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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
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
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
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
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
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
FRMC Volume 21, Issue 3

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News
Analysis Shows Patient-Centered Benefit Models Lower Costs
03/10/2016
Patient-centered benefit models are beneficial for health care reform because they can lower health care costs and improve delivery.
Patient-centered benefit models are beneficial for health care reform because they can lower health care costs and improve delivery.
Patient-centered benefit models...
03/10/2016
First Report Managed Care
Conference Coverage
Medicaid Expansion Linked to Early Breast Cancer Treatment, Survival Among Young Adult Women
06/02/2023
A new study showed Medicaid expansion in the United States was associated with increased receipt of timely, guideline-concordant breast cancer treatment and improved survival for young adult women.
A new study showed Medicaid expansion in the United States was associated with increased receipt of timely, guideline-concordant breast cancer treatment and improved survival for young adult women.
A new study showed Medicaid...
06/02/2023
First Report Managed Care
Feature
Depression and Diabetes in Women: A Bidirectional Association
03/21/2011
More than 10% of the adults in the United States have diabetes; in those aged ≥60 years of age, the prevalence is 23%. Approximately 14.8 million Americans aged ≥18 years are affected by major depressive disorder (MDD) in a given year. The...
More than 10% of the adults in the United States have diabetes; in those aged ≥60 years of age, the prevalence is 23%. Approximately 14.8 million Americans aged ≥18 years are affected by major depressive disorder (MDD) in a given year. The...
More than 10% of the adults in...
03/21/2011
First Report Managed Care
News
Teva CEO sees benefit from Obama health reforms
03/06/2011
03/06/2011
First Report Managed Care
Pharmacy Insight
Expanding Awareness: The Serious Health Consequences of Undiagnosed Obstructive Sleep Apnea
06/22/2020
“As health care professionals, we can increase knowledge about the dangers of undiagnosed and untreated OSA and in turn enable patients to make informed decisions about their health...," said Yvette C Terrie, RPh, Consultant Pharmacist
“As health care professionals, we can increase knowledge about the dangers of undiagnosed and untreated OSA and in turn enable patients to make informed decisions about their health...," said Yvette C Terrie, RPh, Consultant Pharmacist
“As health care professionals,...
06/22/2020
First Report Managed Care

Video Insights

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
Farrukh Awan, MD
Videos
Promising Therapies and Clinical Trials for Chronic Lymphocytic Leukemia
08/14/2024
Farrukh Awan, MD, highlights promising therapies and clinical trials within the field of chronic lymphocytic leukemia (CLL).
Farrukh Awan, MD, highlights promising therapies and clinical trials within the field of chronic lymphocytic leukemia (CLL).
Farrukh Awan, MD, highlights...
08/14/2024
Journal of Clinical Pathways
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

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