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August 2016 - FRMC

Department

News Connection
CMS Approves Arizona’s Return to CHIP
08/15/2016
The state of Arizona is rejoining the Children’s Health Insurance Program (CHIP) after shutting it down in 2009 in response to the recession.
The state of Arizona is rejoining the Children’s Health Insurance Program (CHIP) after shutting it down in 2009 in response to the recession.
The state of Arizona is...
08/15/2016
First Report Managed Care
News Connection
Biosimilar TNF-α Inhibitors Comparable to Their Branded Biologics
08/15/2016
Biosimilar tumor necrosis factor-alpha (TNF-α) inhibitors have very similar safety and effectiveness as their reference biologics, according to a recent systematic review and meta-analysis..
Biosimilar tumor necrosis factor-alpha (TNF-α) inhibitors have very similar safety and effectiveness as their reference biologics, according to a recent systematic review and meta-analysis..
Biosimilar tumor necrosis...
08/15/2016
First Report Managed Care
News Connection
Enhanced Model Looks Beyond Comorbidities to Better Predict Hospitalization Risk
08/15/2016
An enhanced risk prediction model that considers not only chronic comorbidities but also health factors not typically accounted for in other models improved risk prediction for emergency department (ED) use and hospitalization among a group...
An enhanced risk prediction model that considers not only chronic comorbidities but also health factors not typically accounted for in other models improved risk prediction for emergency department (ED) use and hospitalization among a group...
An enhanced risk prediction...
08/15/2016
First Report Managed Care
News Connection
CMS Efforts to Prevent Fraud Score Billions in Savings
08/15/2016
A recent report from the CMS shows that efforts to prevent fraudulent and improper payments in Medicare and Medicaid saved billions of dollars.
A recent report from the CMS shows that efforts to prevent fraudulent and improper payments in Medicare and Medicaid saved billions of dollars.
A recent report from the...
08/15/2016
First Report Managed Care
News Connection
Financial Speculation in Drug Development Inflates Costs, Decreases Access to Medicines
08/15/2016
Recent research in The BMJ posits that when pharmaceutical companies acquire promising drug compounds through late-stage bidding wars that escalate “development costs,” and then turn around and charge exorbitant prices that primarily benefit...
Recent research in The BMJ posits that when pharmaceutical companies acquire promising drug compounds through late-stage bidding wars that escalate “development costs,” and then turn around and charge exorbitant prices that primarily benefit...
Recent research in The BMJ...
08/15/2016
First Report Managed Care
News Connection
US Physicians Self-Report Rationing Behavior
08/15/2016
Results of a national survey of US physicians conducted to evaluate self-reported rationing behavior showed that more than half of respondents said they participated in behavior consistent with rationing.
Results of a national survey of US physicians conducted to evaluate self-reported rationing behavior showed that more than half of respondents said they participated in behavior consistent with rationing.
Results of a national survey of...
08/15/2016
First Report Managed Care
Formulary Frontlines®
Immunotherapies for Melanoma: Worth the Cost?
08/15/2016
Although melanoma, an aggressive malignant cancer of melanocytes, represents less than 5% of skin cancers, it accounts for approximately 75% of skin cancer-related deaths, according to the American Cancer Society. 
Although melanoma, an aggressive malignant cancer of melanocytes, represents less than 5% of skin cancers, it accounts for approximately 75% of skin cancer-related deaths, according to the American Cancer Society. 
Although melanoma, an aggressive...
08/15/2016
First Report Managed Care

News

News
Dataset Produces Different Results on Safety, Effectiveness of Effient vs Plavix
08/15/2016
Safety and effectiveness analyses comparing the antiplatelets Effient and Plavix after percutaneous coronary intervention demonstrated different findings.
Safety and effectiveness analyses comparing the antiplatelets Effient and Plavix after percutaneous coronary intervention demonstrated different findings.
Safety and effectiveness...
08/15/2016
First Report Managed Care
Department
UK Rheumatologists Diverge From NICE Guidance on Costs
08/15/2016
Research presented at the EULAR 2016 Congress showed that rheumatologists in the UK diverge from the National Institute for Health and Care Excellence’s (NICE) TNF inhibitor prescribing guidance when treating patients with rheumatoid...
Research presented at the EULAR 2016 Congress showed that rheumatologists in the UK diverge from the National Institute for Health and Care Excellence’s (NICE) TNF inhibitor prescribing guidance when treating patients with rheumatoid...
Research presented at the EULAR...
08/15/2016
First Report Managed Care
Department
Reduced Humira Formulation Produces Less Injection Site Pain
08/15/2016
A reduced formulation of Humira (adalimumab; Abbvie Inc) for the treatment of rheumatoid arthritis produced less adverse events, specifically injection site pain, when compared with the current formulation, according to data presented at the...
A reduced formulation of Humira (adalimumab; Abbvie Inc) for the treatment of rheumatoid arthritis produced less adverse events, specifically injection site pain, when compared with the current formulation, according to data presented at the...
A reduced formulation of Humira...
08/15/2016
First Report Managed Care

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FRMC Volume 21, Issue 3

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September 2024
Volume 21
Issue 3
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Cigna Reports Cost Savings Associated With Fusing Medical, Drug, and Behavioral Benefits
01/07/2020
"Our integrated approach maximizes every opportunity to deliver a health care experience that is affordable, predictable and simple," said Matt Totterdale, senior vice president, Cigna Pharmacy.
"Our integrated approach maximizes every opportunity to deliver a health care experience that is affordable, predictable and simple," said Matt Totterdale, senior vice president, Cigna Pharmacy.
"Our integrated approach...
01/07/2020
First Report Managed Care
News
Foes of new health system more likely to vote Nov. 2
09/27/2010
09/27/2010
First Report Managed Care
Conference Insider
New Shingles Vaccine Cost-Effective, Cost-Saving Compared With Zostavax
05/31/2018
Research presented at the AMCP 2018 Annual Meeting found that Shingrix (non-live adjuvanted subunit vaccine; GlaxosmithKline) is cost-effective when compared with no vaccination and cost-saving compared with an older shingles vaccine.
Research presented at the AMCP 2018 Annual Meeting found that Shingrix (non-live adjuvanted subunit vaccine; GlaxosmithKline) is cost-effective when compared with no vaccination and cost-saving compared with an older shingles vaccine.
Research presented at the AMCP...
05/31/2018
First Report Managed Care
News
Jentadueto Approved for Type 2 Diabetes
01/31/2012
The US Food and Drug Administration (FDA) announced on Monday that it had approved Jentadueto (linagliptin/metformin hydrochloride), an oral combination therapy to treat patients with type 2 diabetes. The drug is co-marketed by Boehringer...
The US Food and Drug Administration (FDA) announced on Monday that it had approved Jentadueto (linagliptin/metformin hydrochloride), an oral combination therapy to treat patients with type 2 diabetes. The drug is co-marketed by Boehringer...
The US Food and Drug...
01/31/2012
First Report Managed Care
News
Value-Based Contracting Showing Greater Value for Care Provided, Innovative Opportunities
07/13/2015
San Diego—Value-based contracting is demonstrating greater value for care provided, while innovative contracting opportunities are expected to increase in the future, according to a session at the AMCP meeting that included both payer and...
San Diego—Value-based contracting is demonstrating greater value for care provided, while innovative contracting opportunities are expected to increase in the future, according to a session at the AMCP meeting that included both payer and...
San Diego—Value-based...
07/13/2015
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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