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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
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
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
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
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
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

Behind the Bill

Behind the Bill
SCOTUS Takes on the Nondelegation Doctrine: Surprising Reactions and What They Mean for Agency Power
04/02/2025
Katie Hayes, MJ
The Supreme Court recently heard arguments in Federal Communication Commission (FCC) v Consumers’ Research, a case that I covered in February and one that could dramatically reshape federal agency authority through the nondelegation...
The Supreme Court recently heard arguments in Federal Communication Commission (FCC) v Consumers’ Research, a case that I covered in February and one that could dramatically reshape federal agency authority through the nondelegation...
The Supreme Court recently heard...
04/02/2025
First Report Managed Care
Behind the Bill
Dr Oz’s Prescription for Making Medicaid “Viable at Every Level”
03/26/2025
Katie Hayes, MJ
On Tuesday, March 25, 2025, the Senate Finance Committee voted to advance Dr Mehmet Oz in his confirmation as the next head of the Centers for Medicare and Medicaid Services (CMS).1 The full Senate vote is expected “soon” (whatever that...
On Tuesday, March 25, 2025, the Senate Finance Committee voted to advance Dr Mehmet Oz in his confirmation as the next head of the Centers for Medicare and Medicaid Services (CMS).1 The full Senate vote is expected “soon” (whatever that...
On Tuesday, March 25, 2025, the...
03/26/2025
First Report Managed Care
Behind the Bill
The $880 Billion Question Continues: Dr Oz's Confirmation and the Future of Medicaid
03/19/2025
Katie Hayes, MJ
Last week, I explored the $880 billion question facing Congress—whether lawmakers could achieve their budget goals without cutting Medicaid. This week, that question took center stage as Dr Mehmet Oz, President Trump's nominee to lead the...
Last week, I explored the $880 billion question facing Congress—whether lawmakers could achieve their budget goals without cutting Medicaid. This week, that question took center stage as Dr Mehmet Oz, President Trump's nominee to lead the...
Last week, I explored the $880...
03/19/2025
First Report Managed Care
Behind the Bill
The $880 Billion Question: Can Congress Cut Spending Without Touching Medicaid?
03/12/2025
Katie Hayes, MJ
I’d like to step away from administrative law for a moment to provide a quick update on Medicaid. With news coming from all sides, what does the future of Medicaid actually look like? The House of Representatives narrowly passed a budget...
I’d like to step away from administrative law for a moment to provide a quick update on Medicaid. With news coming from all sides, what does the future of Medicaid actually look like? The House of Representatives narrowly passed a budget...
I’d like to step away from...
03/12/2025
First Report Managed Care
Behind the Bill
RFK Jr’s Public Comment Ban: The Silent Shift in Health Care Rulemaking
03/05/2025
Katie Hayes, MJ
The erosion of administrative law continues, and with it, the dismantling of decades-long precedent. In June, the Supreme Court overturned a 40-year-old doctrine that allowed federal agencies to interpret their own ambiguous statutes. Later...
The erosion of administrative law continues, and with it, the dismantling of decades-long precedent. In June, the Supreme Court overturned a 40-year-old doctrine that allowed federal agencies to interpret their own ambiguous statutes. Later...
The erosion of administrative...
03/05/2025
First Report Managed Care
Behind the Bill
Prevention Over Pills? The First 2 Weeks of Health Care’s New Direction
02/26/2025
Katie Hayes, MJ
The dust has barely settled from Robert F Kennedy Jr’s confirmation as Secretary of Health and Human Services (HHS), but the changes are already coming fast and furious—a key theme of the Trump Administration’s actions within the last several...
The dust has barely settled from Robert F Kennedy Jr’s confirmation as Secretary of Health and Human Services (HHS), but the changes are already coming fast and furious—a key theme of the Trump Administration’s actions within the last several...
The dust has barely settled from...
02/26/2025
First Report Managed Care
Behind the Bill
The Nondelegation Doctrine: The Next Constitutional Showdown (Part 2)
02/19/2025
Katie Hayes, MJ
Last week, I explored the potential revival of the nondelegation doctrine through Federal Communication Commission v Consumers’ Research. Today, I want to examine what this could mean for health care regulation by considering the parallels...
Last week, I explored the potential revival of the nondelegation doctrine through Federal Communication Commission v Consumers’ Research. Today, I want to examine what this could mean for health care regulation by considering the parallels...
Last week, I explored the...
02/19/2025
First Report Managed Care
Behind the Bill
The Nondelegation Doctrine: The Next Constitutional Showdown (Part 1)
02/12/2025
Katie Hayes, MJ
Just when you thought the dust had settled from the Chevron decision, the Supreme Court is gearing up to hear arguments in Federal Communications Commission v Consumers' Research next month, potentially reviving the long-dormant nondelegation...
Just when you thought the dust had settled from the Chevron decision, the Supreme Court is gearing up to hear arguments in Federal Communications Commission v Consumers' Research next month, potentially reviving the long-dormant nondelegation...
Just when you thought the dust...
02/12/2025
First Report Managed Care
Behind the Bill
No, President Trump Did Not Actually Sign an Executive Order That Would Increase Drug Costs for Beneficiaries
02/05/2025
Katie Hayes, MJ
On inauguration day, President Trump issued an executive order rescinding several Biden-era health care initiatives, including 3 experimental drug pricing models developed by the Center for Medicare and Medicaid Innovation (CMMI). Oh boy did...
On inauguration day, President Trump issued an executive order rescinding several Biden-era health care initiatives, including 3 experimental drug pricing models developed by the Center for Medicare and Medicaid Innovation (CMMI). Oh boy did...
On inauguration day, President...
02/05/2025
First Report Managed Care
Behind the Bill
Robert F. Kennedy Jr’s Confirmation and the Unexpected Turn in the Drug Pricing Debate
01/29/2025
Katie Hayes, MJ
The Plot Thickens in Drug Pricing Drama Just when you thought the drug pricing debate couldn't get more interesting, Robert F. Kennedy Jr adds an unexpected twist. During closed-door Senate meetings, President Trump’s US Department of...
The Plot Thickens in Drug Pricing Drama Just when you thought the drug pricing debate couldn't get more interesting, Robert F. Kennedy Jr adds an unexpected twist. During closed-door Senate meetings, President Trump’s US Department of...
The Plot Thickens in Drug...
01/29/2025
First Report Managed Care

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News
Current Understandings of Disease Mechanisms and Therapeutic Approaches in Multiple Sclerosis
10/23/2024
Juliet Gallagher
A comprehensive review of multiple sclerosis causes, forms, and treatments.
A comprehensive review of multiple sclerosis causes, forms, and treatments.
A comprehensive review of...
10/23/2024
First Report Managed Care
News
Monoclonal Antibody Improves Type 2 Inflammation Biomarkers in Children With Asthma
04/21/2023
Jolynn Tumolo
Findings from a phase 3 study suggest two dose regimens of a monoclonal antibody were similarly efficacious for reducing type 2 inflammatory biomarkers in pediatric patients with asthma.
Findings from a phase 3 study suggest two dose regimens of a monoclonal antibody were similarly efficacious for reducing type 2 inflammatory biomarkers in pediatric patients with asthma.
Findings from a phase 3 study...
04/21/2023
First Report Managed Care
News
Survival Disparity Persists Between Black and White Patients With CLL
05/19/2023
Jolynn Tumolo
When compared to White patients, Black patients with chronic lymphocytic leukemia face a persistent survival disadvantage that is not found among other racial minority groups, researchers reported.
When compared to White patients, Black patients with chronic lymphocytic leukemia face a persistent survival disadvantage that is not found among other racial minority groups, researchers reported.
When compared to White patients,...
05/19/2023
First Report Managed Care
News
Therapy Improves Type 2 Asthma Outcomes Regardless of Allergic Status
06/09/2023
Jolynn Tumolo
Researchers found that long-term treatment with dupilumab improved outcomes in patients with moderate-to-severe GINA-based type 2 asthma, regardless of allergic status.
Researchers found that long-term treatment with dupilumab improved outcomes in patients with moderate-to-severe GINA-based type 2 asthma, regardless of allergic status.
Researchers found that long-term...
06/09/2023
First Report Managed Care
News
Measuring RSV Risk Awareness Among Adults With Diabetes
07/07/2023
Julie Gould
Researchers explored knowledge, attitudes, and perceptions of respiratory syncytial virus (RSV) risk among US adults with diabetes to inform health care provider education efforts related to RSV awareness.
Researchers explored knowledge, attitudes, and perceptions of respiratory syncytial virus (RSV) risk among US adults with diabetes to inform health care provider education efforts related to RSV awareness.
Researchers explored knowledge,...
07/07/2023
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August 2016 Volume 13 Issue 8

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