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Limiting benefits and requiring higher out-of-pocket costs for patients with mental health or substance use disorders is a practice that group health insurance plans must abandon, according to new rules issued by the US government.

By 2012, federal and state programs will pay slightly more than half of the nation’s health care costs whether or not any health care reform measures are passed, according to a recent report by the Office of the Actuary of the Centers for Medicare & Medicaid Services.1 As expected, the shift to a government-dominated health care sector is approaching faster than expected because of an economy in recession and because of the aging of the baby boomers, millions of whom will soon start signing up for Medicare.

Changes to Medicare’s reimbursement plans have inadvertently cut payments to cancer specialists, causing many cancer care centers to lose money and possibly close, according to results of a study commissioned by the Community Oncology Alliance (COA), an advocacy group for oncologists who practice outside of large hospital centers.1

Adults aged 18 to 64 years enrolled in high-deductible health plans (HDHPs) with or without a flexible spending account (FSA) may be less likely to have their medical and prescription drug needs met because of cost than those adults with traditional health plans and consumer-directed health plans (CDHPs)

Consultant For Pediatricians Editorial Board member Wm. Lane W. Robson, MD of The Childrens Clinic in Calgary, Alberta, reports on his time in 2 Haitian cities severely damaged by the January earthquake. He describes the significant challenges he faced and stresses the need for ongoing volunteer efforts.  

In the days before a vote is expected, the near-final version of the health care reform bill seems to have taken shape. Before they fine-tune the bill, however, Democrats must wait for the cost assessment from the Congressional Budget Office.

The editors of Drug Benefit Trends interviewed Peter Juhn, MD, MPH, president of the Therapeutic Resource Centers division at Medco Health Solutions, Inc. Click below to hear him discuss the TRC program, launched in 2007, which monitors prescription drug use in patients with specific chronic conditions and is designed to close gaps in care.

Sporotrichosis is a fungal infection that typically results in cutaneous or lymphocutaneous disease, although other, more severe, life-threatening manifestations do occur. This article reviews updated treatment guidelines, which state that itraconazole has become the preferred therapy for most forms of infection. Amphotericin B remains the mainstay of treatment for severe cases, but lipid formulations are now preferred because of their more favorable toxicity profile. Also, fluconazole has been shown to be less effective than itraconazole and is no longer recommended except as an alternative for cutaneous and lymphocutaneous disease. [Drug Benefit Trends. 2010;22:49-52]

The US decision to freeze spending on HIV programs in several African countries has caused concern that some of the progress made in the global AIDS epidemic will be reversed.

Amidst the Democrats floundering to pass their health care reform bill after the balance of power shifted when a Republican won the Massachusetts Senate race, WJ “Billy” Tauzin, a Democrat turned Republican, announced that he will step down in June as head of the Pharmaceutical Research and Manufacturers of America (PhRMA).