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May 2012 - FRMC

Reducing Fraud, Waste, and Abuse in Small Health Insurance Plans
05/24/2012
San Francisco—Efforts to reduce fraud, waste, and abuse (FWA) in the US healthcare system are getting a boost from the federal government under the Patient Protection and Affordable Care Act that is allotting $350 million over the next 10...
San Francisco—Efforts to reduce fraud, waste, and abuse (FWA) in the US healthcare system are getting a boost from the federal government under the Patient Protection and Affordable Care Act that is allotting $350 million over the next 10...
San Francisco—Efforts to reduce...
05/24/2012
First Report Managed Care
Trends in Specialty Pharmacy Management
05/24/2012
San Francisco—Building on the knowledge base from earlier editions, the eighth annual edition of the EMD Serono Specialty Digest™ has been released.
San Francisco—Building on the knowledge base from earlier editions, the eighth annual edition of the EMD Serono Specialty Digest™ has been released.
San Francisco—Building on the...
05/24/2012
First Report Managed Care
Antiretroviral Drugs Help HIV-infected Patients to Maintain Work Productivity
05/24/2012
San Francisco—Employees with human immunodeficiency virus (HIV) incur considerably higher healthcare costs than non-HIV employees, but absenteeism costs do not drive the cost difference. Among the antiretroviral (ARV) drugs used to treat HIV,...
San Francisco—Employees with human immunodeficiency virus (HIV) incur considerably higher healthcare costs than non-HIV employees, but absenteeism costs do not drive the cost difference. Among the antiretroviral (ARV) drugs used to treat HIV,...
San Francisco—Employees with...
05/24/2012
First Report Managed Care
High-Cost Patients with Diabetes Incur Higher Annual Healthcare Costs
05/24/2012
San Francisco—Results of a new study show that patients with type 2 diabetes, who are considered high cost, accrue more than $50,000 on average in total healthcare costs each year compared to patients with type 2 diabetes who are considered...
San Francisco—Results of a new study show that patients with type 2 diabetes, who are considered high cost, accrue more than $50,000 on average in total healthcare costs each year compared to patients with type 2 diabetes who are considered...
San Francisco—Results of a new...
05/24/2012
First Report Managed Care
Fixed Dose Combination Therapy and Best Adherence in Patients with Hypertension
05/24/2012
San Francisco—An analysis of medical and pharmacy claims from a health plan found that patients with hypertension who took fixed dose combinations had better adherence rates compared with patients who took loose dose combination therapy. The...
San Francisco—An analysis of medical and pharmacy claims from a health plan found that patients with hypertension who took fixed dose combinations had better adherence rates compared with patients who took loose dose combination therapy. The...
San Francisco—An analysis of...
05/24/2012
First Report Managed Care
Options to Treat Gout and Increase Medication Adherence
05/24/2012
San Francisco—According to an article in Arthritis & Rheumatism [2008;58(1):26-35], as many as 3 million people in the United States self-reported having gout in 2008. Another study, published online in Arthritis & Rheumatism on July 28,...
San Francisco—According to an article in Arthritis & Rheumatism [2008;58(1):26-35], as many as 3 million people in the United States self-reported having gout in 2008. Another study, published online in Arthritis & Rheumatism on July 28,...
San Francisco—According to an...
05/24/2012
First Report Managed Care
Update on Medicare Part D Star Ratings
05/24/2012
San Francisco—In 2012, Medicare Advantage plans will receive bonus payments based on the quality of care they deliver. As part of the Patient Protection and Affordable Care Act, the Centers for Medicare & Medicaid Services implemented a...
San Francisco—In 2012, Medicare Advantage plans will receive bonus payments based on the quality of care they deliver. As part of the Patient Protection and Affordable Care Act, the Centers for Medicare & Medicaid Services implemented a...
San Francisco—In 2012, Medicare...
05/24/2012
First Report Managed Care
Low Adherence and Persistence for Migraine Prophylactics
05/24/2012
San Francisco—A literature review of studies examining adherence habits for migraine patients taking prophylactic medications found that there was low adherence and persistence for those taking propranolol, amitriptyline, and topiramate. The...
San Francisco—A literature review of studies examining adherence habits for migraine patients taking prophylactic medications found that there was low adherence and persistence for those taking propranolol, amitriptyline, and topiramate. The...
San Francisco—A literature...
05/24/2012
First Report Managed Care

Department

Conference Insider
Atypical Antipsychotics in Adolescents with ADHD
05/24/2012
San Francisco – A pharmacoeconomic analysis presented in a poster session during the AMCP meeting concluded that atypical antipsychotics (AAPs) used as a switch from, or augmentation of, stimulant therapy for attention-deficit/hyperactivity...
San Francisco – A pharmacoeconomic analysis presented in a poster session during the AMCP meeting concluded that atypical antipsychotics (AAPs) used as a switch from, or augmentation of, stimulant therapy for attention-deficit/hyperactivity...
San Francisco – A...
05/24/2012
First Report Managed Care

News

News
Multiple Sclerosis and Managed Care Pharmacy
05/24/2012
San Francisco—With the costs associated with multiple sclerosis (MS) rising, health plans are having a difficult time managing the disease. Many plans are placing more of the financial burden on patients, which has led to decreased medication...
San Francisco—With the costs associated with multiple sclerosis (MS) rising, health plans are having a difficult time managing the disease. Many plans are placing more of the financial burden on patients, which has led to decreased medication...
San Francisco—With the costs...
05/24/2012
First Report Managed Care

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FRMC Volume 21, Issue 3

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Conference Insider
New Links in the Risk for Alzheimer’s Disease
01/20/2015
The search for an effective treatment for Alzheimer’s disease (AD) has been elusive. While beta-amyloid and phosphorylated tau protein have been research targets, the positive results of early trials have not been validated.
The search for an effective treatment for Alzheimer’s disease (AD) has been elusive. While beta-amyloid and phosphorylated tau protein have been research targets, the positive results of early trials have not been validated.
The search for an effective...
01/20/2015
First Report Managed Care
News
Rep. Ellmers wants health IT push to focus on errors
08/15/2011
08/15/2011
First Report Managed Care
News
Diabetes Training Programs are Underused
12/02/2014
Newly diagnosed diabetics generally don't take advantage of educational programs that could help them manage their disease.
Newly diagnosed diabetics generally don't take advantage of educational programs that could help them manage their disease.
Newly diagnosed diabetics...
12/02/2014
First Report Managed Care
News
Mental Health Management Housing Program Cuts Hospital Costs
12/15/2017
A program that granted homeless patients housing has reduced hospital health care spending and improved mental health outcomes.
A program that granted homeless patients housing has reduced hospital health care spending and improved mental health outcomes.
A program that granted homeless...
12/15/2017
First Report Managed Care
Risks of In-Hospital Worsening Heart Failure
12/15/2014
The results of a recent study found that in-hospital worsening heart failure was common and associated with higher rates of mortality, all-cause readmission, and Medicare payments.
The results of a recent study found that in-hospital worsening heart failure was common and associated with higher rates of mortality, all-cause readmission, and Medicare payments.
The results of a recent study...
12/15/2014
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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