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December 2010 - FRMC

Department

News Connection
Employer Health Insurance Premiums Continue to Rise
01/13/2011

Kerri Fitzgerald

Kerri Fitzgerald
A Kaiser Family Foundation survey found that premiums for employer-based healthcare continue to increase due to the economy.
A Kaiser Family Foundation survey found that premiums for employer-based healthcare continue to increase due to the economy.
A Kaiser Family Foundation...
01/13/2011
First Report Managed Care
News Connection
Telephone Care-Management Strategy Reduces Healthcare Costs and Hospitalizations
01/04/2011

Tori Socha

Tori Socha
Patient satisfaction with treatment and their use of preventive services can be increased with utilization of telephone interventions designed to promote self-management skills and to improve communication between patients and physicians. To...
Patient satisfaction with treatment and their use of preventive services can be increased with utilization of telephone interventions designed to promote self-management skills and to improve communication between patients and physicians. To...
Patient satisfaction with...
01/04/2011
First Report Managed Care
News Connection
Patient Perceptions of Medical Errors in Ambulatory Care
01/04/2011

Tori Socha

Tori Socha
Studies on mistakes in medical care have largely focused on inpatient care, but there is evidence that patients perceive mistakes in their ambulatory care as well. The majority of the research on mistakes and errors in ambulatory care...
Studies on mistakes in medical care have largely focused on inpatient care, but there is evidence that patients perceive mistakes in their ambulatory care as well. The majority of the research on mistakes and errors in ambulatory care...
Studies on mistakes in medical...
01/04/2011
First Report Managed Care
News Connection
Medicare Part D Plans Range in Drug Coverage and Cost
01/04/2011

Jill Sederstrom

Jill Sederstrom
Medicare Part D drug plans vary widely in terms of coverage, tier placement, and cost-sharing for top brand-name and specialty drugs, according to the findings of an analysis by the Henry J. Kaiser Family Foundation. 
Medicare Part D drug plans vary widely in terms of coverage, tier placement, and cost-sharing for top brand-name and specialty drugs, according to the findings of an analysis by the Henry J. Kaiser Family Foundation. 
Medicare Part D drug plans vary...
01/04/2011
First Report Managed Care
News Connection
Key Changes in Medicare Part D since 2006
01/04/2011

Jill Sederstrom

Jill Sederstrom
A report analyzing key changes in the Medicare Part D program since it began in 2006 found that there have been significant increases to premiums, cost-sharing amounts, and the use of utilization management (UM) restrictions over time. 
A report analyzing key changes in the Medicare Part D program since it began in 2006 found that there have been significant increases to premiums, cost-sharing amounts, and the use of utilization management (UM) restrictions over time. 
A report analyzing key changes...
01/04/2011
First Report Managed Care
Feature
A Phase 1-2 Trial of JAK1 and JAK2 Inhibitors in Myelofibrosis
01/04/2011

Kevin L. Carter

Kevin L. Carter
Myelofibrosis, a Philadelphia chromosomenegative myeloproliferative neoplasm, is characterized by progressive anemia, bone marrow fibrosis and splenomegaly, and produces debilitating symptoms. About 50% of patients with myelofibrosis carry a...
Myelofibrosis, a Philadelphia chromosomenegative myeloproliferative neoplasm, is characterized by progressive anemia, bone marrow fibrosis and splenomegaly, and produces debilitating symptoms. About 50% of patients with myelofibrosis carry a...
Myelofibrosis, a Philadelphia...
01/04/2011
First Report Managed Care
Feature
Risk-Reducing Surgery in BRCA Mutation Carriers
01/04/2011

Kevin L. Carter

Kevin L. Carter
Women who have inherited mutations in the BRCA1 or BRCA2 genes have substantially elevated risks of breast cancer and ovarian cancer, with a lifetime risk of breast cancer of 56% to 84%. 
Women who have inherited mutations in the BRCA1 or BRCA2 genes have substantially elevated risks of breast cancer and ovarian cancer, with a lifetime risk of breast cancer of 56% to 84%. 
Women who have inherited...
01/04/2011
First Report Managed Care
Feature
Education plus Self-Management in Patients with Heart Failure
01/04/2011

Tori Socha

Tori Socha
Delivering evidence-based therapies to patients with heart failure has proven a challenge to healthcare practitioners. The rates of nonadherence to drug therapies prescribed to treat heart failure range from 30% to 60%, and the rates of...
Delivering evidence-based therapies to patients with heart failure has proven a challenge to healthcare practitioners. The rates of nonadherence to drug therapies prescribed to treat heart failure range from 30% to 60%, and the rates of...
Delivering evidence-based...
01/04/2011
First Report Managed Care
Feature
Medicare Part D’s Low-Income Subsidy Program
01/04/2011

Jill Sederstrom

Jill Sederstrom
A new report examining the first 5 years of the Medicare Part D Low-Income Subsidy (LIS) program found that since its inception, the program has helped connect low-income patients with affordable prescription drugs; however, the program’s...
A new report examining the first 5 years of the Medicare Part D Low-Income Subsidy (LIS) program found that since its inception, the program has helped connect low-income patients with affordable prescription drugs; however, the program’s...
A new report examining the first...
01/04/2011
First Report Managed Care
Feature
Frequent Exacerbations in Patients with COPD May Indicate a Distinct Susceptibility Phenotype
01/04/2011

Mary Beth Nierengarten

Mary Beth Nierengarten
Results of an observational study [N Engl J Med. 2010;363(12):1128-1138] suggest that patients with chronic obstructive pulmonary disease (COPD) who have more frequent exacerbations appear to have a distinct susceptibility phenotype that is...
Results of an observational study [N Engl J Med. 2010;363(12):1128-1138] suggest that patients with chronic obstructive pulmonary disease (COPD) who have more frequent exacerbations appear to have a distinct susceptibility phenotype that is...
Results of an observational...
01/04/2011
First Report Managed Care

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Effect of Practice Nurse Involvement in Depression Management
03/18/2014

Sarah O'Brien

Sarah O'Brien
Depression is a health priority in many countries and is the most common mental health disorder, globally.
Depression is a health priority in many countries and is the most common mental health disorder, globally.
Depression is a health priority...
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Post-reform positioning (America`s Health Insurance Plans annual meeting)
07/11/2011
07/11/2011
First Report Managed Care
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Medicare Fines Thousands of Hospitals for Readmissions
10/06/2014
According to a report from the Kaiser Family Foundation, Medicare is fining a record 2610 hospitals for having too many patients return within a month for additional treatments. Though the nation’s readmission rate is dropping, Medicare’s...
According to a report from the Kaiser Family Foundation, Medicare is fining a record 2610 hospitals for having too many patients return within a month for additional treatments. Though the nation’s readmission rate is dropping, Medicare’s...
According to a report from the...
10/06/2014
First Report Managed Care
News
Medicaid Plans Have Higher Satisfaction Than Commercial Plans
08/04/2017
A recent report from JD Power found that Medicaid managed care plans have higher customer satisfaction compared to private plans.
A recent report from JD Power found that Medicaid managed care plans have higher customer satisfaction compared to private plans.
A recent report from JD Power...
08/04/2017
First Report Managed Care
News
Corporate Executives Call Rising Health Care Costs Unsustainable, Favor Greater Government Interventions
05/12/2021
Amid COVID-19, a new political landscape, and ever-increasing costs, corporate executives say that the expense of providing coverage to employees will be unsustainable within a decade and favor more government policies over market solutions.
Amid COVID-19, a new political landscape, and ever-increasing costs, corporate executives say that the expense of providing coverage to employees will be unsustainable within a decade and favor more government policies over market solutions.
Amid COVID-19, a new political...
05/12/2021
First Report Managed Care

Video Insights

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Evolving Health Care Contact Centers Into Drivers of Value-Based Care
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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...
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Enhancing Patient Medication Adherence: Insights and Strategies From Asembia 2024
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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...
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First Report Managed Care
Melissa Andel, Principal, CommonHealth Solutions, LLC
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Navigating the Impact of the Inflation Reduction Act: Implications for Payers, Patients, and Manufacturers
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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
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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.
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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
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Tejaswi Kompala
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Personalizing Weight Loss Management With GLP-1 Agonists
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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...
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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...
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Featuring Tom Zaubler, MD, MPH, CMO at NeuroFlow

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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...
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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...
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Advancements and Challenges in Diabetes Management
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Featuring Mansur Shomali, MD, chief medical officer at Welldoc, endocrinologist at MedStar Health 

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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...
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First Report Managed Care

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