Nancy L. Keating

Nov 25, 2024 | healio.com | Rob Volansky |Shenaz Bagha |John R.P. Tesser |Nancy L. Keating

You've successfully added Practice Management in Rheumatology to your alerts. You will receive an email when new content is published. Click Here to Manage Email Alerts We were unable to process your request. Please try again later. If you continue to have this issue please contact [email protected]. From 2011 to 2019, the proportion of rheumatologists who reported using in-house pharmacies exploded, from 4% to 22% — a more than fivefold increase.

Sep 20, 2024 | jamanetwork.com | Michael Kyle |Nancy L. Keating

The design of the traditional Medicare benefit has changed very little since its inception in the 1960s. Enrollees in traditional Medicare can seek care from any clinicians, practices, or health care organizations (hereafter, providers) enrolled in the Medicare program and have unrestricted access to Medicare’s covered services. While these benefits are appealing, beneficiary cost sharing is often high.

Dec 12, 2023 | ascopubs.org | Michael Kyle |Nancy L. Keating

Prior authorization requirements are increasing but little is known about their effects on access to care. We examined the association of a new prior authorization policy with delayed or discontinued prescription fills for oral anticancer drugs among Medicare Part D beneficiaries.

Jul 18, 2023 | jamanetwork.com | Michael Kyle |Stacie B. Dusetzina |Nancy L. Keating

Utilization Management Trends in Medicare Part D Oncology Drugs, 2010-2020 Utilization management—such as prior authorization—is prevalent, and evidence from medical services indicates it disproportionately affects oncology treatments.1 Orally administered cancer drugs are increasing in number and cost.2 These products have mandatory coverage in Medicare Part D as a protected class; less is known about utilization management.

Jun 6, 2023 | acpjournals.org | Nancy L. Keating

Authors: Nancy L. Keating, MD, MPHAffiliations: Department of Health Care Policy, Harvard Medical School and Division of General Internal Medicine, Brigham and Women’s Hospital, Boston, Massachusetts (N.L.K.). Acknowledgment: The author thanks Bruce E. Landon, MD, MBA, and J. Michael McWilliams, MD, PhD, for helpful comments on an earlier version of the manuscript. Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M23-0534.