Tue.Nov 14, 2023

article thumbnail

STAT+: UnitedHealth faces class action lawsuit over algorithmic care denials in Medicare Advantage plans

STAT

A class action lawsuit was filed Tuesday against UnitedHealth Group and a subsidiary alleging that they are illegally using an algorithm to deny rehabilitation care to seriously ill patients, even though the companies know the algorithm has a high error rate. The class action suit, filed on behalf of deceased patients who had a UnitedHealthcare Medicare Advantage plan and their families by the California-based Clarkson Law Firm, follows the publication of a STAT investigation Tuesday.

article thumbnail

6 ways to improve clinical trial diversity — as shown by J&J

PharmaVoice

Johnson & Johnson Innovative Medicine’s director of diversity, equity and inclusion in clinical trials shares key strategies for making DEI work.

147
147
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

STAT+: UnitedHealth pushed employees to follow an algorithm to cut off Medicare patients’ rehab care

STAT

The nation’s largest health insurance company pressured its medical staff to cut off payments for seriously ill patients in lockstep with a computer algorithm’s calculations, denying rehabilitation care for older and disabled Americans as profits soared, a STAT investigation has found. UnitedHealth Group has repeatedly said its algorithm, which predicts how long patients will need to stay in rehab, is merely a guidepost for their recoveries.

article thumbnail

Documentary highlights new targets to potentially treat motor neurone disease

Pharma Times

The terminal condition currently affects around 5,000 people in the UK - News - PharmaTimes

140
140
article thumbnail

From Diagnosis to Delivery: How AI is Revolutionizing the Patient Experience

Speaker: Simran Kaur, Founder & CEO at Tattva Health Inc.

The healthcare landscape is being revolutionized by AI and cutting-edge digital technologies, reshaping how patients receive care and interact with providers. In this webinar led by Simran Kaur, we will explore how AI-driven solutions are enhancing patient communication, improving care quality, and empowering preventive and predictive medicine. You'll also learn how AI is streamlining healthcare processes, helping providers offer more efficient, personalized care and enabling faster, data-driven

article thumbnail

One-quarter of Americans have little to no confidence in scientists to act in public’s best interests, per report

STAT

America’s trust in scientists and positive views of science has continued to decline, according to a new report. The Pew Research Center, a nonpartisan think tank, asked a random sample of 8,842 American adults this fall about their views on science and scientists. They found that roughly a quarter of Americans — 27% — said they have not too much or no confidence in scientists to act in the public’s best interests, compared to 12% who said the same in April 2020.

333
333
article thumbnail

BBSRC to invest £12m into 62 UK bioscience research projects

Pharma Times

The projects will explore early-stage ideas at the frontiers of bioscience - News - PharmaTimes

133
133

More Trending

article thumbnail

Can Sarepta’s Duchenne gene therapy still deliver on its promise?

PharmaVoice

For Sarepta — and DMD patients — there’s a lot riding on the treatment’s next steps.

130
130
article thumbnail

Fresh produce access boosts health outcomes among diabetes patients and those on Medicaid in recent studies

STAT

In Stockton, California, almost 60% of the city’s 320,000 residents are prediabetic or living with diabetes. Shane Bailey, a 72-year-old longtime resident and U.S. Coast Guard veteran, is one of them. And because she lives in a neighborhood that is considered a food desert because it lacks nearby grocery stores, it can be a huge challenge to access healthy, affordable food.

article thumbnail

Forbion-backed biotech raises $138M to develop ALS drug

BioPharma Dive

The Series A round for three-year-old startup VectorY is one of the largest private financings in Europe this year, Forbion said.

119
119
article thumbnail

A letter from the executive editor: STAT’s investigation into a UnitedHealth algorithm

STAT

I want to bring your attention to a vitally important  investigation  STAT has published today. For more than a year, our reporters have documented how the use of artificial intelligence is driving denial of claims or delaying treatment for seriously ill patients. This latest story goes even deeper, establishing how the denial of claims was by design.

article thumbnail

Why Every Small Business Needs an HCM Solution: A Comprehensive Guide

Managing HR tasks like payroll, compliance, and employee data can overwhelm small businesses. That’s where a Human Capital Management (HCM) solution comes in. Our eBook, Why Every Small Business Needs an HCM Solution: A Comprehensive Guide , shows how an HCM system automates tedious processes, ensuring your business stays compliant and efficient. You’ll learn how to simplify payroll, eliminate costly errors, and empower your employees with self-service tools.

article thumbnail

AZ’s oncology hopes dented as Imfinzi flunks NSCLC trial

pharmaphorum

AZ’s oncology hopes dented as Imfinzi flunks NSCLC trial Phil.

114
114
article thumbnail

Opinion: Patent buyouts could spur vital innovation in antibiotics, vaccines, and other medical fields

STAT

The announcement by the Center for Medicare and Medicaid Services that ten drugs will be subject to price negotiation under the Inflation Adjustment Act has unleashed a storm of debate. Most observers agree that the negotiations will reduce spending for both consumers and taxpayers. The real dispute centers on whether the prospect of price negotiations will reduce future innovation by shrinking the expected future profits for patented drugs.

Vaccines 229
article thumbnail

Regeneron Sues Celltrion For Proposed Biosimilar of Eylea in West Virginia District Court

Big Molecule Watch

Regeneron filed a Complaint on November 8 against Celltrion in the U.S. District Court for the Northern District of West Virginia, alleging infringement of thirty-eight patents under the BPCIA based on Celltrion’s submission of an aBLA for CT-P42, a proposed biosimilar of EYLEA (aflibercept), and Celltrion’s provision of Notice of Commercial Marketing with respect to the same.

article thumbnail

STAT+: Pharmalittle: AMA calls for obesity drug coverage; Covid rebound may be more common with Paxlovid than without

STAT

Top of the morning to you. And a fine one it is. Lots of sunshine and clear blue skies are once again enveloping the Pharmalot campus, where the official mascots are bounding about the grounds in search of creatures to annoy and neighbors sleeping late. As for us, we are as busy as ever hunting and gathering items of interest. We trust you have your own hectic agendas.

article thumbnail

Best Practices to Streamline Compensation Management: A Foundation for Growth

Speaker: Joe Sharpe and James Carlson

Payroll optimization can be one of the most time-consuming and complex factors of small business management. Yet, organizations that crack the code on streamlining employee compensation often discover innovative avenues for growth. With the right strategies in place, outsourcing and streamlining payroll processes can result in substantial time and resource savings.

article thumbnail

Resilience, empathy, and gratitude. A personal battle with breast cancer.

pharmaphorum

Resilience, empathy, and gratitude. A personal battle with breast cancer. Mike.

112
112
article thumbnail

STAT+: ‘I never realized what people go through’: Doctor and former hospital CEO with Stage 4 cancer calls for greater empathy in medicine

STAT

PROVIDENCE – In late August, Dr. James E. Fanale was trudging through the Falmouth Road Race — walking up the hills, running down them — for seven miles. Fellow runners encouraged him to “keep trying” whenever he slowed down. But they couldn’t have known — along with most of the people in Fanale’s professional orbit — that he was battling Stage 4 lung cancer.

Hospitals 220
article thumbnail

Unified vision essential in UK advanced manufacturing

European Pharmaceutical Review

The Association of the British Pharmaceutical Industry (ABPI) has drawn attention to a new report , which has emphasised the importance of UK advanced manufacturing requiring a long-term strategy to ensure its continued success. This ‘manifesto for growth’, developed by the Manufacturing Five (M5), a coalition of the UK’s leading advanced trade associations, proposed the reforms necessary for the UK to close the gap with global competitors and growth of innovative manufacturing in the country.

article thumbnail

What health policies could hitch a ride on a spending bill?

STAT

You’re reading the web edition of D.C. Diagnosis, STAT’s twice-weekly newsletter about the politics and policy of health and medicine. Sign up here to receive it in your inbox on Tuesdays and Thursdays. Bon apétit, offsets are served Whenever lawmakers get around to actually making decisions about funding the government, leaders try to balance measures that save the government money with those that cost the government money.

208
208
article thumbnail

Enhance Healthcare Efficiency With Top Payroll & HCM Services

Running a healthcare facility requires precision and care, not just for patients but also for your staff. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust. Compliance support helps navigate complex healthcare regulations and avoid costly fines.

article thumbnail

AHA: First data backs AskBio’s heart failure gene therapy

pharmaphorum

AHA: First data backs AskBio’s heart failure gene therapy Phil.

109
109
article thumbnail

Legend Biotech’s deal with Novartis is a reminder that biotech’s bear market has a few haves, and many have-nots

STAT

Want to stay on top of the science and politics driving biotech today?  Sign up  to get our biotech newsletter in your inbox. Hello, everyone. Damian here with the latest twist in the Ozempic panic, polarizing data in genome editing, and another biotech in search of “strategic alternatives.

article thumbnail

How Your Pharmacy Can Celebrate Thanksgiving this Cold and Flu Season

PioneerRx

The most wonderful time of the year is slowly approaching. Temperatures are falling, days are getting shorter (thanks, daylight savings), and holiday lights are.

106
106
article thumbnail

New AMA policies target GLP-1 coverage, corporate medicine

BioPharma Dive

The lobbying group urged broader health insurance coverage for treating obesity, including with GLP-1 agonists like Wegovy.

106
106
article thumbnail

Position Your Pharmacy for Expansion

Speaker: Chris Antypas and Josh Halladay

Access to limited distribution drugs and payer contracts are key to pharmacy expansion. But how do you prepare your operations to take the next step? Meaningful data: Collect and share clinical data regarding outcomes, utilization, and more Reporting: Limited distribution models require efficient tracking and reporting systems Workflows: Align workflows with specific pharma and payer contractual requirements For in-depth, expert insights on pharmacy expansion, watch this webinar from Inovalon.

article thumbnail

USP General Chapter —Glass revised

European Pharmaceutical Review

In response to supply chain challenges, including shortages of critical glass vials for products like COVID-19 vaccines and parenteral drugs, the Packaging and Distribution Expert Committee (PD EC) has made a significant revision of United States Pharmacopeia (USP) General Chapter <660>—Glass. On 1 October 2023, the final, official version of the chapter was published.

Packaging 105
article thumbnail

Calcium Foods for Bones: Boost Bone Health Effectively

Welltopia Pharmacy

Calcium Foods for Bones: Boost Bone Health Effectively 1.

105
105
article thumbnail

Autifony swings $770.5m deal with Jazz for CNS drugs

pharmaphorum

Autifony swings $770.5m deal with Jazz for CNS drugs Phil.

102
102
article thumbnail

Health Canada approves Ipsen and Medision Pharma’s Bylvay for pruritus treatment

Pharmafile

Ipsen and Medision Pharma have announced that Health Canada has approved Bylvay (odevixibat) for the treatment of pruritis in patients aged six months or older with Progressive Familial Intrahepatic Cholestasis (PFIC). Bylvay is the first medication approved in Canada for this indication. Both companies are part of a multiregional partnership in Canada and Israel in […] The post Health Canada approves Ipsen and Medision Pharma’s Bylvay for pruritus treatment appeared first on Pharmafile.

101
101
article thumbnail

5 Reasons to Upgrade Your Pharmacy Management Software

Are you still using workarounds to manage your daily operations? To achieve peak performance, it's time to explore other options for specialty and infusion pharmacy software. Streamline pharmacy operations and improve clinical performance with automated processing, real-time data exchange, and electronic decision support. Download this helpful infographic to: Drive efficiency and patient adherence from referral receipt to delivery and ongoing care – all with our Pharmacy Cloud.

article thumbnail

Breath test can reveal signs of liver cirrhosis and portal hypertension

Outsourcing Pharma

Owlstone Medical's exegenous volatile organic compound (EVOC) breath test can reveal signs of liver cirrhosis and portal hypertension, a study has found.

article thumbnail

Guide to Outsourcing 2023

European Pharmaceutical Review

Outsourcing regulatory activities in pharma Here, EPR’s Editor explores some key considerations, approaches and strategies for pharmaceutical companies looking to outsource regulatory activities. Accelerating drug development for simple and complex drug programmes Quotient Sciences leverages more than 30 years of drug development expertise to support small molecule and synthetic peptide drug programmes, in both simple drug programmes as well as complex cases where specialised formulation e

article thumbnail

Novo Nordisk to Discontinue Levemir for Diabetes Mellitus

PharmExec

Novo Nordisk said it will continue providing Levemir vials and the Levemir FlexPen for diabetes control while supplies last, until the full product discontinuation at the end of 2024.

article thumbnail

New acquisition to support global gene therapy manufacturing

European Pharmaceutical Review

Ajinomoto Co., Inc. is set to acquire Forge Biologics, a viral vector and plasmid contract development and manufacturing organisation (CDMO) and clinical-stage therapeutics company. According to Forge Biologics, the acquisition is an all-cash deal for $620 million, which is Forge’s enterprise value on a cash-free and debt-free basis. The equity value attributable to unitholders of Forge Biologics is approximately $554 million.

98
article thumbnail

Pharma’s engagement with HCPs evolving, finds new poll

pharmaphorum

Pharma’s engagement with HCPs evolving, finds new poll Phil.

96