Sitemap - 2024 - Employer Coverage

Primary care shortage likely to continue

Friday Shorts and Follow ups: Segregation and mental health, telehealth, pharmacy closures, and GLP1s and arthritis

Doulas associated with lower C-section rates

Impact of Medicaid ‘unwinding’ on employer-sponsored health insurance (by Patricia Toro, MD MPH)

GLP-1 drug associated with lower hospitalization rates

Many with hypertension are unaware or untreated

Friday Shorts: Compound drug problem, AI, hospital at home and mpox vaccines

Few hospitals referred callers for lung cancer screening

Childbirth represents a large financial strain

Employers are not benefiting from lower biosimilar costs

Hip surgery better than resistance training for adults with severe osteoarthritis (by Patricia Toro, MD MPH)

Shorts and follow ups: vaccination, psychiatric drugs, transgender care, bariatric surgery and a medical miracle

GLP-1 drug associated with lower risk of Alzheimer’s in those with diabetes

IRS expands allowable preventive care without cost-sharing (by Patricia Toro, MD MPH)

Some election day thoughts on vaccination

CDC revises guidelines for pneumonia and COVID-19 vaccines

Study does not show cost savings from digital hypertension interventions

Thursday Shorts: HIV organ transplants, race-based algorithms, and gender affirming care information

Glaucoma is a common cause of preventable loss of vision

What we can do now to minimize the risks of a bird flu epidemic

Women’s medical care is inferior in emergency departments and post-op

Six in ten of Americans impacted by suicide

Thursday Shorts: Missing cancer diagnoses, transgender, prostate cancer, and compounding

Has the US passed “peak obesity”?

Cost of employer-sponsored health insurance continues to rise

Survey shows growing interest in digital health

Guidelines for coverage of bariatric surgery

Thursday Shorts: Antibiotics, mammograms, and eternal life

Digital games can improve pediatric mental health

Disparities in medication assisted treatment, HIV suppression and preventive care

Medicare report on “hospital at home” leaves many unanswered questions

Biosimilars are finally widely available, although costs sometimes remain high

Shorts: hospital consolidation, GLP-1s and ODs, nasal COVID vax, Paxlovid and KFF annual survey

Automated Insulin Delivery improves care for children with Type 1 Diabetes

Cancer progress report

Public interest in vaccinations and fear of viral infections is waning

Drug overdose deaths declining

Thursday Shorts:

Remote monitoring lowers blood pressure but adoption is low

GLP-1 medications shown to improve liver disease

Commonwealth Fund ranks the US health care system poorly

Preventive care claim denials more common for those with greater social needs

Preventing cancers by treating or preventing infections

Generic drugs, cancer risks, decreasing overdose deaths, and pediatric obesity

Thursday Shorts: MH parity, mpox, RSV, race-based algorithms and Body Roundness Index

Incentives increased COVID-19 vaccination rates

New studies find no increased depression or suicidality with GLP-1 drugs

Telehealth use remains uneven

Food insecurity remains common

Shorts: MPox, polio, miscarriage, and mental health

Pharmacy out-of-pocket costs went up more than insurer costs from 2007-2020

Higher rate of hypertension in areas with greater social needs

Insurers can help improve care after adverse pregnancy outcomes

New Zepbound direct prices represent a net increase

Limited use of drug treatment for alcohol use disorder

FDA approves new colorectal cancer screening test

The spreading mpox outbreak: what employers should know (by Patricia Toro, MD MPH)

New COVID-19 vaccines now available

Thursday Shorts: Cannabis, Tirzepatide, and Chelation

Arbitration in the No Surprises Act leads to higher prices

US women’s health falls short in international comparisons

The US enjoys low generic drug prices

Reflections on the CMS drug price negotiations

Shorts: CMS drug price negotiations, trauma fees, shingles and COVID vaccines, MDMA and tirzepatide

Cancer rates are going up in younger people

How should we think about the cost of cancer screening?

Childhood vaccines save lives and lower medical costs

What employers should know about recent news coverage about PBMs

CMS to release negotiated prices for 10 drugs

New obesity drugs will not likely lead to lower overall medical costs

Huge variation in allowable prices for CT and MRI services

Who gets paid what in the generic drug supply chain

Weekend reading

Shorts: Double mastectomy, GLP-1s, and PrEP

Artificial intelligence does a good job answering patient questions

Most smokers receive no counseling or treatment to help them quit

Few with opioid use disorder are given medication therapy

Rising health care costs hurt the economy and increase death rates

Shorts: Drones, FIT test, COVID

COVID vaccines decreased incidence of Long COVID

New data show opportunities to improve women’s health care

We are falling behind in pediatric vaccinations

The fallacy of future cost savings

Shorts: Virtual MH, GLP effectiveness, bird flu, and excess pediatric deaths

Will AI personally tailored recommendations make us healthier?

Food as medicine and insurance

Influenza infections strongly associated with heart attacks

Four in 10 cancers could be prevented through risk modification

Shorts: GLP-1s, biomarkers, and gender affirming surgery

Limited access to angioplasty access in minoritized, poor and rural communities

GLP-1 drugs linked to lower rates of some cancers

Decline in cancer mortality

High income individuals less likely to skip high value care

Miscellaneous notes

UK study shows benefits of four-day work week for employees and employers

Hospital cash-on-hand similar to before the pandemic

Online direct-to consumer outlets don’t lower out-of-pocket costs for most with insurance

Wednesday Shorts: Chemotherapy timing, GLP-1s and sleep apnea, and psychedelics

Yes, we’re getting more infections! (By Patricia Toro, MD MPH)

BMI is a flawed measure with few practical alternatives

Obesity epidemic is not because we are eating more and exercising less

Thursday Shorts: Stem cell fraud, Narcan, COVID boosters, and remote radiation oncology consults

Impact of race-based lung function algorithm

Supercentenarians might be younger than they seem (By Patricia Toro, MD MPH)

US lags other countries in maternity care

National health insurance expenditures projected to grow

FDA committee gives thumbs down to MDMA for PTSD

Thursday Shorts:

Provider directory inaccuracies persist

Projected increase in cardiovascular disease and cost

Peterson Health Technology Institute evaluates digital musculoskeletal programs

Thursday Shorts: High tech failure, lung cancer screening, and overdose deaths

Chemotherapy for advanced cancer didn’t improve survival

UK's NHS will not expand trial of multi-cancer early detection tests

Be skeptical of very high net promoter scores (NPS)

The impact of medical costs on family budgets

Thursday Shorts : Ozempic baby boom, mental health, and influenza and pneumonia deaths

FDA approves self-swab for cervical cancer screening

Overdose deaths decline but remain high

Ozempic associated with lower death rates in people with diabetes and kidney disease

Are people really discontinuing GLP-1s before they lose weight?

Mail order abortion pills are safe and effective

Bariatric surgery lowers risk of breast cancer

Adverse events in the outpatient setting

Memorial Day Shorts: Follow-ups from recent posts

Lifestyle interventions for weight loss

Thursday Shorts: Follow Ups

One in nine women who recently had babies have medical debt of over $1,000

Proton beam therapy coverage considerations

Telemedicine had little impact on overall cost of medical care

Commercial plans pay hospitals on average 254% of Medicare fees

Thursday Shorts

Clean indoor air improves performance

Retailers retreating from primary care

Gastrointestinal side effects of anti-obesity medications

Cardiovascular disease and heart failure are growing threats

New regulations to increase health app privacy

US lags in hepatitis C testing and treatment

Body scans not proven to increase longevity

Unmet needs in mental health

What employers should know about bird flu

Segregation and live donor kidney transplants

The disadvantaged are more likely to die of breast cancer

Review of GLP-1 side effects

Bariatric surgery is more cost-effective than GLP-1 drugs

Rising rate of harm from alcohol use

News about effectiveness of Paxlovid

Health plan efforts to trim out-of-plan bills can be costly for employers

Factors associated with women not getting mammography

Maternal mortality is too high in the US regardless of how deaths are counted

Perinatal mood and anxiety disorders almost doubled from 2008-2020

Thursday Shorts

Using AI to estimate cardiac risk from a chest X-ray

Biosimilars have not decreased out of pocket costs in US (yet)

Doctors take (a lot of) money from industry

Over 1 in 8 report mistreatment during childbirth

Insulin use did not increase with insulin cost caps

The cost of manufacturing GLP-1 anti-obesity drugs is low

Those with diabetes forced to switch to HDHPs have more complications

No Surprises Act is not lowering total medical costs

Drive carefully on your way to view the eclipse!

Hospitals complain about insurance denials

Impact of capping out-of-pocket cost of respiratory inhalers

We can improve kidney failure treatment even before genetically altered pig kidneys become widely available

Employer implications of Medicare’s limited coverage of obesity drugs

Peterson Institute finds that diabetes programs improve quality but raise costs

Transgender people face discrimination

Many primary care residency slots remain unfilled this year

March is Colorectal Cancer Screening Awareness Month

GLP-1 anti-obesity drugs lead to substantial weight loss in the “real world”

The worst of the respiratory virus season is behind us

AI and the eye

Rural hospital financial woes pose barriers to access to care

Virtual doulas lower Cesarean section rates, especially for Black people

Improving mental health access can improve maternal outcomes

Birth centers can ease maternity access and decrease Cesarean sections, but face regulatory challenges

Americans are deeply worried about the cost of health care

State regulation leads to fewer low value imaging tests

Morgan Health report highlights challenges for lower income employees

Out of pocket costs are high for diabetes drugs other than insulin

Employers that cover abortion should consider adding Mifepristone to the outpatient formulary

New drugs on the horizon to treat fatty liver disease (written with Chantell Sell, PharmD)

More teens and young adults prescribed antidepressants

The case against an annual physical

Immunosuppressed population doubled over a decade

Impact of Change Healthcare outage on employers

Exercise program helps prevent some weight gain after stopping anti-obesity drugs

E-cigarettes can aid smoking cessation

HPV vaccines prevented cervical cancer especially if administered before age 14

Expected changes to CDC isolation recommendations

Alabama court ruling endangers fertility services (Also: reader suggestions for Black History Month)

Bariatric surgery leads to better health and decrease in some cancers

Cancer is increasing in young people, but remains rare

What employers can do to help eradicate Hepatitis C

Value Based Insurance Design associated with lower rate of diabetes complications

What I’m reading for Black History Month

Narcan can save lives, and out-of-pocket costs are declining

New statistics on decline in cancer diagnosis during the pandemic

Heart risk and cancer screenings remain depressed since the pandemic

Measles outbreaks in the US and abroad

Implementing cost sharing for HIV prevention drugs could leave many unprotected

Medical costs are a minority of the total costs of cancer in adolescents and young adults

Black and Hispanic patients more likely to face inappropriate emergency department delays

One in twelve on medications didn’t take them as prescribed due to cost

Respiratory viruses on the way down

Medicare price negotiations have begun

Hospital cash-on-hand similar to before the pandemic

Artificial intelligence to augment imaging could be pricey

Everyone deserves sedation for colonoscopies, but healthy adults rarely need an anesthesiologist

Employer sponsored health insurance can paradoxically worsen income inequality

Breast cancer mortality declined 58% since 1975, largely due to improved treatment

Be cautious in interpreting an Oxford study critical of employer mental health programs

Providers are billing for few asynchronous E-visits

Research data supports paternity leaves, and results from WTW’s Leave Survey

Biosimilar drugs can lead to large cost savings

Respiratory illnesses appear on the downswing, but vaccination rates remain low

Few people are vitamin D deficient

Hearing aid use associated with lower death rates

Proposal for a national pool for those who receive expensive cell and gene therapy

FDA approves Florida proposal to import drugs from Canada

Government report projects medical expenses will continue to rise

Pharmaceutical investment is not going down

The rise of mental health chatbots

Cardiac stents are often a low value procedure

Hospital-acquired complications rose by over 25% after private equity purchase

Preventing opioid overdose deaths in the workplace

Respiratory illnesses are on the rise!

Automated External Defibrillators (AED) can save lives

Quitting smoking lowers cardiovascular, cancer and respiratory mortality

Reasons for optimism in the New Year