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March 2016 - FRMC

Department

Conference Insider
AMCP Managed Care & Specialty Pharmacy Meeting Preview
03/10/2016
The upcoming AMCP Managed Care & Specialty Pharmacy Annual Meeting (April 19-22 at Moscone West in San Francisco, California) will bring together thousands of managed care professionals from pharmacists to formulary decision-makers to...
The upcoming AMCP Managed Care & Specialty Pharmacy Annual Meeting (April 19-22 at Moscone West in San Francisco, California) will bring together thousands of managed care professionals from pharmacists to formulary decision-makers to...
The upcoming AMCP Managed Care &...
03/10/2016
First Report Managed Care
News Connection
Republican Front-Runners Promise to Repeal Obamacare...and Replace It With What?
03/10/2016
"Repeal and replace” is the sound bite synthesis of the Republican stance on health care, with each candidate vying to be the most against the Affordable Care Act (ACA). It is clear what the candidates oppose, however, all the insult-slinging...
"Repeal and replace” is the sound bite synthesis of the Republican stance on health care, with each candidate vying to be the most against the Affordable Care Act (ACA). It is clear what the candidates oppose, however, all the insult-slinging...
"Repeal and replace” is the...
03/10/2016
First Report Managed Care

News

News
Provider-Based Reimbursement Reductions Input Wanted
03/10/2016
Congress passed the BBA Section 603 without input from providers and almost no notice to those that were building new off-campus departments.
Congress passed the BBA Section 603 without input from providers and almost no notice to those that were building new off-campus departments.
Congress passed the BBA Section...
03/10/2016
First Report Managed Care
News
Can Consumers Save on Health Care Bills By Paying Cash?
03/10/2016
Traditional relationships between payers, providers, and patients are compromised by the cost transparency, though some providers prefer to keep cash rates quiet.
Traditional relationships between payers, providers, and patients are compromised by the cost transparency, though some providers prefer to keep cash rates quiet.
Traditional relationships...
03/10/2016
First Report Managed Care
Newsfeed
Reducing Variability and Cutting Cost Through Utilization Metrics and Transparency
03/09/2016
“In the age of value-based purchasing, health care institutions must demonstrate high-quality care to improve overall value to the patients they serve,” said Barbara Strain, MA, CVAHP, director value management, University of Virginia Health...
“In the age of value-based purchasing, health care institutions must demonstrate high-quality care to improve overall value to the patients they serve,” said Barbara Strain, MA, CVAHP, director value management, University of Virginia Health...
“In the age of value-based...
03/09/2016
First Report Managed Care
Department
Treatment for HIV-1 Infection Approved
03/10/2016
The FDA has approved Odefsey for the treatment of HIV-1 infection in certain patients.
The FDA has approved Odefsey for the treatment of HIV-1 infection in certain patients.
The FDA has approved Odefsey for...
03/10/2016
First Report Managed Care
Impact of Opioid Abuse on Managed Care
03/10/2016
With the increase in opioid abuse and opioid-related drug overdoses, the burden on the country’s economy also rises, especially on managed care organizations.
With the increase in opioid abuse and opioid-related drug overdoses, the burden on the country’s economy also rises, especially on managed care organizations.
With the increase in opioid...
03/10/2016
First Report Managed Care
Integrating Physician Leadership into Supply Chain Management to Reduce Costs
03/10/2016
As health care delivery evolves into a value-based model centered on patient outcomes metrics and reducing cost, physician leadership is increasingly required to guide processes needed to successfully achieve these new outcome metrics....
As health care delivery evolves into a value-based model centered on patient outcomes metrics and reducing cost, physician leadership is increasingly required to guide processes needed to successfully achieve these new outcome metrics....
As health care delivery evolves...
03/10/2016
First Report Managed Care
Do Health Care Mergers Allow Payers to Bargain Down Prices Demanded by Large Providers?
03/10/2016
Amidst a whirlwind of merger activity in 2015, the regulatory and legal magnifying glasses have emerged.
Amidst a whirlwind of merger activity in 2015, the regulatory and legal magnifying glasses have emerged.
Amidst a whirlwind of merger...
03/10/2016
First Report Managed Care
Research: 4 out of 5 Patients with Access to Telemedicine Use the Service
03/10/2016
Part one of this two-part series reviews the history, drivers, and regulatory changes that have allowed telemedicine to flourish.
Part one of this two-part series reviews the history, drivers, and regulatory changes that have allowed telemedicine to flourish.
Part one of this two-part series...
03/10/2016
First Report Managed Care
FRMC Volume 21, Issue 3

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News
Analysis Shows Patient-Centered Benefit Models Lower Costs
03/10/2016
Patient-centered benefit models are beneficial for health care reform because they can lower health care costs and improve delivery.
Patient-centered benefit models are beneficial for health care reform because they can lower health care costs and improve delivery.
Patient-centered benefit models...
03/10/2016
First Report Managed Care
Conference Coverage
Medicaid Expansion Linked to Early Breast Cancer Treatment, Survival Among Young Adult Women
06/02/2023
A new study showed Medicaid expansion in the United States was associated with increased receipt of timely, guideline-concordant breast cancer treatment and improved survival for young adult women.
A new study showed Medicaid expansion in the United States was associated with increased receipt of timely, guideline-concordant breast cancer treatment and improved survival for young adult women.
A new study showed Medicaid...
06/02/2023
First Report Managed Care
Feature
Depression and Diabetes in Women: A Bidirectional Association
03/21/2011
More than 10% of the adults in the United States have diabetes; in those aged ≥60 years of age, the prevalence is 23%. Approximately 14.8 million Americans aged ≥18 years are affected by major depressive disorder (MDD) in a given year. The...
More than 10% of the adults in the United States have diabetes; in those aged ≥60 years of age, the prevalence is 23%. Approximately 14.8 million Americans aged ≥18 years are affected by major depressive disorder (MDD) in a given year. The...
More than 10% of the adults in...
03/21/2011
First Report Managed Care
News
Teva CEO sees benefit from Obama health reforms
03/06/2011
03/06/2011
First Report Managed Care
Pharmacy Insight
Expanding Awareness: The Serious Health Consequences of Undiagnosed Obstructive Sleep Apnea
06/22/2020
“As health care professionals, we can increase knowledge about the dangers of undiagnosed and untreated OSA and in turn enable patients to make informed decisions about their health...," said Yvette C Terrie, RPh, Consultant Pharmacist
“As health care professionals, we can increase knowledge about the dangers of undiagnosed and untreated OSA and in turn enable patients to make informed decisions about their health...," said Yvette C Terrie, RPh, Consultant Pharmacist
“As health care professionals,...
06/22/2020
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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