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August 2016 - FRMC

Department
Underuse of Medicare Annual Wellness Visits Impedes Cognitive Impairment Detection
08/15/2016
Recent research presented at AAIC 2016 in Toronto revealed that underuse of Medicare Annual Wellness Visits (AWV) represents missed opportunities to screen for early signs of cognitive impairment and to promote cognitive health.
Recent research presented at AAIC 2016 in Toronto revealed that underuse of Medicare Annual Wellness Visits (AWV) represents missed opportunities to screen for early signs of cognitive impairment and to promote cognitive health.
Recent research presented at...
08/15/2016
First Report Managed Care
Department
Reducing Use of Antipsychotics While Effectively Treating Behavioral, Psychological Symptoms of Dementia
08/15/2016
New data from the Halting Antipsychotic use in Long Term care project (HALT) showed that it is possible to deliver effective care to patients suffering from the behavioral and psychological symptoms of dementia (BPSD) while also reducing the...
New data from the Halting Antipsychotic use in Long Term care project (HALT) showed that it is possible to deliver effective care to patients suffering from the behavioral and psychological symptoms of dementia (BPSD) while also reducing the...
New data from the Halting...
08/15/2016
First Report Managed Care
Department
Treating Alzheimer’s Linked to Lower Mortality, Health Care Costs
08/15/2016
Patients with Alzheimer’s disease who received treatment had lower health care costs and lower mortality rates when compared with patients with Alzheimer’s disease who did not receive treatment for the condition, according to research...
Patients with Alzheimer’s disease who received treatment had lower health care costs and lower mortality rates when compared with patients with Alzheimer’s disease who did not receive treatment for the condition, according to research...
Patients with Alzheimer’s...
08/15/2016
First Report Managed Care
Drawing Battle Lines: Expansion of Nurse Practitioner Authority Within the VA
08/15/2016

By Mary Beth Nierengarten

By Mary Beth Nierengarten
A newly proposed rule to extend full practice authority to all VA advanced nurse practitioners meets opposition from physician associations. 
A newly proposed rule to extend full practice authority to all VA advanced nurse practitioners meets opposition from physician associations. 
A newly proposed rule to extend...
08/15/2016
First Report Managed Care
The Challenges of Managing Complex Populations Through Public Programs
08/15/2016

By Dean Celia

By Dean Celia
Often, managing complex populations through public programs can be difficult due to things like patient inexperience with the health care system and transience.
Often, managing complex populations through public programs can be difficult due to things like patient inexperience with the health care system and transience.
Often, managing complex...
08/15/2016
First Report Managed Care
Market Dominance Puts Some Health Care Organizations Under a Microscope
08/15/2016

By Dean Celia

By Dean Celia
Although UPMC has not been accused of preventing steering, it has been under the microscope in the past. 
Although UPMC has not been accused of preventing steering, it has been under the microscope in the past. 
Although UPMC has not been...
08/15/2016
First Report Managed Care

News

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

Department

Managed Care Q&A
Understanding the Complexities of MACRA
08/15/2016

By Sean McGuire

By Sean McGuire
An interview with Jeffrey D Clough, MD, assistant professor of medicine, Duke University School of Medicine.
An interview with Jeffrey D Clough, MD, assistant professor of medicine, Duke University School of Medicine.
An interview with Jeffrey D...
08/15/2016
First Report Managed Care
News Connection
HOPE Act Gains Support in House
08/15/2016
The Health Outcomes, Planning, and Education (HOPE) for Alzheimer’s Act, a bill designed to reduce health care costs by reimbursing prompt diagnosis and care planning for Alzheimer’s disease, gained bipartisan support in Congress, according...
The Health Outcomes, Planning, and Education (HOPE) for Alzheimer’s Act, a bill designed to reduce health care costs by reimbursing prompt diagnosis and care planning for Alzheimer’s disease, gained bipartisan support in Congress, according...
The Health Outcomes, Planning,...
08/15/2016
First Report Managed Care
News Connection
CDC Report: Most State Prisons Cover Basic Health Needs
08/15/2016
Recent research in the Centers for Disease Control and Prevention’s (CDC) National Health Statistics Reports found that most US states provide adequate health care within prisons, including mental health care, infectious disease screenings,...
Recent research in the Centers for Disease Control and Prevention’s (CDC) National Health Statistics Reports found that most US states provide adequate health care within prisons, including mental health care, infectious disease screenings,...
Recent research in the Centers...
08/15/2016
First Report Managed Care

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FRMC Volume 21, Issue 2

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Volume 21
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Determining the Necessary Care to Prevent Readmission for Heart Failure
07/22/2014

Sarah O'Brien

Sarah O'Brien
In the United States, heart failure is a leading cause of hospitalization, as 25% of patients hospitalized for heart failure are readmitted within 30 days. A recent systematic review was conducted for the Effective Health Care Program of the...
In the United States, heart failure is a leading cause of hospitalization, as 25% of patients hospitalized for heart failure are readmitted within 30 days. A recent systematic review was conducted for the Effective Health Care Program of the...
In the United States, heart...
07/22/2014
First Report Managed Care
News
Hospitals Look For Disney Magic To Make Customers Happy
07/22/2011
07/22/2011
First Report Managed Care
News
Less Than Half of Doctors in Insurance Directories May be Available
10/30/2014
(Reuters Health) - More than half the dermatologists in Medicare Advantage plan directories were either dead, retired, not accepting new patients or specialized only in specific conditions, researchers found when they tried making...
(Reuters Health) - More than half the dermatologists in Medicare Advantage plan directories were either dead, retired, not accepting new patients or specialized only in specific conditions, researchers found when they tried making...
(Reuters Health) - More than...
10/30/2014
First Report Managed Care
News
Lobbies Keep Drug Pricing Reform Out of Federal Legislation
09/27/2017
So far in 2017, a number of health reform bills were proposed and debated in Congress; however, none of them addressed drug pricing reform.
So far in 2017, a number of health reform bills were proposed and debated in Congress; however, none of them addressed drug pricing reform.
So far in 2017, a number of...
09/27/2017
First Report Managed Care
News
Spectrum says FDA asks for more data on cancer drug
01/25/2010
01/25/2010
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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