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February 2017 - FRMC

Department

Managed Care Q&A
Can “Travel Practice” Help Cut Orthopedic Surgery Costs?
02/15/2017
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
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
FRMC Volume 21, Issue 3

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News
Call for Gastric Surgery to be Standard Diabetes Treatment
05/25/2016
People with diabetes should be offered gastric surgery as a standard treatment option which could help control it for years without medication.
People with diabetes should be offered gastric surgery as a standard treatment option which could help control it for years without medication.
People with diabetes should be...
05/25/2016
First Report Managed Care
News
Montana Lawmakers Propose New Abortion Regulations for Medicaid Reimbursement
01/24/2023
Under the proposed change, providers would be required to have state approval before performing an abortion and submit supporting documents to demonstrate the procedure's medical necessity.
Under the proposed change, providers would be required to have state approval before performing an abortion and submit supporting documents to demonstrate the procedure's medical necessity.
Under the proposed change,...
01/24/2023
First Report Managed Care
Trends in Coronary Revascularization Procedures
08/22/2011
One of the most common major medical procedures provided by the healthcare system in the United States, coronary revascularization, is performed >1 million times each year. The procedure comprises coronary artery bypass graft (CABG)...
One of the most common major medical procedures provided by the healthcare system in the United States, coronary revascularization, is performed >1 million times each year. The procedure comprises coronary artery bypass graft (CABG)...
One of the most common major...
08/22/2011
First Report Managed Care
News
Insurer wants focus on what drives up health costs
03/28/2011
03/28/2011
First Report Managed Care
News
Takeda’s Successor Drug to Actos Fails to Win Approval
04/26/2012
04/26/2012
First Report Managed Care

Video Insights

Videos
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
Videos
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
Videos
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
Videos
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
Videos
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
Videos
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
Videos
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
Journal of Clinical Pathways
Hayward
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 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
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 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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