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June 2012 - FRMC

CMS Demonstration Projects for Dual Eligibles
06/19/2012

Tim Casey

Tim Casey
For years, the federal government and states have attempted to rein in costs associated with Medicare and Medicaid.
For years, the federal government and states have attempted to rein in costs associated with Medicare and Medicaid.
For years, the federal...
06/19/2012
First Report Managed Care
Routine HIV Screening for Medicaid Beneficiaries
06/19/2012

Jill Sederstrom

Jill Sederstrom
A survey of state Medicaid officials and their coverage of HIV screening found that about half of the states surveyed cover routine HIV screening through their Medicaid program while the other half cover only medically necessary testing. The...
A survey of state Medicaid officials and their coverage of HIV screening found that about half of the states surveyed cover routine HIV screening through their Medicaid program while the other half cover only medically necessary testing. The...
A survey of state Medicaid...
06/19/2012
First Report Managed Care
Reconstructing US Healthcare by Eliminating Waste
06/19/2012

Tori Socha

Tori Socha
In a special communication posted online in the Journal of the American Medical Association, Daniel M. Berwick, MD, MPP, and Andrew D. Hackbarth, MPhil, offered a strategy aimed at Eliminating Waste in US Healthcare [JAMA....
In a special communication posted online in the Journal of the American Medical Association, Daniel M. Berwick, MD, MPP, and Andrew D. Hackbarth, MPhil, offered a strategy aimed at Eliminating Waste in US Healthcare [JAMA....
In a special communication...
06/19/2012
First Report Managed Care
Controlling Diabetes with Bariatric Surgery
06/19/2012

Tori Socha

Tori Socha
Obesity and type 2 diabetes mellitus continue to present one of the most difficult challenges to public health worldwide. Complications associated with diabetes include both macrovascular and microvascular diseases and events such as...
Obesity and type 2 diabetes mellitus continue to present one of the most difficult challenges to public health worldwide. Complications associated with diabetes include both macrovascular and microvascular diseases and events such as...
Obesity and type 2 diabetes...
06/19/2012
First Report Managed Care
Timing of Surgical Intervention for Epilepsy
06/19/2012

Tori Socha

Tori Socha
Worldwide epilepsy accounts for 1% of the burden of disease, a proportion equal to that of lung cancer in men and breast cancer in women. Nearly 80% of the cost of managing and treating epilepsy is associated with the 20% to 40% of patients...
Worldwide epilepsy accounts for 1% of the burden of disease, a proportion equal to that of lung cancer in men and breast cancer in women. Nearly 80% of the cost of managing and treating epilepsy is associated with the 20% to 40% of patients...
Worldwide epilepsy accounts for...
06/19/2012
First Report Managed Care
Statins before Surgery Cut Risk of Cardiac Complications
06/19/2012

Eileen Koutnik-Fotopoulos

Eileen Koutnik-Fotopoulos
Administering statins before surgery in statin-naive patients lowered the risk of myocardial infarction (MI) and atrial fibrillation. The drugs also reduced the time patients were hospitalized, according to results of a recent meta-analysis...
Administering statins before surgery in statin-naive patients lowered the risk of myocardial infarction (MI) and atrial fibrillation. The drugs also reduced the time patients were hospitalized, according to results of a recent meta-analysis...
Administering statins before...
06/19/2012
First Report Managed Care
PSA Screening Reduces Prostate Cancer Mortality
06/19/2012

Jill Sederstrom

Jill Sederstrom
A new report with extended follow-up from the European Randomized Study of Screening for Prostate Cancer (ERSPC) strengthened the study’s previous findings by finding once again that prostate-specific antigen (PSA) screening for men...
A new report with extended follow-up from the European Randomized Study of Screening for Prostate Cancer (ERSPC) strengthened the study’s previous findings by finding once again that prostate-specific antigen (PSA) screening for men...
A new report with extended...
06/19/2012
First Report Managed Care
Ulipristal Acetate and Uterine Fibroids and Fibroid-Related Bleeding
06/19/2012

Mary Beth Nierengarten

Mary Beth Nierengarten
Results of a randomized, double-blind, placebo-controlled, phase 3 study [N Engl J Med. 2012;366(5):409-420] show that oral ulipristal acetate at a dose of 5 or 10 mg/day given for 13 weeks is effective in controlling excessive bleeding and...
Results of a randomized, double-blind, placebo-controlled, phase 3 study [N Engl J Med. 2012;366(5):409-420] show that oral ulipristal acetate at a dose of 5 or 10 mg/day given for 13 weeks is effective in controlling excessive bleeding and...
Results of a randomized,...
06/19/2012
First Report Managed Care
Decreasing Inappropriate Urinary Catheter Use in Hospitals
06/19/2012

Eileen Koutnik-Fotopoulos

Eileen Koutnik-Fotopoulos
Urinary tract infections represent a large portion of all hospital-acquired infections, with catheter-associated urinary tract infection (CAUTI) accounting for the majority of cases. Results of a retrospective analysis from 163 inpatient...
Urinary tract infections represent a large portion of all hospital-acquired infections, with catheter-associated urinary tract infection (CAUTI) accounting for the majority of cases. Results of a retrospective analysis from 163 inpatient...
Urinary tract infections...
06/19/2012
First Report Managed Care
Availability of ICU Beds and Outcomes
06/19/2012

Tori Socha

Tori Socha
The demand for beds in intensive care units (ICUs) may at times exceed supply, necessitating prioritization of admissions. As the population ages, demands for critical care services are expected to increase, raising concerns about plans for...
The demand for beds in intensive care units (ICUs) may at times exceed supply, necessitating prioritization of admissions. As the population ages, demands for critical care services are expected to increase, raising concerns about plans for...
The demand for beds in intensive...
06/19/2012
First Report Managed Care

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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
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J&J arthritis drug shows promise in mid-stage trial
06/07/2011
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First Report Managed Care
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Wrinkle in Health Law Vexes Lawmakers’ Aides
07/30/2013
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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
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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
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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
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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
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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
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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

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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