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February 2017 - FRMC

Department

Managed Care Q&A
Can “Travel Practice” Help Cut Orthopedic Surgery Costs?
02/15/2017

David Costill

David Costill
Jim Polsfut, CEO of the North American Specialty Hospital recently said, "The bottom line for employers: even after factoring in the cost of travel and accommodations for the patient… the savings are significant."
Jim Polsfut, CEO of the North American Specialty Hospital recently said, "The bottom line for employers: even after factoring in the cost of travel and accommodations for the patient… the savings are significant."
Jim Polsfut, CEO of the North...
02/15/2017
First Report Managed Care
News Connection
FDA Issues Biosimilar Interchangeability Guidance
02/15/2017
Last month, the FDA released its guidance for drugmakers attempting to gain approval for interchangeability between a biosimilar and reference product. 
Last month, the FDA released its guidance for drugmakers attempting to gain approval for interchangeability between a biosimilar and reference product. 
Last month, the FDA released its...
02/15/2017
First Report Managed Care
News Connection
California Lawmaker Introduces Bill to Ban Prescription Drug Coupons
02/15/2017
California assemblyman Jim Wood, DDS, introduced legislation that would prohibit the use of prescription drug coupons for medications with cheaper alternatives.
California assemblyman Jim Wood, DDS, introduced legislation that would prohibit the use of prescription drug coupons for medications with cheaper alternatives.
California assemblyman Jim Wood,...
02/15/2017
First Report Managed Care
News Connection
Senate Confirms Tom Price as HHS Secretary
02/15/2017
The US Senate officially confirmed Representative Tom Price, MD, to head the Department of Health and Human Services, with a 52-48 vote.
The US Senate officially confirmed Representative Tom Price, MD, to head the Department of Health and Human Services, with a 52-48 vote.
The US Senate officially...
02/15/2017
First Report Managed Care
News Connection
Repatha Reduces Cardiovascular Risk, Amgen Says
02/15/2017
Results from a recent trial showed that Repatha reduces the risk of cardiovascular events in patients with clinically evident atherosclerotic cardiovascular disease.
Results from a recent trial showed that Repatha reduces the risk of cardiovascular events in patients with clinically evident atherosclerotic cardiovascular disease.
Results from a recent trial...
02/15/2017
First Report Managed Care
News Connection
FDA Approves Opdivo for Select Patients With Urothelial Carcinoma
02/15/2017
The FDA, under accelerated approval, has approved intravenous Opdivo (nivolumab, Bristol-Myers Squibb) for patients with locally advanced or metastatic urothelial carcinoma whose disease has progressed during or following platinum-containing...
The FDA, under accelerated approval, has approved intravenous Opdivo (nivolumab, Bristol-Myers Squibb) for patients with locally advanced or metastatic urothelial carcinoma whose disease has progressed during or following platinum-containing...
The FDA, under accelerated...
02/15/2017
First Report Managed Care
News Connection
Ertugliflozin Monotherapy Effective for Glycemic Control in Type 2 Diabetes
02/15/2017
Used as monotherapy, ertugliflozin provides effective glycemic control for patients with type 2 diabetes inadequately treated by diet and exercise alone. 
Used as monotherapy, ertugliflozin provides effective glycemic control for patients with type 2 diabetes inadequately treated by diet and exercise alone. 
Used as monotherapy,...
02/15/2017
First Report Managed Care
News Connection
New Guideline for Managing Chest Pain in the ED Could Cut Overutilization Costs
02/15/2017
Up to one-third of patients with chest pain could be safely taken off emergency department heart monitors.
Up to one-third of patients with chest pain could be safely taken off emergency department heart monitors.
Up to one-third of patients with...
02/15/2017
First Report Managed Care
News Connection
Some Physicians Charge Up to 6 Times What Medicare Pays
02/15/2017
Physicians, on average, charge roughly 2.5 times the amount Medicare actually pays, with some specialists—anesthesiologists, emergency physicians, and radiologists among them—charging up to 6 times what Medicare pays for the same service. 
Physicians, on average, charge roughly 2.5 times the amount Medicare actually pays, with some specialists—anesthesiologists, emergency physicians, and radiologists among them—charging up to 6 times what Medicare pays for the same service. 
Physicians, on average, charge...
02/15/2017
First Report Managed Care
Department
Big Data: Moving Toward the Information Revolution
02/15/2017

By Jose Almeida, MD, Founder and Medical Director of the Miami Vein Center

By Jose Almeida, MD, Founder and Medi...
The big data revolution in health care is significant because with health care costs increasing every year, the demand for a big data driven system is skyrocketing. 
The big data revolution in health care is significant because with health care costs increasing every year, the demand for a big data driven system is skyrocketing. 
The big data revolution in...
02/15/2017
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
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News
Medicare physician pay cut reversal in Senate`s hands
06/07/2010
06/07/2010
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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
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Health Insurers Seek Delay Of New Consumer-Friendly Coverage Forms
08/23/2011
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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
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Video Insights

Hayward
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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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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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Melissa Andel, Principal, CommonHealth Solutions, LLC
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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.
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Joe DePinto Headshot
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Navigating Payment Models in the CGT Landscape: Insights and Innovations
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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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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
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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...
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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 

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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
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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

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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...
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...
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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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