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May 2017 - FRMC

Department

Formulary Frontlines®
Latest Drug Treatment Developments for Type 2 Diabetes in Patients With Cardiovascular Risk
05/23/2017

By Vanita Pindolia, PharmD, Vice President of Ambulatory Clinical Pharmacy Programs at Henry Ford Health System & Health Alliance Plan, and Whitney Aultman, PharmD, an Ambulatory Care Pharmacy Resident at Beaumont Hospital

By Vanita Pindolia, PharmD, Vice Pres...
Cardiovascular (CV) disease is the leading cause of early death in diabetic patients, and multiple clinical trials have assessed new antidiabetic medication classes.
Cardiovascular (CV) disease is the leading cause of early death in diabetic patients, and multiple clinical trials have assessed new antidiabetic medication classes.
Cardiovascular (CV) disease is...
05/23/2017
First Report Managed Care
Managed Care Q&A
Cutting Diabetes Drug Costs Through Innovative Programs
05/22/2017

By David Costill

By David Costill
Troyen Brennan, MD, executive vice president and chief medical officer at CVS Health, discusses how CVS Health's prescription savings program offers discounts on certain medications directly to patients.
Troyen Brennan, MD, executive vice president and chief medical officer at CVS Health, discusses how CVS Health's prescription savings program offers discounts on certain medications directly to patients.
Troyen Brennan, MD, executive...
05/22/2017
First Report Managed Care
News Connection
Care Coordination, Access Crucial to PCMH Success
05/22/2017
Elements of the patient-centered medical home (PCMH) model most strongly linked with clinical quality are care coordination, access, continuity, and communication, according to a recent study in JAMA Internal Medicine.
Elements of the patient-centered medical home (PCMH) model most strongly linked with clinical quality are care coordination, access, continuity, and communication, according to a recent study in JAMA Internal Medicine.
Elements of the patient-centered...
05/22/2017
First Report Managed Care
News Connection
Express Scripts May Lose Anthem as Pharmacy Client Amid Lawsuit
05/22/2017
Express Scripts, the leading pharmacy benefit manager (PBM) in the country, recently announced that its largest client, Anthem Inc, will likely not renew its contract once the current agreement expires December 31, 2019.
Express Scripts, the leading pharmacy benefit manager (PBM) in the country, recently announced that its largest client, Anthem Inc, will likely not renew its contract once the current agreement expires December 31, 2019.
Express Scripts, the leading...
05/22/2017
First Report Managed Care
News Connection
Rise in Insured Americans Did Not Hurt Access to Care
05/22/2017
The boost in the number of newly insured Americans as a result of the ACA did not hamper access to care for Americans who already had health insurance, according to a study in Health Affairs.
The boost in the number of newly insured Americans as a result of the ACA did not hamper access to care for Americans who already had health insurance, according to a study in Health Affairs.
The boost in the number of newly...
05/22/2017
First Report Managed Care
News Connection
House Introduces Bill to Loosen Communication Restrictions for Off-Label Use
05/22/2017
Representative Morgan Griffith (R-Virginia) recently introduced a new bill aimed at reducing the restrictions on off-label communications between pharmaceuticals companies, payers, and providers—allowing drugmakers to discuss unapproved uses...
Representative Morgan Griffith (R-Virginia) recently introduced a new bill aimed at reducing the restrictions on off-label communications between pharmaceuticals companies, payers, and providers—allowing drugmakers to discuss unapproved uses...
Representative Morgan Griffith...
05/22/2017
First Report Managed Care
News Connection
House of Representatives Passes American Health Care Act
05/22/2017
After months of political wrangling, House Republicans have finally passed their health care reform bill, the American Health Care Act, which will give states the right to waive essential health benefits.
After months of political wrangling, House Republicans have finally passed their health care reform bill, the American Health Care Act, which will give states the right to waive essential health benefits.
After months of political...
05/22/2017
First Report Managed Care
News Connection
Maine, Wisconsin Pursue Additional Requirements for Medicaid Eligibility
05/22/2017
Maine and Wisconsin officials have announced plans to implement reforms mandating proof of employment, substance sobriety, and other requirements among Medicaid participants, according to releases from each state’s health department.
Maine and Wisconsin officials have announced plans to implement reforms mandating proof of employment, substance sobriety, and other requirements among Medicaid participants, according to releases from each state’s health department.
Maine and Wisconsin officials...
05/22/2017
First Report Managed Care

Column

Viewpoint
Fourier Study Outcomes: Are PCSK9 Inhibitors Worth the Cost?
05/22/2017

By Tom Morrow, MD, chief medical officer at Next IT and VIVIO Health, and a First Report Managed Care Editorial Advisory Board member.

By Tom Morrow, MD, chief medical offi...
Tom Morrow, MD, discusses the cost of PCSK9 Inhibitors and how they impacted patient response rates in a recent study. 
Tom Morrow, MD, discusses the cost of PCSK9 Inhibitors and how they impacted patient response rates in a recent study. 
Tom Morrow, MD, discusses the...
05/22/2017
First Report Managed Care

News

News
Oncology Clinical Trials: A Win-Win for Payers
05/12/2017

By Paul Nicolaus

By Paul Nicolaus
Clinical trials could represent a unique opportunity for significant cost savings while getting patients access to cutting-edge treatments.
Clinical trials could represent a unique opportunity for significant cost savings while getting patients access to cutting-edge treatments.
Clinical trials could represent...
05/12/2017
First Report Managed Care

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News Connection
ACA Tax Penalties Decreased in 2015
01/23/2017
Fewer Americans paid penalties for lacking health insurance in 2015 than 2014, according to a letter from IRS Commissioner John A Koskinen.
Fewer Americans paid penalties for lacking health insurance in 2015 than 2014, according to a letter from IRS Commissioner John A Koskinen.
Fewer Americans paid penalties...
01/23/2017
First Report Managed Care
News
Aug. health care costs up 4th straight month: S&P
12/06/2011
12/06/2011
First Report Managed Care
CMS Releases the 2015 Audit Protocol: Critical Next Steps to Avoid Becoming A Casualty of Reasonable Expectations
02/19/2015
On February 12th, CMS released the 2015 Audit Protocol. The question on everyone’s mind is – what does this mean for 2015? Well, it means a few things. Outlined below are some of the most impactful changes, as well as the “why” behind the...
On February 12th, CMS released the 2015 Audit Protocol. The question on everyone’s mind is – what does this mean for 2015? Well, it means a few things. Outlined below are some of the most impactful changes, as well as the “why” behind the...
On February 12th, CMS released...
02/19/2015
First Report Managed Care
News
Most Effective Complementary, Alternative Medicine for Psoriasis
11/12/2018
Researchers recently examined complementary and alternative medicine therapies for the treatment of plaque psoriasis and identified the most effective treatments.
Researchers recently examined complementary and alternative medicine therapies for the treatment of plaque psoriasis and identified the most effective treatments.
Researchers recently examined...
11/12/2018
First Report Managed Care
News
House OK’s bill making insurers pay for autism services
07/29/2010
07/29/2010
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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