Contact
searchSearch
HMP Global

April 2015 - FRMC

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

Department

Conference Insider
Improving Care Coordination in Medicaid Managed Care
06/18/2015
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
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
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
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
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
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
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
FRMC Volume 21, Issue 4

Current Issue

October/November/December Volume 21, Issue 4, First Report Managed Care
Current Issue
Issue Archive

What's Trending?

News Connection
Time to Treatment and Survival in Young Women with Breast Cancer
07/22/2013
Researchers recently conducted a study to examine the impact of treatment delay time as well as race/ethnicity, socioeconomic status, insurance status, cancer stage, and age on survival from breast cancer among adolescent and young...
Researchers recently conducted a study to examine the impact of treatment delay time as well as race/ethnicity, socioeconomic status, insurance status, cancer stage, and age on survival from breast cancer among adolescent and young...
Researchers recently conducted a...
07/22/2013
First Report Managed Care
News
Pfizer Seeks $1 Billion in Cost Cuts
06/08/2011
06/08/2011
First Report Managed Care
2015 Medicare Advantage Draft Rate Notice is a Bear: Messy, Noisy, and Smells Like Roadkill
02/25/2014
Friday after the close of business, CMS released the draft 2015 “call letter”, the rate announcement for Medicare Advantage.  As expected, it’s a bear: messy, noisy, and smells like roadkill.  It’s just about a worst-case scenario for flabby,...
Friday after the close of business, CMS released the draft 2015 “call letter”, the rate announcement for Medicare Advantage.  As expected, it’s a bear: messy, noisy, and smells like roadkill.  It’s just about a worst-case scenario for flabby,...
Friday after the close of...
02/25/2014
First Report Managed Care
News
Surgical Episode Costs Lower for Hospitals that Discharge Earlier
03/24/2017
A study found hospitals with shorter postoperative length of stays did not have higher postdischarge care use or readmissions.
A study found hospitals with shorter postoperative length of stays did not have higher postdischarge care use or readmissions.
A study found hospitals with...
03/24/2017
First Report Managed Care
Conference Coverage
Making Strides in Stakeholder Solutions to Manage Gene Therapies
10/20/2021
In a recent session at AMCP Nexus 2021 presenters shared results from an MIT survey which offered insight on the latest financial and market challenges associated with emerging gene therapies, products to address barriers, and offered...
In a recent session at AMCP Nexus 2021 presenters shared results from an MIT survey which offered insight on the latest financial and market challenges associated with emerging gene therapies, products to address barriers, and offered...
In a recent session at AMCP...
10/20/2021
First Report Managed Care

Video Insights

Formoso Headshot
Videos
Minimally Invasive Solutions for Lumbar Disc Herniation
01/07/2025
In this interview, Ferdinand Formoso, DO, discusses the role of condoliase as a minimally invasive treatment for lumbar disc herniation, its safety profile, potential areas for further research, and its ability to address unmet needs in spine...
In this interview, Ferdinand Formoso, DO, discusses the role of condoliase as a minimally invasive treatment for lumbar disc herniation, its safety profile, potential areas for further research, and its ability to address unmet needs in spine...
In this interview, Ferdinand...
01/07/2025
First Report Managed Care
Kolodziej Headshot
Videos
Navigating Biosimilar Adoption: Lessons from Global Markets and Clinical Practices
12/20/2024
In this interview, Michael Kolodziej, MD, discusses strategies for enhancing biosimilar adoption in the US, emphasizing lessons from global markets, the importance of payer flexibility, and the need for collaboration to reduce costs and...
In this interview, Michael Kolodziej, MD, discusses strategies for enhancing biosimilar adoption in the US, emphasizing lessons from global markets, the importance of payer flexibility, and the need for collaboration to reduce costs and...
In this interview, Michael...
12/20/2024
First Report Managed Care
Mike Kolodziej, MD
Videos
Exploring Biosimilar Adoption and Policy Impacts in Oncology
12/18/2024
In this interview, Michael Kolodziej, MD, discusses the role of biosimilars in value-based care models, their relationship with targeted therapies, and the impact of policy changes and market trends on biosimilar adoption and cost...
In this interview, Michael Kolodziej, MD, discusses the role of biosimilars in value-based care models, their relationship with targeted therapies, and the impact of policy changes and market trends on biosimilar adoption and cost...
In this interview, Michael...
12/18/2024
First Report Managed Care
Hennessy Headshot
Videos
Navigating Biosimilar Integration: Cost Savings, Coverage, and Future Strategies for Payers
12/10/2024
John Hennessy, MBA, discusses the complexities of biosimilar adoption, highlighting potential cost savings, payer strategies, challenges in provider and patient acceptance, regulatory impacts, and the critical need for sustainable market...
John Hennessy, MBA, discusses the complexities of biosimilar adoption, highlighting potential cost savings, payer strategies, challenges in provider and patient acceptance, regulatory impacts, and the critical need for sustainable market...
John Hennessy, MBA, discusses...
12/10/2024
First Report Managed Care
Videos
Bridging the Gaps in Prior Authorization: Challenges, Solutions, and Collaboration for Better Patient Care
11/13/2024
David Sand, MD, MBA, chief medical officer at ZeOmega, discusses the challenges of prior authorization, emphasizing the need for transparency, evidence-based standards, collaboration between payers and providers, and the potential for...
David Sand, MD, MBA, chief medical officer at ZeOmega, discusses the challenges of prior authorization, emphasizing the need for transparency, evidence-based standards, collaboration between payers and providers, and the potential for...
David Sand, MD, MBA, chief...
11/13/2024
First Report Managed Care
Richard Lipton, MD
Videos
The Evolving Role of CGRP-targeting Therapies in Migraine Prevention
10/31/2024
Richard Lipton, MD, provides insights on the American Headache Society’s position statement update on calcitonin gene-related peptide (CGRP)-targeting therapies as a first-line option for the prevention of migraine.
Richard Lipton, MD, provides insights on the American Headache Society’s position statement update on calcitonin gene-related peptide (CGRP)-targeting therapies as a first-line option for the prevention of migraine.
Richard Lipton, MD, provides...
10/31/2024
First Report Managed Care
Alexander Spira, MD, PhD
Videos
Unmet Needs in the Treatment and Management of Non–Small Cell Lung Cancer
09/26/2024
Alexander I. Spira, MD, PhD, discusses significant unmet needs in the treatment and management of non–small cell lung cancer (NSCLC).
Alexander I. Spira, MD, PhD, discusses significant unmet needs in the treatment and management of non–small cell lung cancer (NSCLC).
Alexander I. Spira, MD, PhD,...
09/26/2024
First Report Managed Care
Videos
Treatment Options for NSCLC: A Discussion on Coverage, Clinical Outcomes, and Payer Perspectives
09/25/2024
Learn about research developments in 1L therapy for NSCLC patients with EGFR mutations and how outcomes may impact coverage and reimbursement decisions for insurers.
Learn about research developments in 1L therapy for NSCLC patients with EGFR mutations and how outcomes may impact coverage and reimbursement decisions for insurers.
Learn about research...
09/25/2024
First Report Managed Care
Title Card
Videos
Addressing the Root Cause of a Common Ocular Condition: A Virtual Roundtable
09/04/2024
View a roundtable discussion on Demodex blepharitis, a prevalent ocular condition that often goes undiagnosed in patients.
View a roundtable discussion on Demodex blepharitis, a prevalent ocular condition that often goes undiagnosed in patients.
View a roundtable discussion on...
09/04/2024
First Report Managed Care
Jordan Bazinsky
Videos
Addressing Health Disparities and Promoting Equity: The Role of Advanced Imaging Solutions
08/15/2024
Guest expert Jordan Bazinsky discusses the challenges facing the medical imaging industry, the potential of AI and emerging technologies, the role of advanced imaging solutions in promoting health equity, and the key trends and challenges...
Guest expert Jordan Bazinsky discusses the challenges facing the medical imaging industry, the potential of AI and emerging technologies, the role of advanced imaging solutions in promoting health equity, and the key trends and challenges...
Guest expert Jordan Bazinsky...
08/15/2024
First Report Managed Care

Subscribe to our eNewsletters!

First Report Managed Care Newsletter

April 2015 Volume 12 Issue 4

View Issue Archive
Editorial Correspondence

Specialties

Events

Year Round Education

HMP Global Products

HMP Education Logo
HMP Omnimedia Logo
HMP Europe Logo
© 2025 HMP Global. All Rights Reserved.
Cookie Policy Privacy Policy Term of Use