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July 2016 - FRMC

Department

News Connection
Costs of Cancer Care Defy Expectations
07/14/2016
Although the growing number of people living with cancer and the introduction of new therapies are associated with an increase in cancer care costs, a new report from Milliman Inc, commissioned by the Community Oncology Alliance, sheds light...
Although the growing number of people living with cancer and the introduction of new therapies are associated with an increase in cancer care costs, a new report from Milliman Inc, commissioned by the Community Oncology Alliance, sheds light...
Although the growing number of...
07/14/2016
First Report Managed Care
News Connection
CMS Pilot Program Improves Care for Dual Eligible Older Adults
07/14/2016
The Centers for Medicare & Medicaid Services recently announced positive results of their pilot program to better serve dually eligible Medicare-Medicaid beneficiaries aged 65 years and older.
The Centers for Medicare & Medicaid Services recently announced positive results of their pilot program to better serve dually eligible Medicare-Medicaid beneficiaries aged 65 years and older.
The Centers for Medicare &...
07/14/2016
First Report Managed Care
Careers
A Place Patients with Cancer Can Call Home, Part 2
07/14/2016
John Sprandio, MD, founder of the first NCQA-recognized oncology medical home, explains how his group did it, and offers lessons for managed care.
John Sprandio, MD, founder of the first NCQA-recognized oncology medical home, explains how his group did it, and offers lessons for managed care.
John Sprandio, MD, founder of...
07/14/2016
First Report Managed Care
Careers
A Place Patients with Cancer Can Call Home, Part 1
07/14/2016
Consultants in Medical Oncology and Hematology became the first National Committee for Quality Assurance-recognized specialty patient-centered medical home and the first oncology medical home. In this interview, John Sprandio describes how...
Consultants in Medical Oncology and Hematology became the first National Committee for Quality Assurance-recognized specialty patient-centered medical home and the first oncology medical home. In this interview, John Sprandio describes how...
Consultants in Medical Oncology...
07/14/2016
First Report Managed Care

News

News
Biosimilar Buzz: Cancer Drug Knock-offs Promise Greater Access to Medications
07/14/2016
Highly anticipated cancer drug knock-offs provide the possibility of improved access, but cost benefits have not yet been demonstrated.
Highly anticipated cancer drug knock-offs provide the possibility of improved access, but cost benefits have not yet been demonstrated.
Highly anticipated cancer drug...
07/14/2016
First Report Managed Care
Can the Affordable Care Act Really be Repealed?
07/14/2016
As House Republicans finally release their proposed replacement for the Affordable Care Act, it is unclear whether “repeal and replace” remains politically feasible.
As House Republicans finally release their proposed replacement for the Affordable Care Act, it is unclear whether “repeal and replace” remains politically feasible.
As House Republicans finally...
07/14/2016
First Report Managed Care
VA Overhauls Approach to Care for Veterans With Hepatitis C
07/14/2016
The largest single provider of care to those with hepatitis C in the United States revs up treatment, begging the question: can others follow suit?
The largest single provider of care to those with hepatitis C in the United States revs up treatment, begging the question: can others follow suit?
The largest single provider of...
07/14/2016
First Report Managed Care
Department
AMA Calls on CMS to Drop Proposed Reimbursement Change for Part B Drugs
07/14/2016
The American Medical Association (AMA) is asking the Centers for Medicare & Medicaid Services (CMS) to drop a proposal to change how Medicare reimburses medications under Part B.
The American Medical Association (AMA) is asking the Centers for Medicare & Medicaid Services (CMS) to drop a proposal to change how Medicare reimburses medications under Part B.
The American Medical Association...
07/14/2016
First Report Managed Care
Department
Proposed Medicare Payment Changes Designed to Meet Providers’ Needs
07/14/2016
The proposed rule guiding the new Medicare payment system was driven by physician input, Andy Slavitt, acting administrator of the Centers for Medicare & Medicaid Services told attendees at the 2016 American Medical Association (AMA) annual...
The proposed rule guiding the new Medicare payment system was driven by physician input, Andy Slavitt, acting administrator of the Centers for Medicare & Medicaid Services told attendees at the 2016 American Medical Association (AMA) annual...
The proposed rule guiding the...
07/14/2016
First Report Managed Care
Department
New Models of Care Demand Integrated Leadership, Trust
07/14/2016
Integrated leadership is key for promoting the kind of environment necessary for the success of new models of care.
Integrated leadership is key for promoting the kind of environment necessary for the success of new models of care.
Integrated leadership is key for...
07/14/2016
First Report Managed Care

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FRMC Volume 21, Issue 3

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Conference Insider
Is Sitting Just As Dangerous As Smoking?
01/20/2015
Emerging research has indicated that it is possible to meet current daily physical activity guidelines while still being too sedentary, which increases the risk of death and disease despite physical activity that is taking place.
Emerging research has indicated that it is possible to meet current daily physical activity guidelines while still being too sedentary, which increases the risk of death and disease despite physical activity that is taking place.
Emerging research has indicated...
01/20/2015
First Report Managed Care
News
GOP raises more questions about healthcare waivers
08/15/2011
08/15/2011
First Report Managed Care
Best Practices in Medicaid Claims Administration and Oversight
12/02/2014
Every Medicaid operation needs high-performing claims administration. With strict medical loss ratios as required by healthcare reform, ongoing regulatory changes, timeliness, and payment accuracy relevant to provider pricing and benefit...
Every Medicaid operation needs high-performing claims administration. With strict medical loss ratios as required by healthcare reform, ongoing regulatory changes, timeliness, and payment accuracy relevant to provider pricing and benefit...
Every Medicaid operation needs...
12/02/2014
First Report Managed Care
News
U.S. warns Aetna over Medicare prescription policies
04/12/2010
04/12/2010
First Report Managed Care
News
Biologics: Changing the Treatment Scope for Psoriasis and Psoriatic Arthritis: References
12/01/2014
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References 1. Levy LL, Solomon SM, Emer JJ. Biologics in the treatment of psoriasis and emerging new therapies in the pipeline. Psoriasis: Targets and Therapy. 2012;2:29-43. 2. Bhosle MJ, Kulkarni A, Feldman SR, Balkrishnan. Quality of life...
References 1. Levy LL, Solomon SM, Emer JJ. Biologics in the treatment of psoriasis and emerging new therapies in the pipeline. Psoriasis: Targets and Therapy. 2012;2:29-43. 2. Bhosle MJ, Kulkarni A, Feldman SR, Balkrishnan. Quality of life...
References 1. Levy LL, Solomon...
12/01/2014
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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