Study: Rx nonadherence costs the US up to $289B each year | Payers mostly in for 2018, but caution around ACA markets abounds, survey finds | CMS proposal would require hospital accreditors to disclose findings
April 20, 2017
AHIP Solutions SmartBrief
Top Stories
Study: Rx nonadherence costs the US up to $289B each year
An estimated 20% to 30% of drug prescriptions are never filled, and approximately half the drugs prescribed for chronic conditions are not taken properly, causing some 125,000 deaths per year, accounting for at least 10% of hospital admissions, and costing between $100 billion and $289 billion each year, according to a study in Annals of Internal Medicine.
The New York Times (free-article access for SmartBrief readers) (4/17) 
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Payers mostly in for 2018, but caution around ACA markets abounds, survey finds
Payers mostly in for 2018, but caution around ACA markets abounds, survey finds.
(Joe Raedle/Getty Images)
A survey conducted earlier this month by Oliver Wyman found 96% of payers intend to remain in the Affordable Care Act market, 75% plan to retain their existing geographic footprint and 71% have no plans to change their current offerings. However, the authors note payers could change their plans at any time, and about half said it was too early to determine whether and by how much premiums will rise. (4/19) 
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Is Your Provider Data Putting You at Risk with CMS?
In a 2017 review, CMS found that 45% of provider directory listings are inaccurate. This leaves a lot of health plans open to hefty fines and dissatisfied members. Learn how a faster, more intelligent credentialing system will improve your data, prevent fines and help you manage your network.
Providers & Suppliers
CMS proposal would require hospital accreditors to disclose findings
Proposed rules from the CMS would require private health care provider accreditors to publicly disclose findings from inspections and steps being taken to resolve any problems. The proposal aims to ensure that accrediting organizations hold providers to the same standards as state inspectors and the CMS, both of which have identified deficiencies missed by private inspections.
ProPublica (4/18) 
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Checklist helps reduce post-surgical mortality, study says
A study of 14 South Carolina hospitals found the use of a 19-item surgical checklist developed by the World Health Organization led to a 22% decrease in post-surgical deaths over five years, compared with other hospitals, researchers reported in the Annals of Surgery. The checklist included information to verify before anesthesia induction, prior to skin incision and before a patient leaves the operating room.
The State (Columbia, S.C.) (4/17),  United Press International (4/17) 
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CVS initiative to offer health care for Ariz. veterans
CVS Health's MinuteClinic is bringing more health care options to veterans in the Phoenix area by partnering with the Department of Veterans Affairs, the Phoenix VA Health Care System and TriWest Healthcare Alliance. Under the partnership, nurses will be able to refer veterans to the retail clinic through the Veterans Choice Program, and patients' health information will be shared electronically.
Drug Store News (4/18) 
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Medical Update
Lifestyle intervention in diabetes helps lower medication costs, usage
Australian researchers found that patients with type 2 diabetes who participated in a three-week lifestyle modification program reduced their routine medication costs and the number of pills taken daily by 1.3 at one year. The findings in BMJ Open, based on 29 adults who participated in the program that combined restrictive diet, high exercise volume and education, showed that 54% of patients stopped or decreased their medication use one year after the intervention, compared with 19% who increased or started taking new drugs.
Healio (free registration)/Endocrine Today (4/18) 
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Emerging Trends
Virtual reality decreases pain in clinical trial
Virtual reality, which has been used to distract burn patients during wound care, can serve as a nondrug pain-management therapy regardless of the pain's cause, according to a study of hospitalized patients who wore VR glasses for 15 minutes and recorded their levels of discomfort. The immersive visual and auditory distractions of virtual reality reduce the perception of pain, said Brennan Spiegel of Cedars-Sinai Health Services Research, the lead author of the study.
Practical Pain Management (4/17) 
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Health Insurance Plan Company News
Take communications to the next level
It's time to engage patients and members by transforming your communications with the 5Cs: consistent, continuity, context, content-rich and creative. Read about the 5 Cs in this paper and learn how to deliver patient- and member-centric communications.
Solutions Provider News
Complimentary Health IT Directory available
AHIP's Health IT Directory is easy-to-access and filled with products and services designed to help improve care, manage costs, and allow stakeholders to work together seamlessly. Continuously updated, you'll save dozens of hours researching solutions. Access it here.
Pharma News
FDA OKs Tecentriq as first-line bladder cancer drug
The FDA approved Roche's Tecentriq, or atezolizumab, as initial treatment for patients with advanced bladder cancer who cannot take standard chemotherapy with cisplatin. The PD-1 inhibitor is approved for non-small cell lung cancer and as a second-line treatment for metastatic or advanced bladder cancer.
Reuters (4/18) 
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Policy Watch
GOP finalizing health care legislation, Ryan says
GOP finalizing health care legislation, Ryan says
Ryan (Zach Gibson/Getty Images)
Republican lawmakers are negotiating "finishing touches" on the revived health care legislation that would unravel portions of the Affordable Care Act, House Speaker Paul Ryan, R-Wis., said Wednesday.
The Hill (4/19) 
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S.C. insurance department sues over ACA risk corridor funds
The South Carolina Department of Insurance has filed a lawsuit against the federal government over $37 million officials say the department is owed under the Affordable Care Act's risk corridors program. When the funds went unpaid, the state's Consumer Operated and Oriented Plan, called the Consumers' Choice Health Insurance Company of South Carolina, became unsustainable, CEO Jerry Burgess said when the co-op closed.
Healthcare Finance News (4/17) 
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Influencer Series: More reasons to attend Institute & Expo
The list of reasons why you should register for Institute & Expo, June 7-9 in Austin, seems to get longer and longer, doesn't it? Go ahead and add our Influencer Series, featuring speakers including Michael Chernew, PhD, Nancy-Ann DeParle, and Kyra Bobinet, MD, MPH. These in-depth concurrent-focused sessions are part of your conference registration. Register by April 26 to save.
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Webinar: Building a successful retrospective chart review program
On April 27, 2 to 3 p.m. ET, "Building A Successful Retrospective Chart Review Program" addresses ways you can leverage Retrospective Chart Reviews as an asset to drive growth and improve care for beneficiaries. Risk-bearing entities embracing a systemic approach for retrospective chart reviews will find an increased benefit when running these programs, including improving operational efficiency and reducing costs.
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Faster, smarter hiring starts here
AHIP's Career Center job site is focused exclusively on health care talent, saving you time searching through job sites trying to be everything to everyone. Extend your reach by posting your job and searching resumes on the National Healthcare Career Network (NHCN), a collection of hundreds of top health care associations and professional organizations. Visit AHIP's Career Center.
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