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April 2015 - FRMC

Coordinating Managed Care and Long-Term Services and Support
06/18/2015

Melissa D. Cooper

Melissa D. Cooper
In the United States, two-thirds of nursing home residents’ costs are funded by Medicaid.
In the United States, two-thirds of nursing home residents’ costs are funded by Medicaid.
In the United States, two-thirds...
06/18/2015
First Report Managed Care
An Analysis of Prescription Drug Use by Exchange Enrollees in the First Year of Coverage
06/18/2015

Kerri Fitzgerald

Kerri Fitzgerald
According to a report from Prime Therapeutics, customers who purchased health insurance on the exchange via the Patient Protection and Affordable Care Act filled 13.6% more prescriptions on average compared with commercial members.
According to a report from Prime Therapeutics, customers who purchased health insurance on the exchange via the Patient Protection and Affordable Care Act filled 13.6% more prescriptions on average compared with commercial members.
According to a report from Prime...
06/18/2015
First Report Managed Care
Targeted Biopsy Identifies Prostate Cancer Better than Standard Biopsy
06/18/2015

Mary Mihalovic

Mary Mihalovic
A study of men undergoing biopsy for suspected prostate cancer used targeted MRI/ultrasound fusion biopsy to detect cancers.    
A study of men undergoing biopsy for suspected prostate cancer used targeted MRI/ultrasound fusion biopsy to detect cancers.    
A study of men undergoing biopsy...
06/18/2015
First Report Managed Care

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Conference Insider
Improving Care Coordination in Medicaid Managed Care
06/18/2015

Melissa D. Cooper

Melissa D. Cooper
An increasing number of aging adults and disabled individuals are enrolling in Medicaid due to the recent decision by many states to expand Medicaid coverage.
An increasing number of aging adults and disabled individuals are enrolling in Medicaid due to the recent decision by many states to expand Medicaid coverage.
An increasing number of...
06/18/2015
First Report Managed Care
Conference Insider
Integrating Managed Care and Medicaid
06/18/2015

Melissa D. Cooper

Melissa D. Cooper
In 2013, state and local Medicaid spending increased 5.9% and federal Medicaid spending increased 6.2%, with a total increase of 6.1% in Medicaid expenditures.
In 2013, state and local Medicaid spending increased 5.9% and federal Medicaid spending increased 6.2%, with a total increase of 6.1% in Medicaid expenditures.
In 2013, state and local...
06/18/2015
First Report Managed Care

News

News
Effect of Medicare Part D and Generics on Breast Cancer Treatment
06/18/2015

Melissa D. Cooper

Melissa D. Cooper
In the United States, breast cancer is the second most common cancer diagnosis and the second most fatal form of cancer among women. Endocrine therapy agents, including aromatase inhibitors (AIs) and tamoxi- fen, have shown effectiveness in...
In the United States, breast cancer is the second most common cancer diagnosis and the second most fatal form of cancer among women. Endocrine therapy agents, including aromatase inhibitors (AIs) and tamoxi- fen, have shown effectiveness in...
In the United States, breast...
06/18/2015
First Report Managed Care
News
11 Million Americans Gain Insurance Since Passage of ACA
06/18/2015

Jolynn Tumolo

Jolynn Tumolo
Since President Barack Obama signed the Patient Protection and Affordable Care Act (ACA) into law 5 years ago, the number of insured Americans has dropped by more than 11 million to the lowest level in 15 years, according to new...
Since President Barack Obama signed the Patient Protection and Affordable Care Act (ACA) into law 5 years ago, the number of insured Americans has dropped by more than 11 million to the lowest level in 15 years, according to new...
Since President Barack Obama...
06/18/2015
First Report Managed Care
News
Examining Treatment Costs Related to HIV-Positive Dually Enrolled Medicare Beneficiaries
06/18/2015

Kerri Fitzgerald

Kerri Fitzgerald
In the United States, Medicare and Medicaid account for more than three-quarters of domestic federal spending on HIV/AIDS treatment. In turn, policymakers are interested in monitoring the cost and quality of treatments for HIV/AIDS. 
In the United States, Medicare and Medicaid account for more than three-quarters of domestic federal spending on HIV/AIDS treatment. In turn, policymakers are interested in monitoring the cost and quality of treatments for HIV/AIDS. 
In the United States, Medicare...
06/18/2015
First Report Managed Care
News
Long-Term Mortality Higher in Patients with Diabetes and COPD
06/18/2015

Mary Mihalovic

Mary Mihalovic
Patients with a confirmed physician's diagnosis of diabetes had a higher risk of long-term mortality after a mild to moderate exacerbation of chronic obstructive pulmonary disease (COPD), according to the results of a recent study.
Patients with a confirmed physician's diagnosis of diabetes had a higher risk of long-term mortality after a mild to moderate exacerbation of chronic obstructive pulmonary disease (COPD), according to the results of a recent study.
Patients with a confirmed...
06/18/2015
First Report Managed Care
News
5 Years After ACA Enacted: Poll Examines Opinion on the Law
06/18/2015

Kerri Fitzgerald

Kerri Fitzgerald
March marked 5 years since the Patient Protection and Affordable Care Act (ACA) was passed into law. With the Supreme Court set to weigh in on the law in the case of King v. Burwell, the Kaiser Family Foundation presented results of a poll...
March marked 5 years since the Patient Protection and Affordable Care Act (ACA) was passed into law. With the Supreme Court set to weigh in on the law in the case of King v. Burwell, the Kaiser Family Foundation presented results of a poll...
March marked 5 years since the...
06/18/2015
First Report Managed Care

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FRMC Volume 21, Issue 2

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June 2024
Volume 21
Issue 2
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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...
09/14/2018
First Report Managed Care
News
‘Meaningful Use’ Regs for Electronic Medical Records Finally Drop!
07/14/2010
07/14/2010
First Report Managed Care
News
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
News
Carper, Coburn urge supercommittee to focus on Medicare, Medicaid waste
10/13/2011
10/13/2011
First Report Managed Care
News
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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