Many of the almost 400 comments on revising the Stark Law call for exceptions allowing alternative payment models, while others seek provisions in current exceptions to allow greater use of coordinated care, attorney Chip Hutzler told a meeting of the American Bar Association's health law section. The federal law restricts Medicare referrals to organizations in which physicians have a financial stake.
Insulin prices have shot up nearly 600%, according to a congressional study, leading to potentially deadly rationing by many patients. FDA Commissioner Scott Gottlieb outlined a new regulatory pathway designed to promote biosimilar competition for marketed insulin products.
A Kaiser Family Foundation analysis found that 4.2 million people who are currently uninsured could qualify for a bronze-level Affordable Care Act plan for next year at no cost, after accounting for financial assistance. Some consumers, however, may get a better deal by signing up for silver plans with lower cost-sharing.
Infants who had initial cold symptoms lasting at least three weeks had less varied nasal microbiota that were more likely to be dominated by the Streptococcaceae or Moraxellaceae families, compared with those with a faster initial cold recovery, according to a Swiss study in the journal ERJ Open Research. Researchers said the findings may prompt better understanding of how respiratory tract bacteria function in infections and in asthma and other chronic conditions.
UK researchers found that lesbian, gay, bisexual, not exclusively heterosexual and questioning children had a significantly higher rate of depression symptoms at age 10, compared with heterosexual peers, with the disparity growing further until age 21. The findings in The Lancet Child & Adolescent Health also showed a fourfold increased likelihood of self-harm and self-harm with suicidal intent by age 21 among sexual minority youths.
The Netherlands' approach to supporting newborns and their families, including prenatal and postnatal support from the Kraamzorg -- a government-provided service -- helps infants at the most formative time in their lives, says Mike Findlay in a review of the book "Right from the Start" by Alan Sinclair. The book also asserts that a baby's poverty level is not the only predictor of developmental success, says Findlay.
Young Americans leaving foster care at age 18 need far more societal assistance to make up for their familial, educational and other disadvantages compared to their peers, the Washington Post editorializes. Employment and education data are especially grim for black youths, the paper adds.
A motion before the Los Angeles County Board of Supervisors seeks a multi-agency effort to end incarceration of pregnant juveniles, calling jail conditions adverse to proper medical care,. Fifty of the 1,039 girls entering county detention last year tested positive for pregnancy and one gave birth while incarcerated, officials said.
Canadian researchers found that preterm infants who received caffeine within the first two days of life had improved cognitive test scores and were less likely to develop hearing problems and cerebral palsy at ages 18 months to 24 months compared with those who were given caffeine after the first two days of life. The findings in Pediatrics were based on data from 26 neonatal intensive care units across Canada.
A late-stage study found a 1,500-milligram-per-day dose of voxelotor was associated with increased hemoglobin levels of more than 1 gram per deciliter after 24 weeks among 65% of study participants with sickle cell disease, compared with 10% of patients taking a placebo. The data were presented at a meeting of the American Society of Hematology.