
Tori Socha
Worldwide epilepsy accounts for 1% of the burden of disease, a proportion equal to that of lung cancer in men and breast cancer in women. Nearly 80% of the cost of managing and treating epilepsy is associated with the 20% to 40% of patients...
Worldwide epilepsy accounts for 1% of the burden of disease, a proportion equal to that of lung cancer in men and breast cancer in women. Nearly 80% of the cost of managing and treating epilepsy is associated with the 20% to 40% of patients...
Worldwide epilepsy accounts for...
06/19/2012
First Report Managed Care
06/19/2012
Eileen Koutnik-Fotopoulos
Administering statins before surgery in statin-naive patients lowered the risk of myocardial infarction (MI) and atrial fibrillation. The drugs also reduced the time patients were hospitalized, according to results of a recent meta-analysis...
Administering statins before surgery in statin-naive patients lowered the risk of myocardial infarction (MI) and atrial fibrillation. The drugs also reduced the time patients were hospitalized, according to results of a recent meta-analysis...
Administering statins before...
06/19/2012
First Report Managed Care
06/19/2012
Jill Sederstorm
A new report with extended follow-up from the European Randomized Study of Screening for Prostate Cancer (ERSPC) strengthened the study’s previous findings by finding once again that prostate-specific antigen (PSA) screening for men...
A new report with extended follow-up from the European Randomized Study of Screening for Prostate Cancer (ERSPC) strengthened the study’s previous findings by finding once again that prostate-specific antigen (PSA) screening for men...
A new report with extended...
06/19/2012
First Report Managed Care
06/19/2012
Mary Beth Nierengarten
Results of a randomized, double-blind, placebo-controlled, phase 3 study [N Engl J Med. 2012;366(5):409-420] show that oral ulipristal acetate at a dose of 5 or 10 mg/day given for 13 weeks is effective in controlling excessive bleeding and...
Results of a randomized, double-blind, placebo-controlled, phase 3 study [N Engl J Med. 2012;366(5):409-420] show that oral ulipristal acetate at a dose of 5 or 10 mg/day given for 13 weeks is effective in controlling excessive bleeding and...
Results of a randomized,...
06/19/2012
First Report Managed Care
06/19/2012
Eileen Koutnik-Fotopoulos
Urinary tract infections represent a large portion of all hospital-acquired infections, with catheter-associated urinary tract infection (CAUTI) accounting for the majority of cases. Results of a retrospective analysis from 163 inpatient...
Urinary tract infections represent a large portion of all hospital-acquired infections, with catheter-associated urinary tract infection (CAUTI) accounting for the majority of cases. Results of a retrospective analysis from 163 inpatient...
Urinary tract infections...
06/19/2012
First Report Managed Care
06/19/2012
Tori Socha
The demand for beds in intensive care units (ICUs) may at times exceed supply, necessitating prioritization of admissions. As the population ages, demands for critical care services are expected to increase, raising concerns about plans for...
The demand for beds in intensive care units (ICUs) may at times exceed supply, necessitating prioritization of admissions. As the population ages, demands for critical care services are expected to increase, raising concerns about plans for...
The demand for beds in intensive...
06/19/2012
First Report Managed Care
News Connection
06/19/2012
Jill Sederstorm
A new meta-analysis comparing stent implantation and medical therapy versus medical therapy alone for patients with stable coronary artery disease (CAD) found that initial stent implantation did not appear to offer a benefit in terms of...
A new meta-analysis comparing stent implantation and medical therapy versus medical therapy alone for patients with stable coronary artery disease (CAD) found that initial stent implantation did not appear to offer a benefit in terms of...
A new meta-analysis comparing...
06/19/2012
First Report Managed Care
06/19/2012
Tori Socha
Efforts at healthcare reform have included a focus on increased physician and hospital accountability and transparency of outcomes. Mortality is a common measurement tool used to assess surgical outcomes, but for procedures associated with...
Efforts at healthcare reform have included a focus on increased physician and hospital accountability and transparency of outcomes. Mortality is a common measurement tool used to assess surgical outcomes, but for procedures associated with...
Efforts at healthcare reform...
06/19/2012
First Report Managed Care
06/19/2012
Tori Socha
Much of the racial gap in mortality rates between whites and African Americans can be attributed to the disproportionate number of African Americans with poorly controlled hypertension. Lack of adherence to medication regimens may explain the...
Much of the racial gap in mortality rates between whites and African Americans can be attributed to the disproportionate number of African Americans with poorly controlled hypertension. Lack of adherence to medication regimens may explain the...
Much of the racial gap in...
06/19/2012
First Report Managed Care
06/19/2012
Tori Socha
Quality of healthcare is determined by various metrics, including processes of care and health outcomes. An additional component of quality healthcare is patient experience and satisfaction. The Centers for Medicare & Medicaid Services and...
Quality of healthcare is determined by various metrics, including processes of care and health outcomes. An additional component of quality healthcare is patient experience and satisfaction. The Centers for Medicare & Medicaid Services and...
Quality of healthcare is...
06/19/2012
First Report Managed Care
06/19/2012
Tim Casey
By August 1, employers, employees, and individuals from across the United States will receive refunds from health insurance companies that failed to meet minimum standards set forth in the Patient Protection and Affordable Care Act (ACA). An...
By August 1, employers, employees, and individuals from across the United States will receive refunds from health insurance companies that failed to meet minimum standards set forth in the Patient Protection and Affordable Care Act (ACA). An...
By August 1, employers,...
06/19/2012
First Report Managed Care
06/19/2012
Tim Casey
Orlando—The incidence of HIV has been relatively stable in recent years, and therapeutic developments have prolonged life for people with the virus. Still, with 1.2 million people in the United States having HIV and 50,000 new infections...
Orlando—The incidence of HIV has been relatively stable in recent years, and therapeutic developments have prolonged life for people with the virus. Still, with 1.2 million people in the United States having HIV and 50,000 new infections...
Orlando—The incidence of HIV has...
06/19/2012
First Report Managed Care