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September 13, 2018 • Federal officials will allow private Medicare insurance plans to require patients who are candidates for certain expensive drugs to try cheaper drugs first. Roadside National Preparedness Month: Maintaining the Medical Supply Chain Amid Natural Disasters Related Links International: Quick Service Links » More News Medicare has driven most of the U.S.’s value-based payment models, many experts said. ChenMed, a privately held health-care services company with centers located in seven states including Florida and Pennsylvania, provides primary care to seniors insured through Medicare Advantage. The company is paid a fixed amount to take care of patients — the average patient is 76 years old with five chronic conditions — and manage their health, said Dr. Gaurov Dayal, ChenMed’s president for new markets and chief growth officer. - Homeowners Insurance A focused reflection on rational medicines use in neonates is valuable and relevant, because indicators to assess rational medicines use are difficult to apply to neonates. Polypharmacy and exposure to antibiotics are common, while dosing regimens or clinical guidelines are only rarely supported by robust evidence in neonates. This is at least in part due to the extensive variability in pharmacokinetics and subsequent effects of medicines in neonates. Medicines utilization research informs us on trends, on between unit variability and on the impact of guideline implementation. We illustrate these aspects using data on drugs for gastroesophageal reflux, analgesics or anti-epileptic drugs. Areas for additional research are drug-related exposure during breastfeeding (exposure prediction) and how to assess safety (tools to assess seriousness, causality, and severity tailored to neonates) since both efficacy and safety determine rational drug use. To further improve rational medicines use, we need more data and tools to assess efficacy and safety in neonates. Moreover, we should facilitate access to such data, and explore strategies for effective implementation. This is because prescription practices are not only rational decisions, but also have psychosocial aspects that may guide clinicians to irrational practices, in part influenced by the psychosocial characteristics of this population. Full article Health Insurance Quotes | Give Me More Information Health Insurance Quotes | Here To Find Out More Health Insurance Quotes | Learn More
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