Navigation Links
Medicaid policies vary widely for rheumatoid arthritis drugs
Date:11/4/2008

ch Medicaid provided reimbursement.

The results showed that 32 states had implemented or planned to implement Medicaid prior authorization policies for biologic DMARDs, with wide variability as to which drugs were included and the criteria required both in terms of the amount of detail requested and how authorization was determined. In 1999, total Medicaid spending on DMARDs was just over $200 million, a figure which increased to $567 million in 2005. The study also showed that states with prior authorization programs in place at the beginning of the study period had relatively low use of biologic DMARDs initially, but use increased sharply over the years studied, which raises a question about the sustainability of such policies.

"Our results have implications for prescription drug reimbursement policy, both for Medicaid and for other programs," the authors state. For Medicaid, they acknowledge that while clinical decisions regarding the use of biologic DMARDs for inflammatory diseases are complex, the wide variability in authorization criteria reveals limitations in policy development. "It is not clear how state agencies determine which clinical factors are included in the prior authorization rules or how closely these rules adhere to clinical evidence," they note, which may be of particular concern with the transition of many patients to the Medicare Part D program as it would be likely to complicate their care.

"Policy-makers must weigh the costs imposed by these policies in terms of professional time and patient delays of therapy against potential savings on these expensive medications," the authors conclude, adding that further examination "will be critical to fostering the development of more rational policies in the future, for Medicaid and for all drug insurance programs."


'/>"/>

Contact: Sean Wagner
swagner@wiley.com
781-388-8550
Wiley-Blackwell
Source:Eurekalert

Page: 1 2

Related medicine news :

1. Top 25 Managed Care Organizations Lead Increases in Managed Care Medicaid Enrollment Nationally, Though Hold Only One-Third of Its Enrollment
2. New National Medicaid Study Underscores Importance of Including State Relief in Stimulus Plan
3. ACS Signs $27 Million Contract with Alaska to Transition Fiscal Agent Services for State Medicaid Program
4. Cancer screening rates among older Medicaid patients fall short of national objectives
5. Bull Continues Repositioning and Announces the Acquisition of its Medicaid Solutions Business in the United States by Ingenix
6. Walgreens Pays U.S. $9.9 Million to Settle Medicaid Prescription Drug Allegations
7. State Medicaid Programs to Spend $1.6 Trillion on Long-Term Care over the Next Twenty Years
8. ADA Asks Congress to Strengthen Medicaid Oral Health Programs
9. MEDais Predictive Analytics Impact How State Medicaid Agencies Triage High- Risk Members
10. Amerigroup Settles Federal and State Medicaid Fraud Claims for $225 Million
11. Government Ill-Equipped to Prevent Medicaid Fraud, Says False Claims Act Expert
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/20/2014)... 20, 2014 My Clients Plus ( ... application. The new module enables easy administration and ... life-cycle quality care. , This application allows users such ... practice, attach a to-do item to a specific client, ... set up reoccurring reminders for follow-ups. It's designed ...
(Date:10/20/2014)... Rockynol Retirement Community broke ... 14. The $11 million project will include the latest ... kitchen with full-service restaurant style dining. , “We are ... class Assisted Living apartments,” said Kara Hanzie, Rockynol Executive ... quality of care and this investment is proof of ...
(Date:10/20/2014)... 2014 Final Cut Pro X Plugin developers ... Citrus theme for FCPX filmmakers . , “Fun, cool, ... the Citrus theme” Says Christina Austin, CEO of Pixel Film ... professional.” , Citrus comes with all the tools needed for ... four transitions for added style, a title screen for an ...
(Date:10/20/2014)... 2014 Houston plastic surgeon Dr. ... elements of his innovative True Form Tummy Tuck® ... residents and faculty at The University of Texas ... was once a medical student. Patronella, who is a ... plastic surgery practices in Texas, The Aesthetic Center ...
(Date:10/19/2014)... Recently, BambooIndustry.com, one of the most ... range of bamboo deckings . Moreover, the company ... they are now available at deeply discounted rates. ... hard to overstate the significance of online business nowadays. ... services. The company’s workers are striving to deliver both ...
Breaking Medicine News(10 mins):Health News:My Clients Plus Announces New Workflow Management Software 2Health News:Rockynol Retirement Community Expands Assisted Living Center 2Health News:Today Pixel Film Studios Announced the Release of the Citrus theme for Final Cut Pro X 2Health News:Plastic Surgeon Patronella Presents Artistically-Inspired Tummy Tuck Method to Future Generation of Plastic Surgeons in Texas 2Health News:High Quality Bamboo Deckings, New Items Unveiled By BambooIndustry.com 2
... increasingly important part of a medical check. Generally, it is ... should be high, and low density lipoprotein (LDL, or 'bad' ... At Johns Hopkins University in the US, ... too. This is the difference between total cholesterol and HDL. ...
... drug which can actually works. Not only that - it even ... slimming drug is XENICAL. ,Xenical allows about 30% of ... gut undigested. Your body cannot convert these excess calories to fatty ... therfore help you to reduce your weight, maintain your lower weight ...
... E Merck has launched Livogen Z, in the market with ... the trademark haematinic drug Livogen.Livogen was an old product of ... sold its Livogen brand to E Merck India Ltd. ... Stock Exchange (BSE), Glaxo India signed a memorandum of understanding ...
... has found that people who commit sucide have heavier brains ... about 1400g in men and 1300g in women, but can ... and alcoholism.// ,Emad Salid from Liverpool University and George ... first to report on this unusual weight increase in sucide ...
... change of weather from winter to summer. It ... and throat. The viruses reach cells in the human nose and ... from the moist membranes of the eye via the tear duct.// ... victims or from virus contaminated objects. Symptoms of a cold include ...
... is able to detect the presence of cancer cells beneath ... US researchers. ,The bottle-top sized microcavity laser developed by ... more accurately on tumours without cutting large amounts of tissue.// ... the amount of protein present and was able to distinguish ...
Cached Medicine News:
(Date:10/20/2014)... VIEW, California , 20 de octubre de ... líder en el campo de la pulmonología intervencional, ... su Estudio RENEW, casi 3 meses antes de ... fundamental de exención de dispositivo de investigación (IDE) ... Medicamentos) para el sistema de espiral de reducción ...
(Date:10/20/2014)... SAN DIEGO , Oct. 20, 2014   BioNano ... the Irys system: the ability to collect human data at ... on a single chip.  This new capability was established and ... for the Irys TM System and will ... next two months. BioNano will be showcasing this advancement at ...
(Date:10/20/2014)...   Mary,s Medicinals today announced that its ... Sponsor of Operation Grow4Vets , a national, nonpartisan ... and services to assist them in living with injuries ... , An ever-increasing number of medical studies ... treatment for pain, Post-traumatic Stress Disorder (PTSD) and Traumatic ...
Breaking Medicine Technology:PneumRx concluye inscripción en prueba fundamental RENEW 2PneumRx concluye inscripción en prueba fundamental RENEW 3BioNano Genomics Announces One Human : One Chip : One Day 2BioNano Genomics Announces One Human : One Chip : One Day 3Mary's Medicinals Announces 4-Star Sponsorship of Operation Grow4Vets 2Mary's Medicinals Announces 4-Star Sponsorship of Operation Grow4Vets 3
... is a national reference laboratory and a ... development. ARUP offers an extensive test menu ... in clinical and anatomic pathology. Owned by ... include more than half of the nation's ...
... is a national reference laboratory and a ... development. ARUP offers an extensive test menu ... in clinical and anatomic pathology. Owned by ... include more than half of the nation's ...
... ARUP Laboratories is a national reference ... laboratory research and development. ARUP offers an ... unique medical tests in clinical and anatomic ... ARUP Laboratories' clients include more than half ...
... ARUP Laboratories is a national reference laboratory ... research and development. ARUP offers an extensive ... medical tests in clinical and anatomic pathology. ... Laboratories' clients include more than half of ...
Medicine Products: