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April 2014 - FRMC

Analysis of a Value-Based Insurance Design Program
04/22/2014

Tim Casey

Tim Casey
Las Vegas—A retrospective cross-sectional study found that a value-based insurance design program reached the sickest and most costly patients, but it did not attract individuals who were most nonadherent to medications. Only a small...
Las Vegas—A retrospective cross-sectional study found that a value-based insurance design program reached the sickest and most costly patients, but it did not attract individuals who were most nonadherent to medications. Only a small...
Las Vegas—A retrospective...
04/22/2014
First Report Managed Care
Risks of Prescription Drug Abuse
04/22/2014

Tim Casey

Tim Casey
Las Vegas—Patients with commercial insurance who are taking prescription drugs are at risk of abusing the medications and burdening the healthcare system with significant costs, according to pharmaceutical and medical claims data. The authors...
Las Vegas—Patients with commercial insurance who are taking prescription drugs are at risk of abusing the medications and burdening the healthcare system with significant costs, according to pharmaceutical and medical claims data. The authors...
Las Vegas—Patients with...
04/22/2014
First Report Managed Care
Costs and Risks Associated with Specialty Medications
04/22/2014

Tim Casey

Tim Casey
Las Vegas—According to a retrospective review of a large payer’s specialty drug pharmacy claims from January 1, 2011, to December 31, 2011, 32.3% of patients who received a 90-day supply of an oral oncology drug did not fill the prescription...
Las Vegas—According to a retrospective review of a large payer’s specialty drug pharmacy claims from January 1, 2011, to December 31, 2011, 32.3% of patients who received a 90-day supply of an oral oncology drug did not fill the prescription...
Las Vegas—According to a...
04/22/2014
First Report Managed Care
Medication Adherence Program for Medicare Advantage
04/22/2014

Tim Casey

Tim Casey
Las Vegas—A retrospective analysis of claims data from a Medicare Advantage prescription drug plan found that a comprehensive medication adherence program benefitted prescribers and members. From 2012 to 2013, New West Medicare’s adherence...
Las Vegas—A retrospective analysis of claims data from a Medicare Advantage prescription drug plan found that a comprehensive medication adherence program benefitted prescribers and members. From 2012 to 2013, New West Medicare’s adherence...
Las Vegas—A retrospective...
04/22/2014
First Report Managed Care
ACE and ARB Treatment among Medicare Beneficiaries with Diabetes and Hypertension
04/22/2014

Melissa Cooper

Melissa Cooper
Between 2000 and 2010, the percentage of patients aged ≥65 years with diabetes and hypertension increased from 9% to 15%. Angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) have proven to decrease the...
Between 2000 and 2010, the percentage of patients aged ≥65 years with diabetes and hypertension increased from 9% to 15%. Angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) have proven to decrease the...
Between 2000 and 2010, the...
04/22/2014
First Report Managed Care
Department
Assessing the Cost Burden of AF and Heart Failure
04/22/2014

Melissa Cooper

Melissa Cooper
Common complications of acute coronary syndrome (ACS) are atrial fibrillation (AF) and heart failure.
Common complications of acute coronary syndrome (ACS) are atrial fibrillation (AF) and heart failure.
Common complications of acute...
04/22/2014
First Report Managed Care
Department
Greater Prevalence of Clinically Significant Anxiety and Depression among SSc Cohort
04/22/2014

Eileen Koutnik-Fotopoulos

Eileen Koutnik-Fotopoulos
Systemic sclerosis (SSc) is a connective-tissue disease characterized by excessive collagen deposition in the dermis and internal organs.
Systemic sclerosis (SSc) is a connective-tissue disease characterized by excessive collagen deposition in the dermis and internal organs.
Systemic sclerosis (SSc) is a...
04/22/2014
First Report Managed Care

Department

Conference Insider
Changes in LTC Services and Supports
04/22/2014

Tim Casey

Tim Casey
Falls Church—Until recently, long-term services and supports in Medicaid were refined to nursing homes or institutional care. For the past few years, however, there has been a “very dramatic” change in where Medicaid long-term care spending...
Falls Church—Until recently, long-term services and supports in Medicaid were refined to nursing homes or institutional care. For the past few years, however, there has been a “very dramatic” change in where Medicaid long-term care spending...
Falls Church—Until recently,...
04/22/2014
First Report Managed Care
Conference Insider
The ACA is Changing Healthcare
04/22/2014

Tim Casey

Tim Casey
Falls Church—The Patient Protection and Affordable Care Act (ACA) has transformed the healthcare industry, leading to delivery and payment reforms. Payers are focusing more on the value of care and attempting to compensate doctors on quality...
Falls Church—The Patient Protection and Affordable Care Act (ACA) has transformed the healthcare industry, leading to delivery and payment reforms. Payers are focusing more on the value of care and attempting to compensate doctors on quality...
Falls Church—The Patient...
04/22/2014
First Report Managed Care
Conference Insider
Poll: Healthcare is Second Most Important Issue Heading into November Elections
04/22/2014

Tim Casey

Tim Casey
Washington, DC—A poll released at the AHIP conference found that voters consider healthcare to be the second most important issue heading into the November 2014 midterm elections, trailing only the economy/jobs. Peter Hart and Bill McInturff,...
Washington, DC—A poll released at the AHIP conference found that voters consider healthcare to be the second most important issue heading into the November 2014 midterm elections, trailing only the economy/jobs. Peter Hart and Bill McInturff,...
Washington, DC—A poll released...
04/22/2014
First Report Managed Care

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FRMC Volume 21, Issue 2

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June 2024
Volume 21
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Shortened Hospital Stay With Standardized Order Set
09/14/2018
Compared with usual care, care provided under an electronic health system-based standardized order set was associated with a 31% lower steroid dose and a 1.1-day shorter length of stay in the hospital, with no effect on readmission rates, a...
Compared with usual care, care provided under an electronic health system-based standardized order set was associated with a 31% lower steroid dose and a 1.1-day shorter length of stay in the hospital, with no effect on readmission rates, a...
Compared with usual care, care...
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‘Meaningful Use’ Regs for Electronic Medical Records Finally Drop!
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Debate Over Health Plan-Driven Clinical Pathways Continues
08/15/2016

By Dean Celia

By Dean Celia
While a California bill to restrict payer-driven clinical pathways was defeated, a similar bill was recently proposed in Connecticut, further stoking the debate between whether or not payers should be allowed to have input in the development...
While a California bill to restrict payer-driven clinical pathways was defeated, a similar bill was recently proposed in Connecticut, further stoking the debate between whether or not payers should be allowed to have input in the development...
While a California bill to...
08/15/2016
First Report Managed Care
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Carper, Coburn urge supercommittee to focus on Medicare, Medicaid waste
10/13/2011
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First Report Managed Care
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Call for Inclusion of PCPs in Hospital Teams
01/28/2015
Internal medicine resaerchers from Massachusetts General Hospital have proposed a collaborative model that coordinates primary care practitioners and hospitalists.
Internal medicine resaerchers from Massachusetts General Hospital have proposed a collaborative model that coordinates primary care practitioners and hospitalists.
Internal medicine resaerchers...
01/28/2015
First Report Managed Care

Video Insights

Hayward
Videos
Evolving Health Care Contact Centers Into Drivers of Value-Based Care
07/31/2024
Discover how health care contact centers can transform into drivers of value-based care through AI, automation, upskilling agents, and rethinking workflows and metrics to improve patient outcomes and population health.
Discover how health care contact centers can transform into drivers of value-based care through AI, automation, upskilling agents, and rethinking workflows and metrics to improve patient outcomes and population health.
Discover how health care contact...
07/31/2024
First Report Managed Care
Lucille Accetta Headshot
Videos
Enhancing Patient Medication Adherence: Insights and Strategies From Asembia 2024
06/11/2024
Lucille Accetta, PharmD, MBA, MSPH, Senior Vice President of CVS Specialty Operations
Key stakeholders in the health care industry gathered to discuss prevalent topics at this year's Asembia annual summit. Medication adherence emerged as one of the most talked-about issues. In a session led by Lucille Accetta, PharmD, MBA,...
Key stakeholders in the health care industry gathered to discuss prevalent topics at this year's Asembia annual summit. Medication adherence emerged as one of the most talked-about issues. In a session led by Lucille Accetta, PharmD, MBA,...
Key stakeholders in the health...
06/11/2024
First Report Managed Care
Melissa Andel, Principal, CommonHealth Solutions, LLC
Videos
Navigating the Impact of the Inflation Reduction Act: Implications for Payers, Patients, and Manufacturers
05/24/2024
Melissa Andel, Principal, CommonHealth Solutions, LLC
Learn about the impacts of the Inflation Reduction Act on payers and patients, highlighting the changes in Medicare benefits and drug coverage coming in 2025 and 2026.
Learn about the impacts of the Inflation Reduction Act on payers and patients, highlighting the changes in Medicare benefits and drug coverage coming in 2025 and 2026.
Learn about the impacts of the...
05/24/2024
First Report Managed Care
Joe DePinto Headshot
Videos
Navigating Payment Models in the CGT Landscape: Insights and Innovations
05/21/2024
Joe DePinto, Head of Cell, Gene, and Advanced Therapies, McKesson
An expert discusses the evolution and challenges of payment models in the cell and gene therapy (CGT) space reviewed during his session at Asembia 2024.
An expert discusses the evolution and challenges of payment models in the cell and gene therapy (CGT) space reviewed during his session at Asembia 2024.
An expert discusses the...
05/21/2024
First Report Managed Care
Jennifer L. Mathieu Senior Vice President, Professional and Government Affairs at AMCP
Videos
Unlocking the Future of Managed Care Pharmacy: A Deep Dive into Federal Legislation and Regulations
05/15/2024
Jennifer L. Mathieu Senior Vice President, Professional and Government Affairs, AMCP
Learn about developments in federal legislation and regulations within the pharmacy landscape shaping the future of managed care in an interview with a session presenter from AMCP 2024.
Learn about developments in federal legislation and regulations within the pharmacy landscape shaping the future of managed care in an interview with a session presenter from AMCP 2024.
Learn about developments in...
05/15/2024
First Report Managed Care
Tejaswi Kompala
Videos
Personalizing Weight Loss Management With GLP-1 Agonists
04/05/2024

Featuring Tejaswi Kompala, MD, head of cardiometabolic clinical strategy, Teladoc 

Featuring Tejaswi Kompala, MD, head o...
Delve into the rising demand for anti-obesity medications, the complexities of obesity management, and the importance of personalized approaches in improving cardiometabolic health in this insightful interview.
Delve into the rising demand for anti-obesity medications, the complexities of obesity management, and the importance of personalized approaches in improving cardiometabolic health in this insightful interview.
Delve into the rising demand for...
04/05/2024
First Report Managed Care
Zaubler Headshot
Videos
Integrating Behavioral Health Services to Reduce ED Visits: Substance Use Disorder and Social Determinants of Health
03/27/2024

Featuring Tom Zaubler, MD, MPH, CMO at NeuroFlow

Featuring Tom Zaubler, MD, MPH, CMO a...
Join us for the continuation of an engaging two-part series showcasing an expert dedicated to reducing emergency department visits through the integration of behavioral health practices. Dr Zaubler will share invaluable insights into...
Join us for the continuation of an engaging two-part series showcasing an expert dedicated to reducing emergency department visits through the integration of behavioral health practices. Dr Zaubler will share invaluable insights into...
Join us for the continuation of...
03/27/2024
First Report Managed Care
Zaubler Headshot
Videos
Integrating Behavioral Health Services to Reduce ED Visits: Suicide Prevention and Preemptive Primary Care
03/25/2024

Featuring Tom Zaubler, MD, MPH, CMO at NeuroFlow

Featuring Tom Zaubler, MD, MPH, CMO a...
Come join us for the first installment of a captivating two-part series featuring an expert committed to minimizing emergency department visits through the implementation of behavioral health integrations. Dr Zaubler will offer valuable...
Come join us for the first installment of a captivating two-part series featuring an expert committed to minimizing emergency department visits through the implementation of behavioral health integrations. Dr Zaubler will offer valuable...
Come join us for the first...
03/25/2024
First Report Managed Care
Yash Prajapati
Videos
Navigating the Evolution of Digital Solutions in Health Care
02/27/2024

Featuring Yash Prajapati, consultant at ZS Associates 

Featuring Yash Prajapati, consultant ...
Join us in exploring the challenges and opportunities in the development, approval, and integration of digital therapeutic solutions with ZS Associates consultant Yash Prajapati.
Join us in exploring the challenges and opportunities in the development, approval, and integration of digital therapeutic solutions with ZS Associates consultant Yash Prajapati.
Join us in exploring the...
02/27/2024
First Report Managed Care
Mansur Shomali
Videos
Advancements and Challenges in Diabetes Management
02/27/2024

Featuring Mansur Shomali, MD, chief medical officer at Welldoc, endocrinologist at MedStar Health 

Featuring Mansur Shomali, MD, chief m...
Learn about the state of digital therapeutics for disease management such as diabetes care in terms of cost, outcomes, integration, and more with Dr Mansur Shomali, CMO at Welldoc.
Learn about the state of digital therapeutics for disease management such as diabetes care in terms of cost, outcomes, integration, and more with Dr Mansur Shomali, CMO at Welldoc.
Learn about the state of digital...
02/27/2024
First Report Managed Care

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