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May 2015 - FRMC

CMRs May Reduce Hospitalizations and Pharmacy Costs
06/10/2015

Eileen Koutnik-Fotopoulos

Eileen Koutnik-Fotopoulos
Data has shown that medication therapy management (MTM) can improve patient outcomes. MTMs can be deployed by several av- enues including internal teams at health plans, retail pharmacy, and third-party MTM companies.
Data has shown that medication therapy management (MTM) can improve patient outcomes. MTMs can be deployed by several av- enues including internal teams at health plans, retail pharmacy, and third-party MTM companies.
Data has shown that medication...
06/10/2015
First Report Managed Care
New Versus Old Injectable Antipsychotics for Schizophrenia
06/10/2015

Eileen Koutnik-Fotopoulos

Eileen Koutnik-Fotopoulos
Long-acting injectable (LAI) antipsychotics are highly effective in the management of schizophrenia and associated with a number of potential advantages over oral antipsychotics. First-generation LAIs (LA1s) have been available for more than...
Long-acting injectable (LAI) antipsychotics are highly effective in the management of schizophrenia and associated with a number of potential advantages over oral antipsychotics. First-generation LAIs (LA1s) have been available for more than...
Long-acting injectable (LAI)...
06/10/2015
First Report Managed Care
Cost-Effectiveness of 6 Therapies for RRMS
06/10/2015

Eileen Koutnik-Fotopoulos

Eileen Koutnik-Fotopoulos
Multiple sclerosis is an unpredictable, disabling disease with no known cure. Several disease-modifying treatments exist to reduce disease activity and progression.
Multiple sclerosis is an unpredictable, disabling disease with no known cure. Several disease-modifying treatments exist to reduce disease activity and progression.
Multiple sclerosis is an...
06/10/2015
First Report Managed Care
Study Finds Injectable versus Infusion Biologics Less Costly
06/10/2015

Jill Sederstrom

Jill Sederstrom
Autoimmune disorder patients taking injectable biologics had lower average monthly drug costs compared to patients taking infusion biologics, according to the results of a new study.
Autoimmune disorder patients taking injectable biologics had lower average monthly drug costs compared to patients taking infusion biologics, according to the results of a new study.
Autoimmune disorder patients...
06/10/2015
First Report Managed Care
Potential New Cystic Fibrosis Treatment Could Raise Costs
06/10/2015

Jill Sederstrom

Jill Sederstrom
New drugs on the horizon for cystic fibrosis (CF) could result in better patient outcomes, but will likely come at a higher cost, according to a poster session at AMCP titled Cystic Fibrosis Prevalence and Total Cost of Care in a Commercially...
New drugs on the horizon for cystic fibrosis (CF) could result in better patient outcomes, but will likely come at a higher cost, according to a poster session at AMCP titled Cystic Fibrosis Prevalence and Total Cost of Care in a Commercially...
New drugs on the horizon for...
06/10/2015
First Report Managed Care

Department

Conference Insider
Clinical Prior Authorization Edit Curbs Costs for ADD/ADHD Population in Fee-For-Service Arrangements
06/10/2015

Jill Sederstrom

Jill Sederstrom
A new study examining the impact of a recently implemented clinical prior authorization edit for attention deficit disorder (ADD) and attention deficit/hyperactivity disorder (ADHD) found that the edit costs increased at a significantly lower...
A new study examining the impact of a recently implemented clinical prior authorization edit for attention deficit disorder (ADD) and attention deficit/hyperactivity disorder (ADHD) found that the edit costs increased at a significantly lower...
A new study examining the impact...
06/10/2015
First Report Managed Care
Conference Insider
Treating Patients with Relapsing MS
06/10/2015

Melissa D. Cooper

Melissa D. Cooper
Multiple sclerosis (MS) is an autoimmune disease in which the immune system attacks the protective layer around nerves. During a science and innovation theater at AMCP, Lilly Jung Henson, MD, MMM, FAAN, director of the neurology clinic, Swed-...
Multiple sclerosis (MS) is an autoimmune disease in which the immune system attacks the protective layer around nerves. During a science and innovation theater at AMCP, Lilly Jung Henson, MD, MMM, FAAN, director of the neurology clinic, Swed-...
Multiple sclerosis (MS) is an...
06/10/2015
First Report Managed Care
Conference Insider
Obstacles in the Pursuit of Optimal Hyperkalemia Management
06/10/2015

Melissa D. Cooper

Melissa D. Cooper
Hyperkalemia is a condition in which potassium levels in the blood are elevated due to decreased kidney function. This condition is extremely common among Medicare-aged patients with chronic kidney disease (CKD) and heart failure (HF).
Hyperkalemia is a condition in which potassium levels in the blood are elevated due to decreased kidney function. This condition is extremely common among Medicare-aged patients with chronic kidney disease (CKD) and heart failure (HF).
Hyperkalemia is a condition in...
06/10/2015
First Report Managed Care
Conference Insider
Targeting Very High Triglycerides in At-Risk Patients
06/10/2015

Eileen Koutnik-Fotopoulos

Eileen Koutnik-Fotopoulos
Hypertriglyceridemia is elevated triglyceride concentration in the blood caused by genetics, obesity, medications, and acute alcohol use with fatty liver disease.
Hypertriglyceridemia is elevated triglyceride concentration in the blood caused by genetics, obesity, medications, and acute alcohol use with fatty liver disease.
Hypertriglyceridemia is elevated...
06/10/2015
First Report Managed Care

News

News
Managing Heart Failure
06/10/2015

Eileen Koutnik-Fotopoulos

Eileen Koutnik-Fotopoulos
Heart failure (HF) is the leading cause of rehospitalization in both men and women on Medicare and the underlying cause of >58,000 US deaths in 2011, according to the Centers for Disease Control and Prevention.
Heart failure (HF) is the leading cause of rehospitalization in both men and women on Medicare and the underlying cause of >58,000 US deaths in 2011, according to the Centers for Disease Control and Prevention.
Heart failure (HF) is the...
06/10/2015
First Report Managed Care

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FRMC Volume 21, Issue 2

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June 2024
Volume 21
Issue 2
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Shortened Hospital Stay With Standardized Order Set
09/14/2018
Compared with usual care, care provided under an electronic health system-based standardized order set was associated with a 31% lower steroid dose and a 1.1-day shorter length of stay in the hospital, with no effect on readmission rates, a...
Compared with usual care, care provided under an electronic health system-based standardized order set was associated with a 31% lower steroid dose and a 1.1-day shorter length of stay in the hospital, with no effect on readmission rates, a...
Compared with usual care, care...
09/14/2018
First Report Managed Care
News
‘Meaningful Use’ Regs for Electronic Medical Records Finally Drop!
07/14/2010
07/14/2010
First Report Managed Care
News
Debate Over Health Plan-Driven Clinical Pathways Continues
08/15/2016

By Dean Celia

By Dean Celia
While a California bill to restrict payer-driven clinical pathways was defeated, a similar bill was recently proposed in Connecticut, further stoking the debate between whether or not payers should be allowed to have input in the development...
While a California bill to restrict payer-driven clinical pathways was defeated, a similar bill was recently proposed in Connecticut, further stoking the debate between whether or not payers should be allowed to have input in the development...
While a California bill to...
08/15/2016
First Report Managed Care
News
Carper, Coburn urge supercommittee to focus on Medicare, Medicaid waste
10/13/2011
10/13/2011
First Report Managed Care
News
Call for Inclusion of PCPs in Hospital Teams
01/28/2015
Internal medicine resaerchers from Massachusetts General Hospital have proposed a collaborative model that coordinates primary care practitioners and hospitalists.
Internal medicine resaerchers from Massachusetts General Hospital have proposed a collaborative model that coordinates primary care practitioners and hospitalists.
Internal medicine resaerchers...
01/28/2015
First Report Managed Care

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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