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February 2013 - FRMC

The Uninsured Low-Income Population in the United States
02/14/2013
Many low-income adults in the United States live without health insurance. Most Americans receive health insurance through their employer as a fringe benefit; however, many people do not have access to such coverage either because they cannot...
Many low-income adults in the United States live without health insurance. Most Americans receive health insurance through their employer as a fringe benefit; however, many people do not have access to such coverage either because they cannot...
Many low-income adults in the...
02/14/2013
First Report Managed Care
Reducing Costs through a Medicare Premium Support System
02/14/2013
Within the context of reducing federal debt and deficit, suggestions on transformation of Medicare to premium support have been raised.
Within the context of reducing federal debt and deficit, suggestions on transformation of Medicare to premium support have been raised.
Within the context of reducing...
02/14/2013
First Report Managed Care
OnabotulinumtoxinA for Urgency Urinary Incontinence
02/14/2013
As many as 19% of women in the United States are affected by urgency urinary incontinence, a condition characterized by unpredictable loss of urine that occurs disproportionately in women. Primary treatment for urgency urinary incontinence...
As many as 19% of women in the United States are affected by urgency urinary incontinence, a condition characterized by unpredictable loss of urine that occurs disproportionately in women. Primary treatment for urgency urinary incontinence...
As many as 19% of women in the...
02/14/2013
First Report Managed Care
Longer Warfarin Therapy after AVR May Be Beneficial
02/14/2013
Although current guidelines recommend 3 months of warfarin treatment after bioprosthetic aortic valve replacement (AVR) surgery, this recommendation is limited to the results of a single retrospective study. Now a study of >4000 patients...
Although current guidelines recommend 3 months of warfarin treatment after bioprosthetic aortic valve replacement (AVR) surgery, this recommendation is limited to the results of a single retrospective study. Now a study of >4000 patients...
Although current guidelines...
02/14/2013
First Report Managed Care
Medicare Beneficiaries and Repeat Testing
02/14/2013
The capacity for physicians to serve new patients and the ability to contain costs of healthcare are determined, in part, by the tendency to repeat examinations. Physicians who see their patients every 12 months can care for twice as many...
The capacity for physicians to serve new patients and the ability to contain costs of healthcare are determined, in part, by the tendency to repeat examinations. Physicians who see their patients every 12 months can care for twice as many...
The capacity for physicians to...
02/14/2013
First Report Managed Care
Preferred and Limited Pharmacy Networks Could Save Billions
02/14/2013
In recent years, high-profile disagreements between pharmacies and pharmacy benefit managers (PBMs) have caused many companies to consider narrow pharmacy networks to generate savings. Rather than the typical process in which plans create a...
In recent years, high-profile disagreements between pharmacies and pharmacy benefit managers (PBMs) have caused many companies to consider narrow pharmacy networks to generate savings. Rather than the typical process in which plans create a...
In recent years, high-profile...
02/14/2013
First Report Managed Care
The Future of Medicare
02/14/2013
For the past few years, Medicare spending has grown at a slower rate than most policy makers expected. Some attribute the trend to provisions from the Patient Protection and Affordable Care Act (ACA), while others note that poor economic...
For the past few years, Medicare spending has grown at a slower rate than most policy makers expected. Some attribute the trend to provisions from the Patient Protection and Affordable Care Act (ACA), while others note that poor economic...
For the past few years, Medicare...
02/14/2013
First Report Managed Care

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FRMC Volume 21, Issue 3

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Methotrexate Monotherapy vs Combination Therapy to Lower CV Risk in Early RA?
08/17/2016
As part of the TEAR trial, researchers studied the impact of methotrexate monotherapy or combination therapy with hydroxychloroquine plus sulfasalazine or in combination with etanercept on improving high-density lipoprotein (HDL) cholesterol...
As part of the TEAR trial, researchers studied the impact of methotrexate monotherapy or combination therapy with hydroxychloroquine plus sulfasalazine or in combination with etanercept on improving high-density lipoprotein (HDL) cholesterol...
As part of the TEAR trial,...
08/17/2016
First Report Managed Care
News
Medical Coding Creates Barriers to Care for Transgender Patients
09/13/2022
Many transgender patients in the United States are receiving coverage denials on gender-affirming care due in part to ICD-10 codes.
Many transgender patients in the United States are receiving coverage denials on gender-affirming care due in part to ICD-10 codes.
Many transgender patients in the...
09/13/2022
First Report Managed Care
Bilateral CI Shows Positive Effect on Language
03/16/2012
Results of a study on the effect of cochlear implantation (CI) on language development found that bilateral implantation was more advantageous than unilateral implantation in pediatric patients, according to findings reported in the Archives...
Results of a study on the effect of cochlear implantation (CI) on language development found that bilateral implantation was more advantageous than unilateral implantation in pediatric patients, according to findings reported in the Archives...
Results of a study on the effect...
03/16/2012
First Report Managed Care
News
U.S. Health Care System Unprepared for Major Nuclear Emergency
04/08/2011
04/08/2011
First Report Managed Care
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In Poll, Obama Is Given Trust Over Medicare
08/23/2012
08/23/2012
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
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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