Medicaid Managed Care and Drug Utilization for Patients with Serious Mental Illness

How will Medicaid expansions affect patient access to pharamceuticals? This question is particularly relevant for patients with serious mental illness. The answer is complicated by the increasing presence of Medicaid managed care plans. Increasingly, states have turned to contracts with Medicaid managed care plans in order to better control costs and reduce budgetary uncertainty. However, in…

CRISPR as a diagnostic?

Innovation can occur various ways.  Consider the rapidly evolving area of clustered regularly interspaced short palindromic repeats (CRISPR) Zika, meet CRISPR. …researchers have incorporated the gene-editing system CRISPR into a diagnostic test — one that can differentiate between two strains of the Zika virus. CRISPR has been hailed for its potential to fix mutations that cause disease.…

Patient perspective on cancer care funding

Improvement in survival (a.k.a. efficiacy) clearly are important, but what other factors matter?  According to a systematic literature review by MacLeod, Harris and Mahal (2016), these factors include: patients favour funding for cancer medicines that improve health outcomes demonstrated by ‘clinical efficacy’ [Oh et al.], ‘prolonged survival’ [Goldman et al., Seabury et al. Lakdawalla et al.] and/or…

Friday Links

Cancer liquid biopsies. Regional variation may not reflect inefficiency. Health care costs for average american family >$25,000/year. The 10 year breast cancer treatment. Peanut allergies and kids UnitedHealth exits California Are urban or rural docs more likely to use EMRs?