News

The latest on managing care, value-based care, insurance markets, payers & providers

HCFA: Medicaid Must Now Cover Growth Hormone

The Health Care Financing Administration has ordered Medicaid to cover Serostim, a growth hormone that can stifle cachexia — also known to AIDS patients as wasting.... Two New York representatives have introduced a measure in Congress that would require health plans to cover routine breast, cervical, colorectal, and prostate cancer screenings under Medicare's screening-benefit schedule.... Florida legislators were to consider compromise legislation in late April mandating coverage of bone-marrow transplants, autism-spectrum disease, and oral contraceptives, all of which would add $40 million to costs, HMOs say.... The California legislature is considering a similar bill regarding coverage of oral contraceptives.... Meanwhile, California officials have told Health Net not to cut 14 drugs from its formulary, including Prozac and two drugs for cystic fibrosis that patient groups say have no adequate substitutes.

Subscribe to Our Newsletters

Monthly table of contents

Be notified as each issue of Managed Care is available online.

Biweekly newsletter

Recent topics have included:

  • Doug Jones and the ACA, Epic misses a White House meeting, and man caves for man-flu sufferers
  • CVS-Aetna deal may trigger merger mania, Johns Hopkins criticized for lack of asthma prevention, & Columbia sees free-ride future for all of its med students

PTCommunity news

New drug approvals, clinical trials, drug management. Three times per week.