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June 2018 - First Report Managed Care

Featured Article

Inside President Trump’s Drug Pricing Policy
07/05/2018
Our experts dig in to the Trump Administration’s blueprint to lower drug prices in order to identify which strategies may be implemented soon and discuss how payers and employers should prepare. 
Our experts dig in to the Trump Administration’s blueprint to lower drug prices in order to identify which strategies may be implemented soon and discuss how payers and employers should prepare. 
Our experts dig in to the Trump...
07/05/2018
First Report Managed Care

Department

Formulary Frontlines®
Understanding Novel Therapies for Acute Migraine
07/05/2018
Richard G Wenzel, PharmD, pharmacologist at the Diamond Headache Inpatient Unit, discusses novel therapies for acute migraines that will soon be FDA-approved and will provide an opportunity to reassess migraine approaches for this...
Richard G Wenzel, PharmD, pharmacologist at the Diamond Headache Inpatient Unit, discusses novel therapies for acute migraines that will soon be FDA-approved and will provide an opportunity to reassess migraine approaches for this...
Richard G Wenzel, PharmD,...
07/05/2018
First Report Managed Care
Conference Insider
Cannabis Cost-Effective for Treatment of Painful Neuropathy
07/05/2018
A poster presented at the AAPM 2018 Annual Meeting found that smoked cannabis is a cost-effective treatment for pain related to diabetic neuropathy when added to second- and third-line treatments.
A poster presented at the AAPM 2018 Annual Meeting found that smoked cannabis is a cost-effective treatment for pain related to diabetic neuropathy when added to second- and third-line treatments.
A poster presented at the AAPM...
07/05/2018
First Report Managed Care
Managed Care Q&A
PBMs Need to Evolve as Specialty Pharmacy Grows
07/05/2018
An interview with Albert Thigpen, president and chief operating officer of CastiaRx.
An interview with Albert Thigpen, president and chief operating officer of CastiaRx.
An interview with Albert...
07/05/2018
First Report Managed Care
Conference Insider
Understanding COPD Diagnosis and Management
07/05/2018
During the NAMCP 2018 Spring Managed Care Forum, Sanjay Sethi, MD, division chief of Pulmonary, Critical Care, and Sleep Medicine at the University of Buffalo, outlined the recent clinical advances in the diagnosis and treatment of COPD.
During the NAMCP 2018 Spring Managed Care Forum, Sanjay Sethi, MD, division chief of Pulmonary, Critical Care, and Sleep Medicine at the University of Buffalo, outlined the recent clinical advances in the diagnosis and treatment of COPD.
During the NAMCP 2018 Spring...
07/05/2018
First Report Managed Care
Conference Insider
Improving MS Outcomes Through Individualized Care
07/05/2018
A presentation at the NAMCP 2018 Spring Managed Care Forum outlined how individualized care can improve multiple sclerosis (MS) outcomes and highlighted how value-based strategies can mitigate costs among these patients.
A presentation at the NAMCP 2018 Spring Managed Care Forum outlined how individualized care can improve multiple sclerosis (MS) outcomes and highlighted how value-based strategies can mitigate costs among these patients.
A presentation at the NAMCP 2018...
07/05/2018
First Report Managed Care
Conference Insider
Improving Decision Making in Individualized HIV Treatment
07/05/2018
Mary Watson Montgomery, MD, of the Brigham and Women’s Hospital at Harvard Medical School, discussed emerging HIV therapies and how health care decision makers can help patients access high quality HIV care at the NAMCP Spring Managed Care...
Mary Watson Montgomery, MD, of the Brigham and Women’s Hospital at Harvard Medical School, discussed emerging HIV therapies and how health care decision makers can help patients access high quality HIV care at the NAMCP Spring Managed Care...
Mary Watson Montgomery, MD, of...
07/05/2018
First Report Managed Care
Conference Insider
Increasing Access and Decreasing Costs With Biosimilars
07/05/2018
During the NAMCP Spring Managed Care Forum 2018, Robert M Rifkin, MD, FACP, medical director of biosimilars at McKesson Specialty Health, The US Oncology Network, explained how biosimilars can add value by increasing access and decreasing...
During the NAMCP Spring Managed Care Forum 2018, Robert M Rifkin, MD, FACP, medical director of biosimilars at McKesson Specialty Health, The US Oncology Network, explained how biosimilars can add value by increasing access and decreasing...
During the NAMCP Spring Managed...
07/05/2018
First Report Managed Care

Column

Viewpoint
Know Your Members: Identifying and Addressing Social Determinants of Health in Low-Income Populations
07/05/2018
According to a report from the Kaiser Family Foundation, social determinants of health are “the structural determinants and conditions in which people are born, grow, live, work, and age.”
According to a report from the Kaiser Family Foundation, social determinants of health are “the structural determinants and conditions in which people are born, grow, live, work, and age.”
According to a report from the...
07/05/2018
First Report Managed Care
Experimenting With Nonmedical Benefits to Improve Outcomes
07/05/2018
What the US health care system does not primarily focus on, is how to maintain and improve the health of individuals through services that are not directly linked to a medical need.
What the US health care system does not primarily focus on, is how to maintain and improve the health of individuals through services that are not directly linked to a medical need.
What the US health care system...
07/05/2018
First Report Managed Care
Acquisitions: Payers Gobble Up Provider Networks
07/05/2018
While the media is focused on the impact of threats to the health care industry from outside forces like Amazon and Walmart, Payers have been quietly buying up huge provider groups from across the country, indicating that the biggest changes...
While the media is focused on the impact of threats to the health care industry from outside forces like Amazon and Walmart, Payers have been quietly buying up huge provider groups from across the country, indicating that the biggest changes...
While the media is focused on...
07/05/2018
First Report Managed Care
FRMC Volume 21, Issue 3

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News
Study Analyzes Health Technology Assessment Decisions for Pain Therapies
06/17/2019
Researchers presented data uncovered during an evaluation of health technology assessment decisions and rationale and found that many new pain therapies are rejected due to lack of demonstrated benefits.
Researchers presented data uncovered during an evaluation of health technology assessment decisions and rationale and found that many new pain therapies are rejected due to lack of demonstrated benefits.
Researchers presented data...
06/17/2019
First Report Managed Care
News
U.S. Rebukes Health Insurers
09/10/2010
09/10/2010
First Report Managed Care
News
Brands Over Generics: Some Formularies Break The Golden Rule
10/26/2017
Some formularies are pushing patients away from cheaper generics in favor of high cost generics. We spoke with some managed care experts to understand why this practice is in place for some insurers.
Some formularies are pushing patients away from cheaper generics in favor of high cost generics. We spoke with some managed care experts to understand why this practice is in place for some insurers.
Some formularies are pushing...
10/26/2017
First Report Managed Care
News
Prepectoral Edema Suggests Malignant Breast Tumor
04/06/2015
Prepectoral edema on magnetic resonance mammography (MRM) strongly suggests the presence of malignant breast tumors.
Prepectoral edema on magnetic resonance mammography (MRM) strongly suggests the presence of malignant breast tumors.
Prepectoral edema on magnetic...
04/06/2015
First Report Managed Care
Conference Insider
What’s Happening at ISPOR 2019?
05/17/2019
During ISPOR 2019, more than 4000 HEOR stakeholders that include policy makers, payers, thought leaders, researchers, decision makers, and representatives will gather in New Orleans to discuss the 2019 conference theme, "Rapid. Disruptive....
During ISPOR 2019, more than 4000 HEOR stakeholders that include policy makers, payers, thought leaders, researchers, decision makers, and representatives will gather in New Orleans to discuss the 2019 conference theme, "Rapid. Disruptive....
During ISPOR 2019, more than...
05/17/2019
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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