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June 2015 - FRMC

Demystifying Pharmaceutical Pricing Strategies
07/14/2015
Lisa A. Tomaszewski, PhD
When the challenges of healthcare management are being discussed, inevitably the topic of drug costs finds its way into the conversation. Although skyrocketing drug costs seem like a burden of modern times, Alex Bastian, MBA, GfK Custom...
When the challenges of healthcare management are being discussed, inevitably the topic of drug costs finds its way into the conversation. Although skyrocketing drug costs seem like a burden of modern times, Alex Bastian, MBA, GfK Custom...
When the challenges of...
07/14/2015
First Report Managed Care
Hospice Prevents Hospital Readmissions in Patients with Advanced Illness
07/14/2015
Mary Beth Nierengarten
Characteristics of hospice care places it in the best position to prevent hospital readmission, according to Joseph W. Shega, MD, regional medical director, VITAS Healthcare, who presented at the NAMCP forum. 
Characteristics of hospice care places it in the best position to prevent hospital readmission, according to Joseph W. Shega, MD, regional medical director, VITAS Healthcare, who presented at the NAMCP forum. 
Characteristics of hospice care...
07/14/2015
First Report Managed Care
Concerns of the Emerging Biosimilars Market
07/14/2015
Mary Beth Nierengarten
The anticipated arrival of the first biosimilar in the United States came on March 6, 2015, with the FDA’s approval of ZarxioTM (filgras- tim-sndz).
The anticipated arrival of the first biosimilar in the United States came on March 6, 2015, with the FDA’s approval of ZarxioTM (filgras- tim-sndz).
The anticipated arrival of the...
07/14/2015
First Report Managed Care
Who Is Responsible for Financial Toxicity in Oncology Patients?
07/13/2015
Lisa A. Tomaszewski, PhD
Breakthroughs in oncology often come with a hefty price tag. The moment the diagnosis of cancer is given, patients understandably rush to accept any treatment option, regardless of cost.
Breakthroughs in oncology often come with a hefty price tag. The moment the diagnosis of cancer is given, patients understandably rush to accept any treatment option, regardless of cost.
Breakthroughs in oncology often...
07/13/2015
First Report Managed Care

Department

Conference Insider
Population Health Program Shares Best Practices
07/14/2015
Jill Sederstorm
Electronic health records (EHR) platform, creating workflows with automation and standardization, and optimizing the role of each team member to best apply their unique skill sets are all suggestions of Vicki DeBaca, DNS, RN, vice president...
Electronic health records (EHR) platform, creating workflows with automation and standardization, and optimizing the role of each team member to best apply their unique skill sets are all suggestions of Vicki DeBaca, DNS, RN, vice president...
Electronic health records (EHR)...
07/14/2015
First Report Managed Care
Conference Insider
Increasing Adherence, Patient Engagement with Virtual Health Assistants
07/14/2015
Eileen Koutnik-Fotopoulos
Non-adherence has been estimated to cost the US healthcare system between $100 billion and $289 billion annually in direct costs. 
Non-adherence has been estimated to cost the US healthcare system between $100 billion and $289 billion annually in direct costs. 
Non-adherence has been estimated...
07/14/2015
First Report Managed Care
Conference Insider
Value of Noninvasive Prenatal Testing in Pregnant Women
07/14/2015
Eileen Koutnik-Fotopoulos
Approximately 70% of women receive conventional screening such a maternal serum biochemical tests and fetal ultrasound markers to detect possible genetic abnormalities. However, data showed that the majority of patients with a positive result...
Approximately 70% of women receive conventional screening such a maternal serum biochemical tests and fetal ultrasound markers to detect possible genetic abnormalities. However, data showed that the majority of patients with a positive result...
Approximately 70% of women...
07/14/2015
First Report Managed Care
Conference Insider
Treatment Options for MS Continue to Evolve
07/13/2015
Eileen Koutnik-Fotopoulos
Multiple sclerosis (MS) is an autoimmune, chronic inflammatory neuro- degenerative disorder of the central nervous system (CNS).
Multiple sclerosis (MS) is an autoimmune, chronic inflammatory neuro- degenerative disorder of the central nervous system (CNS).
Multiple sclerosis (MS) is an...
07/13/2015
First Report Managed Care
Conference Insider
Report Identifies Top Health Issues for Industry
07/13/2015
Eileen Koutnik-Fotopoulos
The $2.8 trillion US healthcare industry is undergoing a dramatic transformation.
The $2.8 trillion US healthcare industry is undergoing a dramatic transformation.
The $2.8 trillion US...
07/13/2015
First Report Managed Care

Behind the Bill

Behind the Bill
SCOTUS Takes on the Nondelegation Doctrine: Surprising Reactions and What They Mean for Agency Power
04/02/2025
Katie Hayes, MJ
The Supreme Court recently heard arguments in Federal Communication Commission (FCC) v Consumers’ Research, a case that I covered in February and one that could dramatically reshape federal agency authority through the nondelegation...
The Supreme Court recently heard arguments in Federal Communication Commission (FCC) v Consumers’ Research, a case that I covered in February and one that could dramatically reshape federal agency authority through the nondelegation...
The Supreme Court recently heard...
04/02/2025
First Report Managed Care
Behind the Bill
Dr Oz’s Prescription for Making Medicaid “Viable at Every Level”
03/26/2025
Katie Hayes, MJ
On Tuesday, March 25, 2025, the Senate Finance Committee voted to advance Dr Mehmet Oz in his confirmation as the next head of the Centers for Medicare and Medicaid Services (CMS).1 The full Senate vote is expected “soon” (whatever that...
On Tuesday, March 25, 2025, the Senate Finance Committee voted to advance Dr Mehmet Oz in his confirmation as the next head of the Centers for Medicare and Medicaid Services (CMS).1 The full Senate vote is expected “soon” (whatever that...
On Tuesday, March 25, 2025, the...
03/26/2025
First Report Managed Care
Behind the Bill
The $880 Billion Question Continues: Dr Oz's Confirmation and the Future of Medicaid
03/19/2025
Katie Hayes, MJ
Last week, I explored the $880 billion question facing Congress—whether lawmakers could achieve their budget goals without cutting Medicaid. This week, that question took center stage as Dr Mehmet Oz, President Trump's nominee to lead the...
Last week, I explored the $880 billion question facing Congress—whether lawmakers could achieve their budget goals without cutting Medicaid. This week, that question took center stage as Dr Mehmet Oz, President Trump's nominee to lead the...
Last week, I explored the $880...
03/19/2025
First Report Managed Care
Behind the Bill
The $880 Billion Question: Can Congress Cut Spending Without Touching Medicaid?
03/12/2025
Katie Hayes, MJ
I’d like to step away from administrative law for a moment to provide a quick update on Medicaid. With news coming from all sides, what does the future of Medicaid actually look like? The House of Representatives narrowly passed a budget...
I’d like to step away from administrative law for a moment to provide a quick update on Medicaid. With news coming from all sides, what does the future of Medicaid actually look like? The House of Representatives narrowly passed a budget...
I’d like to step away from...
03/12/2025
First Report Managed Care
Behind the Bill
RFK Jr’s Public Comment Ban: The Silent Shift in Health Care Rulemaking
03/05/2025
Katie Hayes, MJ
The erosion of administrative law continues, and with it, the dismantling of decades-long precedent. In June, the Supreme Court overturned a 40-year-old doctrine that allowed federal agencies to interpret their own ambiguous statutes. Later...
The erosion of administrative law continues, and with it, the dismantling of decades-long precedent. In June, the Supreme Court overturned a 40-year-old doctrine that allowed federal agencies to interpret their own ambiguous statutes. Later...
The erosion of administrative...
03/05/2025
First Report Managed Care
Behind the Bill
Prevention Over Pills? The First 2 Weeks of Health Care’s New Direction
02/26/2025
Katie Hayes, MJ
The dust has barely settled from Robert F Kennedy Jr’s confirmation as Secretary of Health and Human Services (HHS), but the changes are already coming fast and furious—a key theme of the Trump Administration’s actions within the last several...
The dust has barely settled from Robert F Kennedy Jr’s confirmation as Secretary of Health and Human Services (HHS), but the changes are already coming fast and furious—a key theme of the Trump Administration’s actions within the last several...
The dust has barely settled from...
02/26/2025
First Report Managed Care
Behind the Bill
The Nondelegation Doctrine: The Next Constitutional Showdown (Part 2)
02/19/2025
Katie Hayes, MJ
Last week, I explored the potential revival of the nondelegation doctrine through Federal Communication Commission v Consumers’ Research. Today, I want to examine what this could mean for health care regulation by considering the parallels...
Last week, I explored the potential revival of the nondelegation doctrine through Federal Communication Commission v Consumers’ Research. Today, I want to examine what this could mean for health care regulation by considering the parallels...
Last week, I explored the...
02/19/2025
First Report Managed Care
Behind the Bill
The Nondelegation Doctrine: The Next Constitutional Showdown (Part 1)
02/12/2025
Katie Hayes, MJ
Just when you thought the dust had settled from the Chevron decision, the Supreme Court is gearing up to hear arguments in Federal Communications Commission v Consumers' Research next month, potentially reviving the long-dormant nondelegation...
Just when you thought the dust had settled from the Chevron decision, the Supreme Court is gearing up to hear arguments in Federal Communications Commission v Consumers' Research next month, potentially reviving the long-dormant nondelegation...
Just when you thought the dust...
02/12/2025
First Report Managed Care
Behind the Bill
No, President Trump Did Not Actually Sign an Executive Order That Would Increase Drug Costs for Beneficiaries
02/05/2025
Katie Hayes, MJ
On inauguration day, President Trump issued an executive order rescinding several Biden-era health care initiatives, including 3 experimental drug pricing models developed by the Center for Medicare and Medicaid Innovation (CMMI). Oh boy did...
On inauguration day, President Trump issued an executive order rescinding several Biden-era health care initiatives, including 3 experimental drug pricing models developed by the Center for Medicare and Medicaid Innovation (CMMI). Oh boy did...
On inauguration day, President...
02/05/2025
First Report Managed Care
Behind the Bill
Robert F. Kennedy Jr’s Confirmation and the Unexpected Turn in the Drug Pricing Debate
01/29/2025
Katie Hayes, MJ
The Plot Thickens in Drug Pricing Drama Just when you thought the drug pricing debate couldn't get more interesting, Robert F. Kennedy Jr adds an unexpected twist. During closed-door Senate meetings, President Trump’s US Department of...
The Plot Thickens in Drug Pricing Drama Just when you thought the drug pricing debate couldn't get more interesting, Robert F. Kennedy Jr adds an unexpected twist. During closed-door Senate meetings, President Trump’s US Department of...
The Plot Thickens in Drug...
01/29/2025
First Report Managed Care

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Interview
An Overview of Vitiligo: Prevalence, Comorbidities, and Available Therapies
05/30/2023
Maria Asimopoulos
Gary Owens, MD, president of Gary Owens Associates, reviews the prevalence and burden associated with vitiligo as well as coverage considerations for a range of treatment options. 
Gary Owens, MD, president of Gary Owens Associates, reviews the prevalence and burden associated with vitiligo as well as coverage considerations for a range of treatment options. 
Gary Owens, MD, president of...
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First Report Managed Care
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Substantial Annual Health Care Costs Associated With Hemophilia A
06/23/2023
Julie Gould
Researchers conducted a comprehensive literature review to investigate the direct and indirect costs associated with hemophilia A.
Researchers conducted a comprehensive literature review to investigate the direct and indirect costs associated with hemophilia A.
Researchers conducted a...
06/23/2023
First Report Managed Care
News
RSV Vaccination in US Older Adults Could Save Up to $1 Billion Per Season
07/24/2023
Jolynn Tumolo
"Our analysis provides contemporary estimates of the population-level RSV disease burden and insights into the economic value drivers for RSV vaccination," said researchers. 
"Our analysis provides contemporary estimates of the population-level RSV disease burden and insights into the economic value drivers for RSV vaccination," said researchers. 
"Our analysis provides...
07/24/2023
First Report Managed Care
News
Hospital-Onset CDI Incidence, Antibiotic Use Drop With Two-Step Testing
08/16/2023
Jolynn Tumolo
The implementation of two-step testing for Clostridioides difficile infection may lead to a decrease in hospital-onset CDI and antibiotic use, suggesting improved diagnostic specificity and indirect reassurance against underdiagnosis and...
The implementation of two-step testing for Clostridioides difficile infection may lead to a decrease in hospital-onset CDI and antibiotic use, suggesting improved diagnostic specificity and indirect reassurance against underdiagnosis and...
The implementation of two-step...
08/16/2023
First Report Managed Care

June 2015 Volume 12 Issue 6

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