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February 2016 - FRMC

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Examining Gout and Emerging Treatments
02/16/2016

Eileen Koutnik-Fotopoulos

Eileen Koutnik-Fotopoulos
Gout is a form of inflammatory arthritis caused by deposition of monosodium uric acid crystals in the joints and surrounding tissues as a result of uric acid burden.
Gout is a form of inflammatory arthritis caused by deposition of monosodium uric acid crystals in the joints and surrounding tissues as a result of uric acid burden.
Gout is a form of inflammatory...
02/16/2016
First Report Managed Care
PCSK9 Inhibitor: An Important Breakthrough in Controlling Cholesterol, But at What Price?
02/16/2016

Kelsey Moroz

Kelsey Moroz
Cardiovascular disease (CVD) remains a common—and costly—problem in US health care that is continuing to grow. By 2020, it is estimated that 38.7% of the population will have some form of CVD, with total direct medical costs associated with...
Cardiovascular disease (CVD) remains a common—and costly—problem in US health care that is continuing to grow. By 2020, it is estimated that 38.7% of the population will have some form of CVD, with total direct medical costs associated with...
Cardiovascular disease (CVD)...
02/16/2016
First Report Managed Care
Prior Authorization—Challenges and Best Practices
02/16/2016

Dean Celia

Dean Celia
The burden of the administrative process is clear, but how do you stop that from affecting quality of care?
The burden of the administrative process is clear, but how do you stop that from affecting quality of care?
The burden of the administrative...
02/16/2016
First Report Managed Care
Managed Care Innovator—Certified Diabetes Educator: Tommy Johnson
02/16/2016

Christine Menapace

Christine Menapace
For managed care, the diabetes diagnosis means facing average expenditures a staggering 2.3 times greater than for someone without it. 
For managed care, the diabetes diagnosis means facing average expenditures a staggering 2.3 times greater than for someone without it. 
For managed care, the diabetes...
02/16/2016
First Report Managed Care
Department
News Connection
02/16/2016
The US Supreme Court recently declined to hear a lawsuit that argues against the constitutionality of the Patient Protection and Affordable Care Act (ACA). Sissel v US Department of Health & Human Services claims the health care law is...
The US Supreme Court recently declined to hear a lawsuit that argues against the constitutionality of the Patient Protection and Affordable Care Act (ACA). Sissel v US Department of Health & Human Services claims the health care law is...
The US Supreme Court recently...
02/16/2016
First Report Managed Care
Biosimilars—What`s In A Name?
02/16/2016

Dean Celia

Dean Celia
Should all biologics and biosimilars be required to have the same name?
Should all biologics and biosimilars be required to have the same name?
Should all biologics and...
02/16/2016
First Report Managed Care
Transforming an Unaffordable Health Care System
02/16/2016

Kelsey Moroz

Kelsey Moroz
If other prices had grown as quickly as health care since 1945, a dozen eggs would cost $55, a gallon of milk would be $48, and a dozen oranges would be $134, said Jan Vest, chief executive officer, Signature Medical Group (SMG), during a...
If other prices had grown as quickly as health care since 1945, a dozen eggs would cost $55, a gallon of milk would be $48, and a dozen oranges would be $134, said Jan Vest, chief executive officer, Signature Medical Group (SMG), during a...
If other prices had grown as...
02/16/2016
First Report Managed Care
PCSK9 Inhibitor—An Important Breakthrough in Controlling Cholesterol, But at What Price?
02/16/2016

Kelsey Moroz

Kelsey Moroz
PCSK9 inhibitors are a new class of drug that lower low-density lipoprotein-cholesterol (LDL-c) levels.
PCSK9 inhibitors are a new class of drug that lower low-density lipoprotein-cholesterol (LDL-c) levels.
PCSK9 inhibitors are a new class...
02/16/2016
First Report Managed Care
Department
PD-1 Inhibitors Gain Ground in Immuno-Oncology
02/16/2016

Jolynn Tumolo

Jolynn Tumolo
Programmed cell death protein 1 (PD-1) inhibitors are positioned for significant growth as immunotherapy options in oncology treatment, according to a pair of presenters at AMCP Nexus. 
Programmed cell death protein 1 (PD-1) inhibitors are positioned for significant growth as immunotherapy options in oncology treatment, according to a pair of presenters at AMCP Nexus. 
Programmed cell death protein 1...
02/16/2016
First Report Managed Care
Managing Cancer Outcomes and Cost—A Balancing Act
02/16/2016

Eileen Koutnik-Fotopoulos

Eileen Koutnik-Fotopoulos
A solid foundation of cancer care uses evidence-based medicine with personalized care and network strategies—helping to improve quality outcomes and reduce cost. 
A solid foundation of cancer care uses evidence-based medicine with personalized care and network strategies—helping to improve quality outcomes and reduce cost. 
A solid foundation of cancer...
02/16/2016
First Report Managed Care

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Payers Spend Less For Chemotherapy in Physician Offices VS Hospitals
02/28/2018
A recent study found that chemotherapy costs were lower when the treatments were administered at physician’s offices compared to hospital outpatient facilities.
A recent study found that chemotherapy costs were lower when the treatments were administered at physician’s offices compared to hospital outpatient facilities.
A recent study found that...
02/28/2018
First Report Managed Care
News
Medicare physician pay cut reversal in Senate`s hands
06/07/2010
06/07/2010
First Report Managed Care
Choosing Therapy for Type 2 Diabetes Based on Patient-Related Variables
06/10/2015

Mary Beth Nierengarten

Mary Beth Nierengarten
With the expanding availability of multiple drugs to treat patients with type 2 diabetes, treatment can now be better tailored to the needs of each patient.
With the expanding availability of multiple drugs to treat patients with type 2 diabetes, treatment can now be better tailored to the needs of each patient.
With the expanding availability...
06/10/2015
First Report Managed Care
News
Health Insurers Seek Delay Of New Consumer-Friendly Coverage Forms
08/23/2011
08/23/2011
First Report Managed Care
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Adjuvant Therapy Tied to Better Survival in High-Risk Merkel Cell Carcinoma
12/11/2014
Adjuvant chemoradiotherapy is associated with improved survival in patients with high-risk Merkel cell carcinoma of the head and neck.
Adjuvant chemoradiotherapy is associated with improved survival in patients with high-risk Merkel cell carcinoma of the head and neck.
Adjuvant chemoradiotherapy is...
12/11/2014
First Report Managed Care

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Hayward
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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
Joe DePinto Headshot
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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 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
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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 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
Tejaswi Kompala
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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 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
Zaubler Headshot
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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...
Join us for the continuation of...
03/27/2024
First Report Managed Care
Zaubler Headshot
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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 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
Yash Prajapati
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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...
02/27/2024
First Report Managed Care
Mansur Shomali
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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.
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...
02/27/2024
First Report Managed Care

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