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May 2017 - FRMC

Department

Conference Insider
Switching Patients With Primary Immunodeficiency Disease to Hizentra May Reduce Costs
05/10/2017
A presentation suggested that switching patients to 20% Hizentra at equivalent dose ratios could decrease costs for primary immunodeficiency disease.
A presentation suggested that switching patients to 20% Hizentra at equivalent dose ratios could decrease costs for primary immunodeficiency disease.
A presentation suggested that...
05/10/2017
First Report Managed Care
Conference Insider
Patient-Centered Strategies Reduce Cardiovascular Risks in Patients With Type 2 Diabetes
05/10/2017
A recent presentation during the Managed Care Review Board’s symposium demonstrated how patient-centered strategies can minimize cardiovascular risks in patients in a managed care setting.
A recent presentation during the Managed Care Review Board’s symposium demonstrated how patient-centered strategies can minimize cardiovascular risks in patients in a managed care setting.
A recent presentation during the...
05/10/2017
First Report Managed Care
Conference Insider
Eliminating Diabetes Drug Cost-Sharing Increases Adherence, Reduces Costs
05/10/2017
Research presented at the AMCP 2017 Annual Meeting found that reducing member cost sharing to zero dollars for diabetes drugs improved diabetes drug adherence rates and reduced annual out-of-pocket costs.
Research presented at the AMCP 2017 Annual Meeting found that reducing member cost sharing to zero dollars for diabetes drugs improved diabetes drug adherence rates and reduced annual out-of-pocket costs.
Research presented at the AMCP...
05/10/2017
First Report Managed Care
Conference Insider
PCMH Model Reduces Costs Among Long-Term Cancer Survivors
05/10/2017
Health care costs, emergency department (ED) visits, and hospitalizations were reduced among long-term cancer survivors through use of the patient-centered medical home (PCMH)care model, according to a poster presented at the AMCP 2017 Annual...
Health care costs, emergency department (ED) visits, and hospitalizations were reduced among long-term cancer survivors through use of the patient-centered medical home (PCMH)care model, according to a poster presented at the AMCP 2017 Annual...
Health care costs, emergency...
05/10/2017
First Report Managed Care
Conference Insider
Patients on Basal Insulin Remain Uncontrolled After Initiation, Require Intensification
05/10/2017
A poster presentation at the AMCP 2017 Annual Meeting found that patients who manage their type 2 diabetes with basal insulin remain uncontrolled after 6 months, requiring intensification of treatment. 
A poster presentation at the AMCP 2017 Annual Meeting found that patients who manage their type 2 diabetes with basal insulin remain uncontrolled after 6 months, requiring intensification of treatment. 
A poster presentation at the...
05/10/2017
First Report Managed Care
Conference Insider
Integration of a Clinical Pharmacist Reduces Managed Care Plan Costs
05/10/2017
According to an award-winning poster presented at the AMCP 2017 Annual Meeting, integration of a clinical pharmacist into a managed care plan helped to significantly reduce both medical and pharmacy costs by optimizing drug utilization. 
According to an award-winning poster presented at the AMCP 2017 Annual Meeting, integration of a clinical pharmacist into a managed care plan helped to significantly reduce both medical and pharmacy costs by optimizing drug utilization. 
According to an award-winning...
05/10/2017
First Report Managed Care
Conference Insider
Zarxio Switching Fails to Meet Budget Impact Model Expectations
05/10/2017
According to research presented at the AMCP 2017 Annual Meeting, Zarxio (filgrastim-sndz; Sandoz) cost savings, predicted using a budget impact model, failed to meet the expectations of researchers due to the drug’s higher price.
According to research presented at the AMCP 2017 Annual Meeting, Zarxio (filgrastim-sndz; Sandoz) cost savings, predicted using a budget impact model, failed to meet the expectations of researchers due to the drug’s higher price.
According to research presented...
05/10/2017
First Report Managed Care
Conference Insider
Medicaid Spends More For Branded Drugs After Generics Become Available
05/10/2017
According to research presented at the AMCP 2017 Annual Meeting, Medicaid formulary approaches generally lead branded drugs to become more expensive after a generic competitor is released. This cost trend runs counter to the expected trend...
According to research presented at the AMCP 2017 Annual Meeting, Medicaid formulary approaches generally lead branded drugs to become more expensive after a generic competitor is released. This cost trend runs counter to the expected trend...
According to research presented...
05/10/2017
First Report Managed Care
Conference Insider
Trulance Improves Quality of Life for Patients With Chronic Idiopathic Constipation
05/10/2017
According to an award-winning poster presented at the AMCP 2017 Annual Meeting, Trulance (plecanatide; Synergy) significantly reduced bowel symptoms and improved quality of life for patients with chronic idiopathic constipation.
According to an award-winning poster presented at the AMCP 2017 Annual Meeting, Trulance (plecanatide; Synergy) significantly reduced bowel symptoms and improved quality of life for patients with chronic idiopathic constipation.
According to an award-winning...
05/10/2017
First Report Managed Care
Conference Insider
Specialty Pharmacy Pipeline Suggests New Drug Approvals Will Bounce Back in 2017
05/10/2017
During a presentation at the AMCP 2017 Annual Meeting, Aimee Tharaldson, PharmD, senior clinical consultant in the Emerging Therapeutics department at Express Scripts, updated managed care professionals on the upcoming specialty pharmacy...
During a presentation at the AMCP 2017 Annual Meeting, Aimee Tharaldson, PharmD, senior clinical consultant in the Emerging Therapeutics department at Express Scripts, updated managed care professionals on the upcoming specialty pharmacy...
During a presentation at the...
05/10/2017
First Report Managed Care

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Conference Insider
Is Sitting Just As Dangerous As Smoking?
01/20/2015
Emerging research has indicated that it is possible to meet current daily physical activity guidelines while still being too sedentary, which increases the risk of death and disease despite physical activity that is taking place.
Emerging research has indicated that it is possible to meet current daily physical activity guidelines while still being too sedentary, which increases the risk of death and disease despite physical activity that is taking place.
Emerging research has indicated...
01/20/2015
First Report Managed Care
News
GOP raises more questions about healthcare waivers
08/15/2011
08/15/2011
First Report Managed Care
Best Practices in Medicaid Claims Administration and Oversight
12/02/2014
Every Medicaid operation needs high-performing claims administration. With strict medical loss ratios as required by healthcare reform, ongoing regulatory changes, timeliness, and payment accuracy relevant to provider pricing and benefit...
Every Medicaid operation needs high-performing claims administration. With strict medical loss ratios as required by healthcare reform, ongoing regulatory changes, timeliness, and payment accuracy relevant to provider pricing and benefit...
Every Medicaid operation needs...
12/02/2014
First Report Managed Care
News
U.S. warns Aetna over Medicare prescription policies
04/12/2010
04/12/2010
First Report Managed Care
News
Biologics: Changing the Treatment Scope for Psoriasis and Psoriatic Arthritis: References
12/01/2014
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References 1. Levy LL, Solomon SM, Emer JJ. Biologics in the treatment of psoriasis and emerging new therapies in the pipeline. Psoriasis: Targets and Therapy. 2012;2:29-43. 2. Bhosle MJ, Kulkarni A, Feldman SR, Balkrishnan. Quality of life...
References 1. Levy LL, Solomon SM, Emer JJ. Biologics in the treatment of psoriasis and emerging new therapies in the pipeline. Psoriasis: Targets and Therapy. 2012;2:29-43. 2. Bhosle MJ, Kulkarni A, Feldman SR, Balkrishnan. Quality of life...
References 1. Levy LL, Solomon...
12/01/2014
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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