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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 4

Current Issue

October/November/December Volume 21, Issue 4, First Report Managed Care
Current Issue
Issue Archive

What's Trending?

News
FDA Decision on Highly Anticipated DMD Drug Delayed
05/27/2016
The U.S. Food and Drug Administration deferred a highly anticipated decision on whether to approve Sarepta Therapeutics Inc's muscle-wasting disorder drug, a month after an advisory panel determined that the treatment was not effective.
The U.S. Food and Drug Administration deferred a highly anticipated decision on whether to approve Sarepta Therapeutics Inc's muscle-wasting disorder drug, a month after an advisory panel determined that the treatment was not effective.
The U.S. Food and Drug...
05/27/2016
First Report Managed Care
News
More Medicare Beneficiaries Switching to Medicare Advantage
01/23/2023
Using data from the Centers for Medicare & Medicaid Services, researchers examined trends in the number of beneficiaries switching between Medicare and Medicare Advantage plans from 2014 to 2020.
Using data from the Centers for Medicare & Medicaid Services, researchers examined trends in the number of beneficiaries switching between Medicare and Medicare Advantage plans from 2014 to 2020.
Using data from the Centers for...
01/23/2023
First Report Managed Care
Prevention of COPD with Tiotropium or Salmeterol
08/23/2011
Patients with exacerbations of chronic obstructive pulmonary disease (COPD) may be experiencing instability or worsening of their disease. Worldwide, COPD is the leading cause of disability and death, and exacerbations have been associated...
Patients with exacerbations of chronic obstructive pulmonary disease (COPD) may be experiencing instability or worsening of their disease. Worldwide, COPD is the leading cause of disability and death, and exacerbations have been associated...
Patients with exacerbations of...
08/23/2011
First Report Managed Care
News
California lawsuit accuses Bristol-Myers Squibb of fraud, kickbacks
03/28/2011
03/28/2011
First Report Managed Care
News
Checks In The Mail: Millions Expected To Receive Insurance Rebates Totaling $1.3 Billion
04/26/2012
04/26/2012
First Report Managed Care

Video Insights

Formoso Headshot
Videos
Minimally Invasive Solutions for Lumbar Disc Herniation
01/07/2025
In this interview, Ferdinand Formoso, DO, discusses the role of condoliase as a minimally invasive treatment for lumbar disc herniation, its safety profile, potential areas for further research, and its ability to address unmet needs in spine...
In this interview, Ferdinand Formoso, DO, discusses the role of condoliase as a minimally invasive treatment for lumbar disc herniation, its safety profile, potential areas for further research, and its ability to address unmet needs in spine...
In this interview, Ferdinand...
01/07/2025
First Report Managed Care
Kolodziej Headshot
Videos
Navigating Biosimilar Adoption: Lessons from Global Markets and Clinical Practices
12/20/2024
In this interview, Michael Kolodziej, MD, discusses strategies for enhancing biosimilar adoption in the US, emphasizing lessons from global markets, the importance of payer flexibility, and the need for collaboration to reduce costs and...
In this interview, Michael Kolodziej, MD, discusses strategies for enhancing biosimilar adoption in the US, emphasizing lessons from global markets, the importance of payer flexibility, and the need for collaboration to reduce costs and...
In this interview, Michael...
12/20/2024
First Report Managed Care
Mike Kolodziej, MD
Videos
Exploring Biosimilar Adoption and Policy Impacts in Oncology
12/18/2024
In this interview, Michael Kolodziej, MD, discusses the role of biosimilars in value-based care models, their relationship with targeted therapies, and the impact of policy changes and market trends on biosimilar adoption and cost...
In this interview, Michael Kolodziej, MD, discusses the role of biosimilars in value-based care models, their relationship with targeted therapies, and the impact of policy changes and market trends on biosimilar adoption and cost...
In this interview, Michael...
12/18/2024
First Report Managed Care
Hennessy Headshot
Videos
Navigating Biosimilar Integration: Cost Savings, Coverage, and Future Strategies for Payers
12/10/2024
John Hennessy, MBA, discusses the complexities of biosimilar adoption, highlighting potential cost savings, payer strategies, challenges in provider and patient acceptance, regulatory impacts, and the critical need for sustainable market...
John Hennessy, MBA, discusses the complexities of biosimilar adoption, highlighting potential cost savings, payer strategies, challenges in provider and patient acceptance, regulatory impacts, and the critical need for sustainable market...
John Hennessy, MBA, discusses...
12/10/2024
First Report Managed Care
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

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