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February 2018 - FRMC

Featured Article

News
The Return of Association Health Plans
02/16/2018

Dean Celia

Dean Celia
The Trump administration wants to pave the way for the creation of more association health plans, in order to increase choice and lower costs. Opponents worry it will undermine the ACA marketplace.
The Trump administration wants to pave the way for the creation of more association health plans, in order to increase choice and lower costs. Opponents worry it will undermine the ACA marketplace.
The Trump administration wants...
02/16/2018
First Report Managed Care

Department

Managed Care Q&A
Improving Outcomes With Patient Support Services
02/16/2018

David Costill

David Costill
Arpan Patel, RPh, MBA, from Asembia outlined how Asembia’s patient support services platform can help patients, drugmakers, and payers.
Arpan Patel, RPh, MBA, from Asembia outlined how Asembia’s patient support services platform can help patients, drugmakers, and payers.
Arpan Patel, RPh, MBA, from...
02/16/2018
First Report Managed Care
Managed Care Q&A
Decision Support on Your Phone: Apps That Promote Better Guideline Adherence
02/13/2018

David Costill

David Costill
We spoke with Jeff Dunn, DO, MBA, CEO of Redivus Health, about how decision support apps can make a significant impact in guideline adherence.
We spoke with Jeff Dunn, DO, MBA, CEO of Redivus Health, about how decision support apps can make a significant impact in guideline adherence.
We spoke with Jeff Dunn, DO,...
02/13/2018
First Report Managed Care
Formulary Frontlines®
Psoriasis: Understanding the Burden and Drug Targets
02/05/2018

Julia Jarmoszko, PharmD, MBA, pharmacy resident at Magellan Rx Management

Julia Jarmoszko, PharmD, MBA, pharmac...
Significant progress has been made in understanding the burden of the psoriasis and how it is treated.
Significant progress has been made in understanding the burden of the psoriasis and how it is treated.
Significant progress has been...
02/05/2018
First Report Managed Care
Conference Insider
New Guidelines Could Increase Access to Crucial Treatments for Stroke
02/01/2018
According to research released at the ASA’s International Stroke Conference 2018, new guidelines for treating acute ischemic stroke significantly increase the window for mechanical clot removal, from 6 hours to 24 hours—likely increasing the...
According to research released at the ASA’s International Stroke Conference 2018, new guidelines for treating acute ischemic stroke significantly increase the window for mechanical clot removal, from 6 hours to 24 hours—likely increasing the...
According to research released...
02/01/2018
First Report Managed Care
Conference Insider
Blood Pressure and Cholesterol Drug Combinations Could Help Prevent Stroke
02/01/2018
Research presented during the ASA’s International Stroke Conference 2018 found that combining medication that lowers blood pressure with medication that lowers cholesterol significantly reduced the prevalence of first-time strokes. 
Research presented during the ASA’s International Stroke Conference 2018 found that combining medication that lowers blood pressure with medication that lowers cholesterol significantly reduced the prevalence of first-time strokes. 
Research presented during the...
02/01/2018
First Report Managed Care
Conference Insider
Radiation Therapy Cost-Effective in Patients With Early-Stage Breast Cancer
02/01/2018
According to the results of a study presented at the 2017 San Antonio Breast Cancer Symposium, overall costs of radiation therapy for early-stage breast cancer do not burden the health care system when analyzed in relation to survival...
According to the results of a study presented at the 2017 San Antonio Breast Cancer Symposium, overall costs of radiation therapy for early-stage breast cancer do not burden the health care system when analyzed in relation to survival...
According to the results of a...
02/01/2018
First Report Managed Care
Conference Insider
Guideline Concordant Treatments For Early-Stage Breast Cancer Associated with Lower Costs
02/01/2018
Nearly one in five women with early-stage breast cancer received guideline-discordant treatment, usually with regards to chemotherapy use, according to research presented at the 2017 San Antonio Breast Cancer Symposium.
Nearly one in five women with early-stage breast cancer received guideline-discordant treatment, usually with regards to chemotherapy use, according to research presented at the 2017 San Antonio Breast Cancer Symposium.
Nearly one in five women with...
02/01/2018
First Report Managed Care
Conference Insider
Breast Cancer Screening May Reduce More Than Mortality Rates
02/01/2018
Research presented at the 2017 San Antonio Breast Cancer Symposium found that breast cancer screening was associated with a reduction in a number of surgical and treatment procedures associated with breast cancer treatment.
Research presented at the 2017 San Antonio Breast Cancer Symposium found that breast cancer screening was associated with a reduction in a number of surgical and treatment procedures associated with breast cancer treatment.
Research presented at the 2017...
02/01/2018
First Report Managed Care
Managed Care Update: Hospitals Become Drugmakers in an Effort to Cut Prices—But Will it Work?
02/14/2018

David Costill

David Costill
A group of hospitals have announced that they will form their own drug manufacturing company to produce generic drugs that are often priced too high or out of supply.
A group of hospitals have announced that they will form their own drug manufacturing company to produce generic drugs that are often priced too high or out of supply.
A group of hospitals have...
02/14/2018
First Report Managed Care
Data Sharing: Navigating New FDA HCEI Rules
02/09/2018

By Eileen Koutnik-Fotopoulos

By Eileen Koutnik-Fotopoulos
Last year the FDA issued new draft guidance for communication between payers and pharmaceutical companies.
Last year the FDA issued new draft guidance for communication between payers and pharmaceutical companies.
Last year the FDA issued new...
02/09/2018
First Report Managed Care

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FRMC Volume 21, Issue 2

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Express Scripts Reports Prescription Drug Spending Slowed in 2016
02/06/2017
The pharmacy benefit manager, Express Scripts, reported that growth in prescription drug spending slowed to less than 4% between 2015 and 2016.
The pharmacy benefit manager, Express Scripts, reported that growth in prescription drug spending slowed to less than 4% between 2015 and 2016.
The pharmacy benefit manager,...
02/06/2017
First Report Managed Care
News
Substantial Economic Burden Associated With Lupus Nephritis 
12/17/2021
Jolynn Tumolo
“The consensus across the 22 studies was that the economic burden of lupus nephritis is substantial,” researchers wrote, “particularly in active or severe disease, or if there is progression to end-stage kidney disease.”
“The consensus across the 22 studies was that the economic burden of lupus nephritis is substantial,” researchers wrote, “particularly in active or severe disease, or if there is progression to end-stage kidney disease.”
“The consensus across the 22...
12/17/2021
First Report Managed Care
Study Identifies Cost of Having a Baby in the United States
04/22/2013

Tori Socha

Tori Socha
There are 3 goals in healthcare: (1) improved care, (2) improved outcomes, and (3) lower costs. Maternity care, which impacts approximately 85% of women during 1 or more episodes of care, provides opportunity for improvements in healthcare...
There are 3 goals in healthcare: (1) improved care, (2) improved outcomes, and (3) lower costs. Maternity care, which impacts approximately 85% of women during 1 or more episodes of care, provides opportunity for improvements in healthcare...
There are 3 goals in healthcare:...
04/22/2013
First Report Managed Care
News
J&J arthritis drug shows promise in mid-stage trial
06/07/2011
06/07/2011
First Report Managed Care
News
Wrinkle in Health Law Vexes Lawmakers’ Aides
07/30/2013
07/30/2013
First Report Managed Care

Video Insights

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
Joe DePinto Headshot
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 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 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
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 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
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 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
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 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
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 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
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.
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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