A Senate panel today will hear recommendations from the National Academies of Sciences, Engineering and Medicine's committee on drug pricing. The science advisory group's eight recommendations for tackling drug prices include permitting the government to negotiate pricing, accelerating approvals for generic and biosimilar drugs, price transparency and eliminating a tax break for pharmaceutical companies on direct-to-consumer advertising.
Enrollment in consumer-directed, high-deductible health plans has increased nearly sevenfold over the past 10 years, but these plans have not delivered anticipated reductions in spending on unnecessary medical care, according to a study in The American Journal of Managed Care. The research found that most consumers enrolled in these plans do not shop around for the best health care deals, although doing so could save some of them hundreds or thousands of dollars each year.
Federal court-appointed special masters are recommending that Texas recruit more foster parents, hire more caseworkers and create an electronic case file for each foster child. The development in a 6-year-old lawsuit may draw significant objections from the state, which has been privatizing its foster care system.
Good leaders listen, follow through on promises and treat others as they'd like to be treated, writes Dennis Miller. "It may take some practice, but by learning to build trust and respect among your colleagues, you will dramatically increase your leadership potential," he writes.
Recent breaches show that the strategy many boards embrace for their cybersecurity efforts is falling short, Axio Global Chief Technology Officer Jason Christopher writes. Boards can implement a more effective strategy by looking at exposure in financial terms, focusing on a maturity-based cyberevaluation framework and having resources in place to recover from an attack.
The FDA approved Sanofi's Admelog, or insulin lispro injection, as a treatment for adults with type 1 and type 2 diabetes and children with type 1 diabetes. Admelog has been approved as the first follow-on biologic version of Humalog, Eli Lilly and Co.'s fast-acting insulin.
Researchers found that individuals with a blood urea nitrogen level of more than 25 mg/dL and an estimated glomerular filtration rate of less than 15 ml/min per 1.72 m2 had the highest risk for incident diabetes, compared with those who had lower BUN levels and normal eGFR levels. The findings in Kidney International, based on 1,337,452 individuals from the Department of Veterans Affairs database, revealed that an increased diabetes risk was tied to every 10 mg/dL increase in BUN level, but not to each 10 ml/min per 1.73 m2 increase in eGFR.
A study in Pediatric Diabetes showed that children with type 1 diabetes and asthma needed higher doses of insulin and had a higher body mass index standard deviation score and a lower height standard deviation score than those who did not have asthma. Researchers used a cohort of 51,926 children from the German/Austrian DPV database and found that while those with both type 1 diabetes and asthma had more severe hypoglycemia than those without asthma, there were no between-group differences in terms of A1C levels.
Behavioral factors were seen as more important than biological factors as causes of obesity, and weight-loss drugs and surgery were viewed as less effective than lifestyle changes, according to a survey of bariatric specialists and primary care physicians published in Obesity Science & Practice. Researchers said physicians need more education because weight-loss surgery and medications can lead to additional weight loss beyond what is achieved through diet and exercise.
A ransomware attack against Hackensack Sleep and Pulmonary Center in New Jersey in September potentially affected 16,476 patients' data, including their diagnoses, insurance details, credit card information and Social Security numbers. The medical center regained the encrypted files from an offline backup system and did not pay the ransom, officials said.
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