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July 2015 - FRMC

Pharmacists Play Key Role in Helping Manage Cost in ACOs
07/30/2015

Mary Beth Nierengarte

Mary Beth Nierengarte
“Pharmacists can affect medication utilization and expenditures within an accountable care organization [ACO],” said Dan Dauner, PharmD, MSPH, BCPS-AQ ID, pharmacy manager, Population Care Management Department, Essentia Health, during a...
“Pharmacists can affect medication utilization and expenditures within an accountable care organization [ACO],” said Dan Dauner, PharmD, MSPH, BCPS-AQ ID, pharmacy manager, Population Care Management Department, Essentia Health, during a...
“Pharmacists can affect...
07/30/2015
First Report Managed Care
Value of Analytics in Managing Expensive Drugs
07/30/2015

Eileen Koutnik- Fotopoulos

Eileen Koutnik- Fotopoulos
As specialty pharmacy spend continues to skyrocket, payers will need to implement innovative strategies that minimize cost, increase plan value, and improve overall member health outcomes. These strategies must also address comorbidities,...
As specialty pharmacy spend continues to skyrocket, payers will need to implement innovative strategies that minimize cost, increase plan value, and improve overall member health outcomes. These strategies must also address comorbidities,...
As specialty pharmacy spend...
07/30/2015
First Report Managed Care
Leading the Way for Biosimilars: Managed Care’s Lonely Road
07/30/2015

Kathleen P. Wolff, MBA

Kathleen P. Wolff, MBA
Forging a pathway of innovation is typically either with allies, but in the world of biosimilars, where stakeholders are still sizing each other up, allies are scarce. 
Forging a pathway of innovation is typically either with allies, but in the world of biosimilars, where stakeholders are still sizing each other up, allies are scarce. 
Forging a pathway of innovation...
07/30/2015
First Report Managed Care
Accurate, Inexpensive Risk Prediction Tools Needed to Justify Tailored Colorectal Cancer Screening
07/30/2015

Mary Mihalovic

Mary Mihalovic
Researchers adapted a validated decision analytic model of CRC screening to explore potential effectiveness and cost-effectiveness.
Researchers adapted a validated decision analytic model of CRC screening to explore potential effectiveness and cost-effectiveness.
Researchers adapted a validated...
07/30/2015
First Report Managed Care

News

News
The Relationship Between Hodgkin Lymphoma Survival Rate and Insurance Status
07/30/2015

Melissa D. Cooper

Melissa D. Cooper
The estimated overall survival rate of patients diagnosed with Stage I Hodgkin lymphoma is 90%, while Stage IV has a 65% survival rate.
The estimated overall survival rate of patients diagnosed with Stage I Hodgkin lymphoma is 90%, while Stage IV has a 65% survival rate.
The estimated overall survival...
07/30/2015
First Report Managed Care
News
Economic Burden of Unintended Pregnancy on Employer-Sponsored Health Insurance
07/30/2015

Melissa D. Cooper

Melissa D. Cooper
Approximately 28.8% of pregnancies are unintended under employer-sponsored insurance plans, and they account for 27.4% of annual delivery costs to employers.
Approximately 28.8% of pregnancies are unintended under employer-sponsored insurance plans, and they account for 27.4% of annual delivery costs to employers.
Approximately 28.8% of...
07/30/2015
First Report Managed Care

Department

Conference Insider
Low Testosterone Linked to CVD; Individualized Treatment Needed
07/30/2015

Jill Sederstrom

Jill Sederstrom
Several studies have found that prescribing testosterone to men with low levels of the hormone could increase therisk of cardiovascular events.    
Several studies have found that prescribing testosterone to men with low levels of the hormone could increase therisk of cardiovascular events.    
Several studies have found that...
07/30/2015
First Report Managed Care
Conference Insider
Patients With Celiac Disease Incur Significantly Higher Direct Costs
07/30/2015

Mary Mihalovic

Mary Mihalovic
Retrospective claims analysis points to the likely reasons, and compares cost burden to that of ulcerative colitis.
Retrospective claims analysis points to the likely reasons, and compares cost burden to that of ulcerative colitis.
Retrospective claims analysis...
07/30/2015
First Report Managed Care

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News Connection
ACA Tax Penalties Decreased in 2015
01/23/2017
Fewer Americans paid penalties for lacking health insurance in 2015 than 2014, according to a letter from IRS Commissioner John A Koskinen.
Fewer Americans paid penalties for lacking health insurance in 2015 than 2014, according to a letter from IRS Commissioner John A Koskinen.
Fewer Americans paid penalties...
01/23/2017
First Report Managed Care
News
Aug. health care costs up 4th straight month: S&P
12/06/2011
12/06/2011
First Report Managed Care
CMS Releases the 2015 Audit Protocol: Critical Next Steps to Avoid Becoming A Casualty of Reasonable Expectations
02/19/2015
On February 12th, CMS released the 2015 Audit Protocol. The question on everyone’s mind is – what does this mean for 2015? Well, it means a few things. Outlined below are some of the most impactful changes, as well as the “why” behind the...
On February 12th, CMS released the 2015 Audit Protocol. The question on everyone’s mind is – what does this mean for 2015? Well, it means a few things. Outlined below are some of the most impactful changes, as well as the “why” behind the...
On February 12th, CMS released...
02/19/2015
First Report Managed Care
News
Most Effective Complementary, Alternative Medicine for Psoriasis
11/12/2018
Researchers recently examined complementary and alternative medicine therapies for the treatment of plaque psoriasis and identified the most effective treatments.
Researchers recently examined complementary and alternative medicine therapies for the treatment of plaque psoriasis and identified the most effective treatments.
Researchers recently examined...
11/12/2018
First Report Managed Care
News
House OK’s bill making insurers pay for autism services
07/29/2010
07/29/2010
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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