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:7/24/2014)... enabling patients to see the same GP every time ... of several recommendations made in a report published today, ... Called ,Primary care factors and unscheduled secondary care: a ... by researchers from the University,s Centre for Academic Primary ... world. They found that patients who saw the same ...
(Date:7/24/2014)... Ohio and Rhode Island have identified two ... slippage of laparoscopically adjustable gastric bands. Adding ... of the superolateral band margin by more ... the presence of an air-fluid,level above the ... base will aid them in diagnosing affected ...
(Date:7/24/2014)... nicotine, known as neonicotinoids, were found commonly in ... USGS study. This is the first broad-scale investigation ... and one of the first conducted within the ... range of insect pests, use of neonicotinoid insecticides ... the United States, particularly in the Midwest. ...
(Date:7/24/2014)... The National Resident Matching Program ... a new version of its smartphone app, The MATCH ... applicants participating in NRMP’s Main Residency Match® and Specialties ... organize program information during the interview process and develop ... rank order lists. Rank order lists are used ...
(Date:7/24/2014)... (PRWEB) July 24, 2014 Becker's Hospital ... "100 Hospitals and Health Systems With Great Oncology Programs." ... in terms of quality patient care, cancer outcomes and ... hospitals for inclusion based on rankings and awards they ... following awards were considered as part of the criteria ...
Breaking Medicine News(10 mins):Health News:Seeing the same GP at every visit will reduce emergency department attendance 2Health News:Corn & soy insecticides similar to nicotine found widespread in Midwest rivers -- USGS news 2Health News:National Resident Matching Program® (NRMP®) Releases New, Enhanced Version of its Smartphone App 2Health News:National Resident Matching Program® (NRMP®) Releases New, Enhanced Version of its Smartphone App 3Health News:100 Hospitals, Health Systems With Great Oncology Programs 2Health News:100 Hospitals, Health Systems With Great Oncology Programs 3Health News:100 Hospitals, Health Systems With Great Oncology Programs 4
... ... Scottsdale-based marketing firm to assist with bringing their product to the U.S. after selling to ... ... Market promises to be profitable for Formigli with KODA handling various aspects of their branding ...
... A group of "color-coded" laboratory mice are providing ... them to visualize and monitor the cellular immune responses ... system is described in the June issue of ... "These immune responses are a key consideration in developing ...
... ... in partnership with the National Center for Creative Aging today introduced “Beautiful Minds: Finding ... about brain health. , ... Columbia, Md. (Vocus) May 25, 2010 -- Martek Biosciences (NASDAQ: MATK), ...
... skin cancer rise more than fourfold with some devices, research ... use tanning beds to keep that year-round glow are dramatically ... cancers, a new study finds. , In fact, the more ... risk increases, researchers noted. , "We found the risk of ...
... ... longer have access to per incident technical support services , ... (PRWEB) May 27, 2010 -- In a recent announcement on ... maintenance agreement will no longer have access to per incident technical support services which include ...
... ... selected to be featured on the award-winning educational television program, “Insights” with Hugh Downs, ... disease. , ... (PRWEB) May 27, 2010 -- Emerald Express International , a visionary company dedicated ...
Cached Medicine News:Health News:Italian Custom Bike Company Enters US Market and Chooses Premiere Arizona Marketing Firm for their Western Launch 2Health News:Color-coded tracking method helps scientists analyze outcomes of newly transplanted tissue 2Health News:Color-coded tracking method helps scientists analyze outcomes of newly transplanted tissue 3Health News:Martek Biosciences and the National Center for Creative Aging Introduce New Brain Health Awareness Campaign, "Beautiful Minds: Finding Your Lifelong Potential" 2Health News:Martek Biosciences and the National Center for Creative Aging Introduce New Brain Health Awareness Campaign, "Beautiful Minds: Finding Your Lifelong Potential" 3Health News:Martek Biosciences and the National Center for Creative Aging Introduce New Brain Health Awareness Campaign, "Beautiful Minds: Finding Your Lifelong Potential" 4Health News:Martek Biosciences and the National Center for Creative Aging Introduce New Brain Health Awareness Campaign, "Beautiful Minds: Finding Your Lifelong Potential" 5Health News:Tanning Beds Can Greatly Boost Melanoma Risk 2Health News:Tanning Beds Can Greatly Boost Melanoma Risk 3Health News:Avaya Announces End of Support to Non Maintenance Customers 2Health News:Emerald Express International to be Featured on ‘Insights' with Hugh Downs this Spring in a Segment that Spotlights Glutathione and Anti-Aging 2Health News:Emerald Express International to be Featured on ‘Insights' with Hugh Downs this Spring in a Segment that Spotlights Glutathione and Anti-Aging 3
(Date:7/24/2014)... July 24, 2014  Lazarus Effect, a medical ... interventional devices to facilitate removal of blood clots, ... Trademark Office has issued a new patent (U.S. ... company,s Lazarus Cover TM and ReCover TM ... is a single-component stent-retriever (stentriever) with an integrated, ...
(Date:7/24/2014)... , July 24, 2014 /PRNewswire-iReach/ -- "North America ... key market data on the North America Orthopedic Braces ... of US dollars, and volume (in units) and average ... , Knee Braces and Supports , Ankle ... , Upper Extremities Braces and Supports. ...
(Date:7/24/2014)... 24, 2014 Cancer patients in the west of ... cancer treatment closer to home when a new radiotherapy center ... Medical Systems (NYSE: VAR ) has been selected ... in June for four TrueBeam™ medical linear accelerators. ... and efficient radiotherapy and radiosurgery treatments, will replace older treatment ...
Breaking Medicine Technology:Lazarus Effect Receives Notice of Allowance for New US Patent Covering Core Protection Technology 2North America Orthopedic Braces and Supports Market (Knee, Ankle & Spinal Braces) to 2020 2North America Orthopedic Braces and Supports Market (Knee, Ankle & Spinal Braces) to 2020 3North America Orthopedic Braces and Supports Market (Knee, Ankle & Spinal Braces) to 2020 4North America Orthopedic Braces and Supports Market (Knee, Ankle & Spinal Braces) to 2020 5Varian Medical Systems Selected to Equip First Satellite Radiotherapy Center in Scotland 2Varian Medical Systems Selected to Equip First Satellite Radiotherapy Center in Scotland 3
... discovery by Van Andel Research Institute (VARI) scientists enables ... for glioblastoma – the most common and most aggressive ... published in January in the Proceedings of the ... models characterized by cell signaling activation and gene amplification ...
... EAST RUTHERFORD, N.J., Feb. 6, 2012  Cambrex Corporation (NYSE: CBM, ... President and Chief Financial Officer, will make a presentation on ... Conference on February 8, 2012 at 10:00 AM EST at ... The slide presentation can be accessed from the Cambrex website ...
Cached Medicine Technology:Discovery Predicts Patient Sensitivity to Important Drug Target in Deadly Brain Cancer 2
... three styles. Each style has multiple sizes. ... popular style. Pectoral Implants are available non-sterile ... individually, not in pairs. Both styles are ... for a specific side and are directional. ...
... The IQmarkTM Diagnostic Workstation Software ... Software System that digitally stores many ... Designed with Microsofts open-architecture products in ... as EMR integration (using ActiveX controls), ...
... Digital ECG is a highly advanced and refined ... personal computer. Everything you need to get up ... and operating costs of the IQmark Digital ECG ... ECG machines (even including the cost of the ...
... Trichloroacetic acid (TCA) peels are often ... substantial discomfort. PCA Professional™ TCA peels are ... solutions are blends formulated with many ingredients ... plumping phytohormones and kojic and azelaic acids ...
Medicine Products: