December 2017 - FRMC

Department

Conference Insider

Rheumatologist Quality Measurement Performance Varies Widely

01/02/2018

Rheumatology practices had significant variation in quality measurement performance during 2017, according to an educational session at the 2017 ACR/ARHP Annual Meeting.

Rheumatology practices had...

01/02/2018

First Report Managed Care

News Connection

CMS Releases Payer Guidelines for 2019 Health Plans

01/02/2018

The CMS recently released a draft letter to notify payers of the guideline changes for 2019 qualifying health plans. The letter is released annually to update payers on policy changes that have impacted the deadlines and characteristics of...

The CMS recently released a...

01/02/2018

First Report Managed Care

News Connection

CVS Health to Buy Aetna for $69 Billion

01/02/2018

CVS Health and Aetna have announced that the pharmacy retailer will purchase the health insurance company for $69 billion, according to recent reports

CVS Health and Aetna have...

01/02/2018

First Report Managed Care

News Connection

Senate Passes Tax Reform Bill Repealing the ACA Individual Mandate

01/02/2018

The Senate recently passed a compressive tax reform bill that included a provision to repeal the ACA’s individual tax mandate.

The Senate recently passed a...

01/02/2018

First Report Managed Care

Managed Care Q&A

The Challenges of Bringing Biosimilars to Market

01/02/2018

Edward Li, Pharm D, MPH, BCOP, a professor in the Department of Pharmacy Practice at the University of New England College of Pharmacy, explains how industry experts can help bring biosimilars to the market faster.

Edward Li, Pharm D, MPH, BCOP, a...

01/02/2018

First Report Managed Care

Formulary Frontlines®

Preview of the 2018 Pipeline Drugs Expected to Impact Formularies

01/02/2018

As approvals continue to gain momentum in 2018, Formulary Frontlines will continue to cover the latest breaking formulary updates for a wide range of disease states impacting specialty pharmacy spending.

As approvals continue to gain...

01/02/2018

First Report Managed Care

News

What Should Payers Do to Prepare for 2018, Cover Story Part 2

12/21/2017

Under changing leadership at the HHS, significant changes are likely to come for the ACA.

Under changing leadership at the...

12/21/2017

First Report Managed Care

News

Anthem’s Outpatient Imaging Policy: the Economics of Restrictive Policies

12/20/2017

By Jill Sederstrom

Anthem recently began rolling out a restrictive outpatient imaging policy, banning the services at hospitals when they are deemed clinically unnecessary.

Anthem recently began rolling...

12/20/2017

First Report Managed Care

News

The Cost Impact of Surprise Hospital Billing

12/20/2017

By Paul Nicolaus

Patients can sometimes be seen by out-of-network providers in in-network facilities, leaving them stuck with surprisingly high health bills.

Patients can sometimes be seen...

12/20/2017

First Report Managed Care

News

December Cover Story: Health Reform Remains Unclear Heading Into 2018, Part 1

12/20/2017

After a year of efforts to repeal the ACA, Obamacare still remains “the law of the land,” and the bill’s future remains unclear.

After a year of efforts to...

12/20/2017

First Report Managed Care

Current Issue

June 2024

Volume 21

Issue 2

Current Issue

Issue Archive

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Determining the Necessary Care to Prevent Readmission for Heart Failure

07/22/2014

Sarah O'Brien

In the United States, heart failure is a leading cause of hospitalization, as 25% of patients hospitalized for heart failure are readmitted within 30 days. A recent systematic review was conducted for the Effective Health Care Program of the...

In the United States, heart...

07/22/2014

First Report Managed Care

News

Hospitals Look For Disney Magic To Make Customers Happy

07/22/2011

First Report Managed Care

News

Less Than Half of Doctors in Insurance Directories May be Available

10/30/2014

(Reuters Health) - More than half the dermatologists in Medicare Advantage plan directories were either dead, retired, not accepting new patients or specialized only in specific conditions, researchers found when they tried making...

(Reuters Health) - More than...

10/30/2014

First Report Managed Care

News

Lobbies Keep Drug Pricing Reform Out of Federal Legislation

09/27/2017

So far in 2017, a number of health reform bills were proposed and debated in Congress; however, none of them addressed drug pricing reform.

So far in 2017, a number of...

09/27/2017

First Report Managed Care

News

Spectrum says FDA asks for more data on cancer drug

01/25/2010

First Report Managed Care

Video Insights

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...

07/31/2024

First Report Managed Care

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...

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...

05/24/2024

First Report Managed Care

Videos

Navigating Payment Models in the CGT Landscape: Insights and Innovations

05/21/2024

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...

05/21/2024

First Report Managed Care

Jennifer L. Mathieu Senior Vice President, Professional and Government Affairs at AMCP

Videos

Unlocking the Future of Managed Care Pharmacy: A Deep Dive into Federal Legislation and Regulations

05/15/2024

Jennifer L. Mathieu Senior Vice President, Professional and Government Affairs, AMCP

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

First Report Managed Care

Videos

Personalizing Weight Loss Management With GLP-1 Agonists

04/05/2024

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...

04/05/2024

First Report Managed Care

Videos

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...

03/27/2024

First Report Managed Care

Videos

Integrating Behavioral Health Services to Reduce ED Visits: Suicide Prevention and Preemptive Primary Care

03/25/2024

Featuring Tom Zaubler, MD, MPH, CMO at NeuroFlow

Featuring Tom Zaubler, MD, MPH, CMO a...

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...

03/25/2024

First Report Managed Care

Videos

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...

02/27/2024

First Report Managed Care

Videos

Advancements and Challenges in Diabetes Management

02/27/2024

Featuring Mansur Shomali, MD, chief medical officer at Welldoc, endocrinologist at MedStar Health

Featuring Mansur Shomali, MD, chief m...

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.

December 2017 - FRMC

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