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May 2012 - FRMC

Trends in Managed Care Pharmacy
05/24/2012

Tori Socha

Tori Socha
San Francisco—Over the past year, there has been a slowing in the rate of growth of expenditures for drugs. At a Contemporary Issues session at the AMCP meeting, Douglas Long, MBA, vice president, industry relations, at IMS Health, Inc.,...
San Francisco—Over the past year, there has been a slowing in the rate of growth of expenditures for drugs. At a Contemporary Issues session at the AMCP meeting, Douglas Long, MBA, vice president, industry relations, at IMS Health, Inc.,...
San Francisco—Over the past...
05/24/2012
First Report Managed Care
Time to Initiation of DMARDs among Patients with RA
05/24/2012

Kevin L. Carter

Kevin L. Carter
San Francisco—Rheumatoid arthritis (RA) is a chronic, inflammatory disorder characterized by pain, progressive disability due to inflammation, and joint destruction. Patients with RA often face daunting economic and comorbid burdens. Most...
San Francisco—Rheumatoid arthritis (RA) is a chronic, inflammatory disorder characterized by pain, progressive disability due to inflammation, and joint destruction. Patients with RA often face daunting economic and comorbid burdens. Most...
San Francisco—Rheumatoid...
05/24/2012
First Report Managed Care
Comparative Effectiveness Research by States
05/24/2012

Kevin L. Carter

Kevin L. Carter
San Francisco—Jenny Gaffney, a senior manager with Avalere Health in Washington, said at the AMCP meeting that over the past few years comparative effectiveness research (CER) has been utilized increasingly by states looking to improve the...
San Francisco—Jenny Gaffney, a senior manager with Avalere Health in Washington, said at the AMCP meeting that over the past few years comparative effectiveness research (CER) has been utilized increasingly by states looking to improve the...
San Francisco—Jenny Gaffney, a...
05/24/2012
First Report Managed Care
eDossiers Part of the Evolution Demanding Evidence-Based P&T
05/24/2012

Mary Mihalovic

Mary Mihalovic
San Francisco—Pharmacy and Therapeutics (P&T) committees have evolved considerably with the demand for evidence-based decisions, according to information presented by Chryss MacGowan, RPh, director, pharmacy services managed care, Denver...
San Francisco—Pharmacy and Therapeutics (P&T) committees have evolved considerably with the demand for evidence-based decisions, according to information presented by Chryss MacGowan, RPh, director, pharmacy services managed care, Denver...
San Francisco—Pharmacy and...
05/24/2012
First Report Managed Care
Inside Look at a Joint-Owned Specialty Pharmacy
05/24/2012

Jill Sederstrom

Jill Sederstrom
San Francisco—A specialty pharmacy jointly owned by a regional health plan and an outside entity can be a successful partnership with high satisfaction, but the risk and operational implications associated with the venture should also be...
San Francisco—A specialty pharmacy jointly owned by a regional health plan and an outside entity can be a successful partnership with high satisfaction, but the risk and operational implications associated with the venture should also be...
San Francisco—A specialty...
05/24/2012
First Report Managed Care
Use of Pens versus Vials for Insulin Delivery
05/24/2012

Tori Socha

Tori Socha
San Francisco—It is estimated that diabetes affects 7.5% to 7.9% of Americans and the estimated annual economic burden of type 2 diabetes in the United States is $159.5 billion. Patient outcomes are affected by various factors, including the...
San Francisco—It is estimated that diabetes affects 7.5% to 7.9% of Americans and the estimated annual economic burden of type 2 diabetes in the United States is $159.5 billion. Patient outcomes are affected by various factors, including the...
San Francisco—It is estimated...
05/24/2012
First Report Managed Care
Development of Electronic Prior Authorization Has Reached an Inflection Point
05/24/2012

Kevin L. Carter

Kevin L. Carter
San Francisco—“With the possibility of radical changes in the way pharmacy benefits are administered and delivered, the development of electronic prior authorization (ePA) has reached an inflection point, and the industry needs to work...
San Francisco—“With the possibility of radical changes in the way pharmacy benefits are administered and delivered, the development of electronic prior authorization (ePA) has reached an inflection point, and the industry needs to work...
San Francisco—“With the...
05/24/2012
First Report Managed Care
Challenges for Medicaid as Membership Volume Swells
05/24/2012

Mary Mihalovic

Mary Mihalovic
San Francisco—The passing of the Patient Protection and Affordable Care Act (ACA) is presenting increasing challenges for managed Medicaid programs, which have already experienced steady growth decade by decade, according to information...
San Francisco—The passing of the Patient Protection and Affordable Care Act (ACA) is presenting increasing challenges for managed Medicaid programs, which have already experienced steady growth decade by decade, according to information...
San Francisco—The passing of the...
05/24/2012
First Report Managed Care
Management Strategies for Febuxostat as Chronic Therapy for Gout
05/24/2012

Kevin L. Carter

Kevin L. Carter
San Francisco—Gout affects as many as 5 million people in the United States and is the most common cause of inflammatory arthritis for men >40 years of age in the US. Traditionally, the goals of treatment for this condition have been to...
San Francisco—Gout affects as many as 5 million people in the United States and is the most common cause of inflammatory arthritis for men >40 years of age in the US. Traditionally, the goals of treatment for this condition have been to...
San Francisco—Gout affects as...
05/24/2012
First Report Managed Care

News

News
Nonadherence in MS Medications Associated with Age, Hospitalization History, and Copayments
05/24/2012

Jill Sederstrom

Jill Sederstrom
San Francisco—A retrospective study of patients with multiple sclerosis (MS) found that nonadherence to disease-modifying drugs (DMDs) was associated with younger age, a history of a hospitalization or emergency department (ED) visits, and...
San Francisco—A retrospective study of patients with multiple sclerosis (MS) found that nonadherence to disease-modifying drugs (DMDs) was associated with younger age, a history of a hospitalization or emergency department (ED) visits, and...
San Francisco—A retrospective...
05/24/2012
First Report Managed Care

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Understanding the Link Between bDMARD Initiation, Switching With Mood Disorders
10/02/2020
Researchers found a positive association between the use of antidepressant and anxiolytic medication with both the introduction and switching of bDMARDs.
Researchers found a positive association between the use of antidepressant and anxiolytic medication with both the introduction and switching of bDMARDs.
Researchers found a positive...
10/02/2020
First Report Managed Care
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Medicare wants pharmacists out of Plan D decision-making process
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First Report Managed Care
News Connection
Travel, Wait Times Cost $89 Billion Annually for Health Care Service
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According to survey data from the Bureau of Labor Statistics’ American Wait Time Use Survey, spanning 2006 through 2017, travel and wait times were highest for health care services, ranked above legal services, personal care, vehicular...
According to survey data from the Bureau of Labor Statistics’ American Wait Time Use Survey, spanning 2006 through 2017, travel and wait times were highest for health care services, ranked above legal services, personal care, vehicular...
According to survey data from...
03/20/2019
First Report Managed Care
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Even When Employed, Health Care A Challenge
02/23/2012
02/23/2012
First Report Managed Care
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Limited HIV Resources Best Invested in Community-Based Prevention Education
10/16/2015
Researchers suggest that funds for HIV treatment and prevention should focus first on effective, inexpensive community-based education for HIV prevention efforts.
Researchers suggest that funds for HIV treatment and prevention should focus first on effective, inexpensive community-based education for HIV prevention efforts.
Researchers suggest that funds...
10/16/2015
First Report Managed Care

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Evolving Health Care Contact Centers Into Drivers of Value-Based Care
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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
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Enhancing Patient Medication Adherence: Insights and Strategies From Asembia 2024
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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
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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
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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
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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
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Personalizing Weight Loss Management With GLP-1 Agonists
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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
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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
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Integrating Behavioral Health Services to Reduce ED Visits: Suicide Prevention and Preemptive Primary Care
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Featuring Tom Zaubler, MD, MPH, CMO at NeuroFlow

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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...
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First Report Managed Care
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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
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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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