A private provider would handle health care of children in foster care under a sweeping reform bill being debated in the West Virginia legislature. Other proposed changes include requiring annual safety inspections of foster homes.
The CMS proposed allowing health insurance plans sold on Affordable Care Act exchanges to exclude the value of drugmakers' copay coupons from subscribers' out-of-pocket limits if a medically appropriate generic alternative is available.
The Medicare Payment Advisory Commission suggested that Part D plan carriers cover a larger percentage of costs for seniors in the coverage gap but also suggested giving carriers more flexibility.
Adamis Pharmaceuticals and Novartis's Sandoz unit have launched a prefilled epinephrine syringe for treatment of emergency allergic reactions. The syringe, Symjepi, will be available in institutional settings before expanding to the retail market, and it costs less than Mylan and Teva's generic versions of the EpiPen.
Eating more protein at breakfast may help jump-start weight loss because protein can reduce hunger, boost metabolism and help build muscle, said registered dietitian Julie Upton. Some of the best proteins for breakfast include eggs, low-fat yogurt, cottage cheese and milk, Upton said.
Registered dietitian Bonnie Taub-Dix says the Mediterranean diet is ideal for vegans and vegetarians because it is based on whole grains, vegetables and fruit. Taub-Dix said the Mediterranean diet should be considered more of a lifestyle choice to improve overall health rather than a diet to lose weight.
Obese psoriatic arthritis patients who followed a short-term restrictive diet lost a median 41.2 pounds, and at six months the number who achieved minimal disease activity increased from 29.3% to 53.7%, according to a study in Arthritis Research & Therapy. "We recommend that weight loss treatment should be considered as complementary to pharmacological treatment in patients with PsA and obesity, since weight loss may improve disease activity, effects of drug treatment, and cardiovascular risk profile," researchers said.
An observational study in the journal Stroke found higher adipose tissue levels of eicosapentaenoic acid, a type of fatty acid found in fish, may reduce the risk of ischemic stroke better than docosahexaenoic acid or total fish oil intake. Greater consumption of total marine n-3 polyunsaturated fatty acids was associated with lower rates of large artery atherosclerosis.
A study in Pediatrics showed that teens and young adults who previously discussed confidentiality with their physicians talked about 4.4 out of 11 specific topics on average during their most recent visit, compared with 2.9 topics among those who didn't have confidentiality discussions. Researchers also found confidentiality discussions were linked to significantly increased odds of having discussions about alcohol and drugs, tobacco, and sexually transmitted infections or HIV.
More women are seeking long-acting reversible contraception, but although the number of family physicians who provide LARC services is increasing, less than 25% do so, according to a study in the Journal of the American Board of Family Medicine. "Given that reproductive planning and pregnancy are central to the physical health and the socioeconomic well-being of women and families, addressing barriers to LARC provision in primary care is important," researchers wrote.