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December 2012 - FRMC

Results from the 2012 Eisai Oncology Digest
12/17/2012
Las Vegas—Regardless of the rising costs of oncology drugs, health insurers, the federal government, and other payers are increasingly likely to cover oncology medications, according to a recent survey. The 2012 Eisai Oncology Digest asked...
Las Vegas—Regardless of the rising costs of oncology drugs, health insurers, the federal government, and other payers are increasingly likely to cover oncology medications, according to a recent survey. The 2012 Eisai Oncology Digest asked...
Las Vegas—Regardless of the...
12/17/2012
First Report Managed Care
Challenges and Costs Associated with Major Depression
12/17/2012
Las Vegas—Major depression disorder (MDD) is the most common psychiatric disorder in the United States, but few Americans with MDD receive optimum treatment, according to Ken Hopper, MD, executive consultant at BHM Healthcare Solutions, a...
Las Vegas—Major depression disorder (MDD) is the most common psychiatric disorder in the United States, but few Americans with MDD receive optimum treatment, according to Ken Hopper, MD, executive consultant at BHM Healthcare Solutions, a...
Las Vegas—Major depression...
12/17/2012
First Report Managed Care
Therapeutic Options for Chronic Pain
12/17/2012
Las Vegas—Treating patients with chronic pain can cause difficulties since there are both physiological components and psychological issues, which can lead to irritability or depression and make the condition even worse.
Las Vegas—Treating patients with chronic pain can cause difficulties since there are both physiological components and psychological issues, which can lead to irritability or depression and make the condition even worse.
Las Vegas—Treating patients with...
12/17/2012
First Report Managed Care
ACA Preventive Benefit and Coverage of Colonoscopies
12/17/2012
The Patient Protection and Affordable Care Act (ACA) includes provisions that require private health insurance companies to cover recommended preventive services with no patient cost-sharing, including copayments and deductibles. The...
The Patient Protection and Affordable Care Act (ACA) includes provisions that require private health insurance companies to cover recommended preventive services with no patient cost-sharing, including copayments and deductibles. The...
The Patient Protection and...
12/17/2012
First Report Managed Care
Changes in Expenditures for Asthma Medications in Adults
12/17/2012
The prevalence of asthma has increased across all age groups over the past 10 years. Asthma is a chronic inflammatory disorder of the airways and adverse health outcomes can result when it is poorly controlled. Guidelines for the management...
The prevalence of asthma has increased across all age groups over the past 10 years. Asthma is a chronic inflammatory disorder of the airways and adverse health outcomes can result when it is poorly controlled. Guidelines for the management...
The prevalence of asthma has...
12/17/2012
First Report Managed Care
Trends in Medication Use among Adults with Asthma
12/17/2012
In the years between 1998 and 2009, the number of adults reporting treatment for asthma nearly doubled from 5.5 million (2.7% of US adults ≥18 years of age) in 1998 to 10.3 million (4.5%). Asthma is a chronic respiratory disease that causes...
In the years between 1998 and 2009, the number of adults reporting treatment for asthma nearly doubled from 5.5 million (2.7% of US adults ≥18 years of age) in 1998 to 10.3 million (4.5%). Asthma is a chronic respiratory disease that causes...
In the years between 1998 and...
12/17/2012
First Report Managed Care
Bariatric Surgery and Prevention of Type 2 Diabetes
12/17/2012
Previous studies have demonstrated associations between obesity and type 2 diabetes, and between changes in body weight and incident type 2 diabetes. There is also an association between the increase worldwide in obesity and the increased...
Previous studies have demonstrated associations between obesity and type 2 diabetes, and between changes in body weight and incident type 2 diabetes. There is also an association between the increase worldwide in obesity and the increased...
Previous studies have...
12/17/2012
First Report Managed Care
Markers for Improved Evaluation of Intermediate Heart Risk
12/17/2012
An analysis of 6 of the most novel risk factors for improvement in cardiovascular risk assessment found 4 markers that were independent predictors of incident coronary heart disease (CHD)/cardiovascular disease (CVD) in intermediate-risk...
An analysis of 6 of the most novel risk factors for improvement in cardiovascular risk assessment found 4 markers that were independent predictors of incident coronary heart disease (CHD)/cardiovascular disease (CVD) in intermediate-risk...
An analysis of 6 of the most...
12/17/2012
First Report Managed Care
PSA Screening and Effects on Quality of Life
12/17/2012
Benefits of screening for prostate cancer include reduction in disease-related mortality, increase in the number of life-years gained, and a reduction in the rate of advanced disease. However, prostate-specific antigen (PSA) screening is...
Benefits of screening for prostate cancer include reduction in disease-related mortality, increase in the number of life-years gained, and a reduction in the rate of advanced disease. However, prostate-specific antigen (PSA) screening is...
Benefits of screening for...
12/17/2012
First Report Managed Care
Tofacitinib Monotherapy for RA versus Risk of Adverse Events
12/17/2012
Results of a phase 3, double-blind, placebo-controlled study [N Engl J Med. 2012;367(6):495-507] show that tofacitinib monotherapy is associated with a reduction in signs and symptoms of rheumatoid arthritis (RA) and improvement in physical...
Results of a phase 3, double-blind, placebo-controlled study [N Engl J Med. 2012;367(6):495-507] show that tofacitinib monotherapy is associated with a reduction in signs and symptoms of rheumatoid arthritis (RA) and improvement in physical...
Results of a phase 3,...
12/17/2012
First Report Managed Care

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FRMC Volume 21, Issue 3

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Is Sitting Just As Dangerous As Smoking?
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Emerging research has indicated that it is possible to meet current daily physical activity guidelines while still being too sedentary, which increases the risk of death and disease despite physical activity that is taking place.
Emerging research has indicated that it is possible to meet current daily physical activity guidelines while still being too sedentary, which increases the risk of death and disease despite physical activity that is taking place.
Emerging research has indicated...
01/20/2015
First Report Managed Care
News
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First Report Managed Care
Best Practices in Medicaid Claims Administration and Oversight
12/02/2014
Every Medicaid operation needs high-performing claims administration. With strict medical loss ratios as required by healthcare reform, ongoing regulatory changes, timeliness, and payment accuracy relevant to provider pricing and benefit...
Every Medicaid operation needs high-performing claims administration. With strict medical loss ratios as required by healthcare reform, ongoing regulatory changes, timeliness, and payment accuracy relevant to provider pricing and benefit...
Every Medicaid operation needs...
12/02/2014
First Report Managed Care
News
U.S. warns Aetna over Medicare prescription policies
04/12/2010
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First Report Managed Care
News
Biologics: Changing the Treatment Scope for Psoriasis and Psoriatic Arthritis: References
12/01/2014
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References 1. Levy LL, Solomon SM, Emer JJ. Biologics in the treatment of psoriasis and emerging new therapies in the pipeline. Psoriasis: Targets and Therapy. 2012;2:29-43. 2. Bhosle MJ, Kulkarni A, Feldman SR, Balkrishnan. Quality of life...
References 1. Levy LL, Solomon SM, Emer JJ. Biologics in the treatment of psoriasis and emerging new therapies in the pipeline. Psoriasis: Targets and Therapy. 2012;2:29-43. 2. Bhosle MJ, Kulkarni A, Feldman SR, Balkrishnan. Quality of life...
References 1. Levy LL, Solomon...
12/01/2014
First Report Managed Care

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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
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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
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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
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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
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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
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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
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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
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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
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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
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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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