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March 2018 - FRMC

Featured Article

Managed Care Innovator: Jane Lutz - Part 2
03/16/2018

Dean Celia

Dean Celia
First Report Managed Care spoke with Jane Lutz, PBMI’s executive director, about the recent merging of large PBMs with payers, like Express Scripts and Cigna, and how these changes will impact managed care.
First Report Managed Care spoke with Jane Lutz, PBMI’s executive director, about the recent merging of large PBMs with payers, like Express Scripts and Cigna, and how these changes will impact managed care.
First Report Managed Care spoke...
03/16/2018
First Report Managed Care
Managed Care Innovator: Jane Lutz - Part 1
03/16/2018

Dean Celia

Dean Celia
Jane Lutz, executive director of PBMI, draws her on organization’s independent research to reveal what stakeholders expect of pharmacy benefits managers, how transparency (or lack thereof) factors in, and where PBMs need to step up.
Jane Lutz, executive director of PBMI, draws her on organization’s independent research to reveal what stakeholders expect of pharmacy benefits managers, how transparency (or lack thereof) factors in, and where PBMs need to step up.
Jane Lutz, executive director of...
03/16/2018
First Report Managed Care

Department

News Connection
TAVR Improves Quality of Life Compared With Surgery
04/04/2018
A study in Age and Ageing found that patients who receive the minimally invasive procedure transcatheter aortic valve replacement (TAVR) had improved quality of life compared with patients who underwent surgery.
A study in Age and Ageing found that patients who receive the minimally invasive procedure transcatheter aortic valve replacement (TAVR) had improved quality of life compared with patients who underwent surgery.
A study in Age and Ageing found...
04/04/2018
First Report Managed Care
Formulary Frontlines®
Severe Asthma: New Biologics Improve Standard of Care, Increase Costs
03/12/2018

David Costill

David Costill
Recent advances in the ability to treat moderate to severe asthma with targeted therapies may change the game for these patients. However, cost considerations could significantly impact budgets as these new agents come to the market. 
Recent advances in the ability to treat moderate to severe asthma with targeted therapies may change the game for these patients. However, cost considerations could significantly impact budgets as these new agents come to the market. 
Recent advances in the ability...
03/12/2018
First Report Managed Care
Conference Insider
High Rates of Skin Disease Readmission Represent Significant Cost Burden
03/04/2018
Recent research presented at the AAD 2018 Annual Meeting found that rates of readmission for skin disease are increasing and represent a massive financial burden for the United States health care system.
Recent research presented at the AAD 2018 Annual Meeting found that rates of readmission for skin disease are increasing and represent a massive financial burden for the United States health care system.
Recent research presented at the...
03/04/2018
First Report Managed Care

News

News
The Impact of New Medicaid Work Requirements
03/09/2018

Mary Beth Nierengarten

Mary Beth Nierengarten
CMS recently announced its new policy guidance for states that wish to apply for a waiver to make Medicaid eligibility contingent on work or community engagement.
CMS recently announced its new policy guidance for states that wish to apply for a waiver to make Medicaid eligibility contingent on work or community engagement.
CMS recently announced its new...
03/09/2018
First Report Managed Care
News
Managed Care Update: Amazon, Berkshire, JPMorgan Deal Could Completely Change Health Care
02/01/2018

David Costill

David Costill
First Report Managed Care spoke with managed care experts about how the Amazon, Berkshire, JPMorgan venture will likely take shape.
First Report Managed Care spoke with managed care experts about how the Amazon, Berkshire, JPMorgan venture will likely take shape.
First Report Managed Care spoke...
02/01/2018
First Report Managed Care
Generics for HIV: Complex Barriers Impede the Uptake
03/06/2018

Jill Sederstrom

Jill Sederstrom
A number of barriers are keeping patients from gaining access to cheaper, generic versions of HIV treatment medications.
A number of barriers are keeping patients from gaining access to cheaper, generic versions of HIV treatment medications.
A number of barriers are keeping...
03/06/2018
First Report Managed Care

Column

Viewpoint
How Integrated Communication Platforms Can Drive Value for Payers
03/02/2018

Lee Horner, CEO of Synzi

Lee Horner, CEO of Synzi
Lee Horner explains how payers can invest in technology solutions that return investment and result in long-term gains. 
Lee Horner explains how payers can invest in technology solutions that return investment and result in long-term gains. 
Lee Horner explains how payers...
03/02/2018
First Report Managed Care

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FRMC Volume 21, Issue 2

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Abuse and Misuse of Opioid Medications
09/19/2013

Tim Casey

Tim Casey
Opioid medications have been proven effective in treating chronic pain; however, they are also associated with misuse, abuse, and diversion. 
Opioid medications have been proven effective in treating chronic pain; however, they are also associated with misuse, abuse, and diversion. 
Opioid medications have been...
09/19/2013
First Report Managed Care
News
Melanoma Drugs Show Some Success
06/21/2011
06/21/2011
First Report Managed Care
News
Changes in Appearance of Medicine Effects Patient Adherence
07/15/2014
A recent study found that individuals are more likely to stop taking their medication after a heart attack if the appearance of their medication changes without explanation [Ann Intern Med. 2014;161(2):96-103]. Aaron S. Kesselheim, MD, JD,...
A recent study found that individuals are more likely to stop taking their medication after a heart attack if the appearance of their medication changes without explanation [Ann Intern Med. 2014;161(2):96-103]. Aaron S. Kesselheim, MD, JD,...
A recent study found that...
07/15/2014
First Report Managed Care
News
New FDA Commissioner Confirmed by Senate
05/10/2017
On Tuesday, the US Senate confirmed Scott Gottlieb, MD, to head the US Food and Drug Administration.
On Tuesday, the US Senate confirmed Scott Gottlieb, MD, to head the US Food and Drug Administration.
On Tuesday, the US Senate...
05/10/2017
First Report Managed Care
Asaf Kleinbort, CEO and co-founder of Medorion
Commentary
Behavior Focused Care: The Next Frontier
08/11/2021

Asaf Kleinbort, CEO and cofounder, Medorion

Asaf Kleinbort, CEO and cofounder, Me...
“The next frontier in public health will be scalable personalized communication, and it will seismically change the interactions between payer, provider, and health care recipient,” says Asaf Kleinbort, CEO and cofounder, Medorion.
“The next frontier in public health will be scalable personalized communication, and it will seismically change the interactions between payer, provider, and health care recipient,” says Asaf Kleinbort, CEO and cofounder, Medorion.
“The next frontier in public...
08/11/2021
Integrated Healthcare Executive

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
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
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
Videos
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
Videos
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
Videos
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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