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May 2012 - FRMC

Reducing Fraud, Waste, and Abuse in Small Health Insurance Plans
05/24/2012

Mary Beth Nierengarten

Mary Beth Nierengarten
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

Tori Socha

Tori Socha
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

Mary Beth Nierengarten

Mary Beth Nierengarten
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

Mary Beth Nierengarten

Mary Beth Nierengarten
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

Tim Casey

Tim Casey
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

Tim Casey

Tim Casey
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

Tim Casey

Tim Casey
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

Jill Sederstrom

Jill Sederstrom
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

Kristina Woodworth

Kristina Woodworth
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

Tim Casey

Tim Casey
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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Cigna Reports Cost Savings Associated With Fusing Medical, Drug, and Behavioral Benefits
01/07/2020
"Our integrated approach maximizes every opportunity to deliver a health care experience that is affordable, predictable and simple," said Matt Totterdale, senior vice president, Cigna Pharmacy.
"Our integrated approach maximizes every opportunity to deliver a health care experience that is affordable, predictable and simple," said Matt Totterdale, senior vice president, Cigna Pharmacy.
"Our integrated approach...
01/07/2020
First Report Managed Care
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Foes of new health system more likely to vote Nov. 2
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First Report Managed Care
Conference Insider
New Shingles Vaccine Cost-Effective, Cost-Saving Compared With Zostavax
05/31/2018
Research presented at the AMCP 2018 Annual Meeting found that Shingrix (non-live adjuvanted subunit vaccine; GlaxosmithKline) is cost-effective when compared with no vaccination and cost-saving compared with an older shingles vaccine.
Research presented at the AMCP 2018 Annual Meeting found that Shingrix (non-live adjuvanted subunit vaccine; GlaxosmithKline) is cost-effective when compared with no vaccination and cost-saving compared with an older shingles vaccine.
Research presented at the AMCP...
05/31/2018
First Report Managed Care
News
Jentadueto Approved for Type 2 Diabetes
01/31/2012
The US Food and Drug Administration (FDA) announced on Monday that it had approved Jentadueto (linagliptin/metformin hydrochloride), an oral combination therapy to treat patients with type 2 diabetes. The drug is co-marketed by Boehringer...
The US Food and Drug Administration (FDA) announced on Monday that it had approved Jentadueto (linagliptin/metformin hydrochloride), an oral combination therapy to treat patients with type 2 diabetes. The drug is co-marketed by Boehringer...
The US Food and Drug...
01/31/2012
First Report Managed Care
News
Value-Based Contracting Showing Greater Value for Care Provided, Innovative Opportunities
07/13/2015
San Diego—Value-based contracting is demonstrating greater value for care provided, while innovative contracting opportunities are expected to increase in the future, according to a session at the AMCP meeting that included both payer and...
San Diego—Value-based contracting is demonstrating greater value for care provided, while innovative contracting opportunities are expected to increase in the future, according to a session at the AMCP meeting that included both payer and...
San Diego—Value-based...
07/13/2015
First Report Managed Care

Video Insights

Hayward
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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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