Exome Sequencing Study Implicates New Breast, Ovarian Cancer Susceptibility Genes

  • Sep 6, 2018

A team led by researchers at Ambry Genetics has conducted a large-scale exome sequencing study to confirm reported predisposition genes for breast and ovarian cancer, as well as identify new genetic mutations associated with these diseases.

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Medicaid Indiana: Laboratory Reference Modules updated

  • Sep 6, 2018

Laboratory Services Merged relevant information from the Medical Policy Manual into this module Updated the introductory note box and updated the Introduction section Added CLIA certification types in the Clinical Laboratory Improvement Amendment Regulations section and removed the table listing provider types subject to CLIA rules Added a note box explaining the HAF exception for...

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BCBS NC inks value-based deal with UNC Health, driving down ACA premiums

  • Sep 6, 2018

BCBS NC announced the changes after its Affordable Care Act rates were approved by the state on Wednesday. Average premiums on ACA plans will drop 4.1% thanks, in large part, to the deal with UNC Health, BCBS spokesman Austin Vevurka told FierceHealthcare.  The deal also represents a distinct push toward value-based care.

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MolDX Local Coverage Determination (LCD) Updates

  • Sep 6, 2018

The following A/B MAC LCDs were revised: MolDX: Oncotype DX® Genomic Prostate Score for Men with Favorable Intermediate Risk Prostate Cancer L37262 MolDX: EndoPredict Breast Cancer Gene Expression Test L37264 MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease L36044 To view the LCD(s), go to www.PalmettoGBA.com/jma/lcd or www.PalmettoGBA.com/jmb/lcd, www.PalmettoGBA.com...

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Provider Enrollment Updates Via the Web Portal

  • Sep 6, 2018

Conduent is taking steps to implement a more timely and efficient process for submitting provider enrollment updates. The new and improved Provider Update tool will be available starting August 2018. Providers with access to the New Mexico Medicaid Web Portal will be able to send updates electronically. This new process will replace the need to mail or fax the MAD 304 form. The submission...

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With a stunning Q2 performance, Molina is officially a comeback story

  • Sep 6, 2018

Molina blew the doors off of Wall Street’s second-quarter expectations, reporting a net income of $202 million, nearly doubling its first-quarter profits. Their success has come from paring down operating and medical costs and raising premiums, particularly in the exchanges. The upswing has prompted the company to consider re-entering the ACA exchanges in Utah and Wisconsin after pulling out...

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UnitedHealth Group’s MedExpress and Walgreens Boots Alliance Initiate Pilot Program to Put Urgent Care Centers in Walgreens Pharmacies

  • Sep 6, 2018

Motivated by consumer demand for convenient, high-quality healthcare, the urgent care market in the United States continues to grow. This trend will eventually influence clinical laboratories and anatomic pathology groups seeking to service these providers. It will be a dynamic market as new participants and mergers compete for leverage in this profitable business.

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USPSTF Cervical Cancer Screening Recommendations Strike Compromise on Cotesting

  • Sep 6, 2018

The US Preventative Services Task Force today updated its cervical cancer screening recommendations to advise that women aged 30 to 65 may choose to get screened every three years with cervical cytology alone, every five years with high-risk HPV testing alone, or every five years with hrHPV testing in combination with cytology, also known as cotesting.

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