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November 2011 - FRMC

Department

News Connection
Patients with Gout Treated with Febuxostat Compared with Those Treated with Allopurinol
02/09/2012

Mary Beth Nierengarten

Mary Beth Nierengarten
Patients with gout treated with febuxostat have more comorbidities and higher mean baseline serum uric acid levels compared with patients treated with allopurinol.
Patients with gout treated with febuxostat have more comorbidities and higher mean baseline serum uric acid levels compared with patients treated with allopurinol.
Patients with gout treated with...
02/09/2012
First Report Managed Care
Healthcare Reform and Changes in Medicaid
11/29/2011

Trisha Lee

Trisha Lee
Medicaid is a low-income family health insurance program funded jointly by federal and state governments.
Medicaid is a low-income family health insurance program funded jointly by federal and state governments.
Medicaid is a low-income family...
11/29/2011
First Report Managed Care
Prostate Cancer Treatments Pose Challenges for Managed Care
11/29/2011

Tim Casey

Tim Casey
Atlanta—With the introduction of several new therapies, the treatment for castration-resistant prostate cancer (CRPC) has gone through a dramatic shift in recent years. By the end of the decade, the market for prostate cancer is expected to...
Atlanta—With the introduction of several new therapies, the treatment for castration-resistant prostate cancer (CRPC) has gone through a dramatic shift in recent years. By the end of the decade, the market for prostate cancer is expected to...
Atlanta—With the introduction of...
11/29/2011
First Report Managed Care
Guideline for Pharmacy Claims Audits Could Add Consistency to the Process
11/29/2011

Jill Sederstrom

Jill Sederstrom
A guideline for pharmacy claims audits could help improve collaboration and minimize friction between managed care organizations and community pharmacists.
A guideline for pharmacy claims audits could help improve collaboration and minimize friction between managed care organizations and community pharmacists.
A guideline for pharmacy claims...
11/29/2011
First Report Managed Care
Specialty Medications Becoming More Popular
11/29/2011

Tim Casey

Tim Casey
Atlanta—Although <1% of patients use specialty medications, they account for 15% of drug spending. The trend is expected to continue, as numerous expensive specialty drugs have recently been approved by the US Food and Drug Administration...
Atlanta—Although <1% of patients use specialty medications, they account for 15% of drug spending. The trend is expected to continue, as numerous expensive specialty drugs have recently been approved by the US Food and Drug Administration...
Atlanta—Although <1% of...
11/29/2011
First Report Managed Care
Pharmacy and the Medicare Star Rating System
11/29/2011

Tori Socha

Tori Socha
Atlanta—The Star Rating System created by the Centers for Medicare & Medicaid Services was added to Medicare programs to help educate beneficiaries about quality of care and increase the transparency of quality data available to consumers....
Atlanta—The Star Rating System created by the Centers for Medicare & Medicaid Services was added to Medicare programs to help educate beneficiaries about quality of care and increase the transparency of quality data available to consumers....
Atlanta—The Star Rating System...
11/29/2011
First Report Managed Care
Pharmacy Benefit Management Supported by Employer Case Study
11/29/2011

Kristina Woodworth

Kristina Woodworth
Atlanta—During a Managed Care Essentials session at the AMCP meeting, Kathleen Thompson, manager of total rewards, Matthews International, and Mara Pawlis, senior analytic consultant, CVS Caremark, presented Results of a PBM/Employer...
Atlanta—During a Managed Care Essentials session at the AMCP meeting, Kathleen Thompson, manager of total rewards, Matthews International, and Mara Pawlis, senior analytic consultant, CVS Caremark, presented Results of a PBM/Employer...
Atlanta—During a Managed Care...
11/29/2011
First Report Managed Care
Performance Measures to Enhance Care and Reduce Costs
11/29/2011

Tori Socha

Tori Socha
Atlanta—The Patient Protection and Affordable Care Act of 2010 was designed to achieve 3 goals: better health, better care, and lower costs. The National Quality Forum (NQF) has convened the National Priorities Partnership (NPP), a...
Atlanta—The Patient Protection and Affordable Care Act of 2010 was designed to achieve 3 goals: better health, better care, and lower costs. The National Quality Forum (NQF) has convened the National Priorities Partnership (NPP), a...
Atlanta—The Patient Protection...
11/29/2011
First Report Managed Care
Partnership for Patients and Transitions of Care
11/29/2011

Tori Socha

Tori Socha
Atlanta—The Partnership for Patients, a public–private initiative to improve hospital care and transitions of care, was launched in April 2011 by Kathleen Sebelius, secretary of the US Department of Health and Human Services, and Donald...
Atlanta—The Partnership for Patients, a public–private initiative to improve hospital care and transitions of care, was launched in April 2011 by Kathleen Sebelius, secretary of the US Department of Health and Human Services, and Donald...
Atlanta—The Partnership for...
11/29/2011
First Report Managed Care
Fraud, Waste, and Abuse Impact Costs, Care, and Safety
11/29/2011

Tori Socha

Tori Socha
Atlanta—Each year, billions of dollars are lost to Medicare fraud. In addition to the financial burden, instances of waste and abuse jeopardize both quality of care and patient safety. Raising awareness of the problem is as important a tool...
Atlanta—Each year, billions of dollars are lost to Medicare fraud. In addition to the financial burden, instances of waste and abuse jeopardize both quality of care and patient safety. Raising awareness of the problem is as important a tool...
Atlanta—Each year, billions of...
11/29/2011
First Report Managed Care

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Understanding the Link Between bDMARD Initiation, Switching With Mood Disorders
10/02/2020
Researchers found a positive association between the use of antidepressant and anxiolytic medication with both the introduction and switching of bDMARDs.
Researchers found a positive association between the use of antidepressant and anxiolytic medication with both the introduction and switching of bDMARDs.
Researchers found a positive...
10/02/2020
First Report Managed Care
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Medicare wants pharmacists out of Plan D decision-making process
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First Report Managed Care
News Connection
Travel, Wait Times Cost $89 Billion Annually for Health Care Service
03/20/2019
According to survey data from the Bureau of Labor Statistics’ American Wait Time Use Survey, spanning 2006 through 2017, travel and wait times were highest for health care services, ranked above legal services, personal care, vehicular...
According to survey data from the Bureau of Labor Statistics’ American Wait Time Use Survey, spanning 2006 through 2017, travel and wait times were highest for health care services, ranked above legal services, personal care, vehicular...
According to survey data from...
03/20/2019
First Report Managed Care
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Even When Employed, Health Care A Challenge
02/23/2012
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First Report Managed Care
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Limited HIV Resources Best Invested in Community-Based Prevention Education
10/16/2015
Researchers suggest that funds for HIV treatment and prevention should focus first on effective, inexpensive community-based education for HIV prevention efforts.
Researchers suggest that funds for HIV treatment and prevention should focus first on effective, inexpensive community-based education for HIV prevention efforts.
Researchers suggest that funds...
10/16/2015
First Report Managed Care

Video Insights

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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
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Enhancing Patient Medication Adherence: Insights and Strategies From Asembia 2024
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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
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Navigating the Impact of the Inflation Reduction Act: Implications for Payers, Patients, and Manufacturers
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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...
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First Report Managed Care
Joe DePinto Headshot
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Navigating Payment Models in the CGT Landscape: Insights and Innovations
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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...
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First Report Managed Care
Jennifer L. Mathieu Senior Vice President, Professional and Government Affairs at AMCP
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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
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Personalizing Weight Loss Management With GLP-1 Agonists
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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
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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
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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

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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...
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03/25/2024
First Report Managed Care
Yash Prajapati
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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...
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Mansur Shomali
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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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