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November 2012 - FRMC

Real-World Data to Treat Health Conditions
11/27/2012

Eileen Koutnik-Fotopoulos

Eileen Koutnik-Fotopoulos
Cincinnati—A drawback of traditional outcomes research studies is the lack of availability of clinical data within administrative claims databases. Whereas these studies can identify healthcare utilization patterns and, in some cases, proxies...
Cincinnati—A drawback of traditional outcomes research studies is the lack of availability of clinical data within administrative claims databases. Whereas these studies can identify healthcare utilization patterns and, in some cases, proxies...
Cincinnati—A drawback of...
11/27/2012
First Report Managed Care
Treatment of Benign Prostatic Hyperplasia
11/27/2012

Kevin L. Carter

Kevin L. Carter
Cincinnati—Benign prostatic hyperplasia (BPH) is the most common urological disorder in elderly men. There were an estimated 28.4 million patients with symptomatic BPH in the United States in 2010. As age increases, so does the prevalence of...
Cincinnati—Benign prostatic hyperplasia (BPH) is the most common urological disorder in elderly men. There were an estimated 28.4 million patients with symptomatic BPH in the United States in 2010. As age increases, so does the prevalence of...
Cincinnati—Benign prostatic...
11/27/2012
First Report Managed Care
Inhaled Corticosteroids Overprescribed for COPD
11/27/2012

Mary Mihalovic

Mary Mihalovic
Cincinnati—A large percentage of patients with mild-to-moderate chronic obstructive pulmonary disease (COPD) are being prescribed maintenance therapy with inhaled corticosteroids (ICS), a practice that is not consistent with the Global...
Cincinnati—A large percentage of patients with mild-to-moderate chronic obstructive pulmonary disease (COPD) are being prescribed maintenance therapy with inhaled corticosteroids (ICS), a practice that is not consistent with the Global...
Cincinnati—A large percentage of...
11/27/2012
First Report Managed Care
Roadmap for Pharmacy HIT Integration Sets 4-Year Goals
11/27/2012
Eileen Koutnik-Fotopoulos
Eileen Koutnik-Fotopoulos
Cincinnati—Pharmacist adoption of electronic health records (EHRs) will create the tools to further improve pharmacists’ ability to provide safe and effective medication use by patients with the main goal of facilitating access to electronic,...
Cincinnati—Pharmacist adoption of electronic health records (EHRs) will create the tools to further improve pharmacists’ ability to provide safe and effective medication use by patients with the main goal of facilitating access to electronic,...
Cincinnati—Pharmacist adoption...
11/27/2012
First Report Managed Care
Augmentation Therapy for Patients with Major Depression
11/27/2012

Mary Beth Nierengarten

Mary Beth Nierengarten
Cincinnati—For patients with major depressive disorder (MDD) who do not adequately respond to initial treatment with antidepressant therapy (ADT), combination with another ADT is the most common augmentation therapy used by clinicians....
Cincinnati—For patients with major depressive disorder (MDD) who do not adequately respond to initial treatment with antidepressant therapy (ADT), combination with another ADT is the most common augmentation therapy used by clinicians....
Cincinnati—For patients with...
11/27/2012
First Report Managed Care
Comparison of Pharmacy Costs Between HAART Therapies for HIV Infection
11/27/2012

Kevin L. Carter

Kevin L. Carter
The accepted therapy for HIV infection has been highly active antiretroviral therapy (HAART).
The accepted therapy for HIV infection has been highly active antiretroviral therapy (HAART).
The accepted therapy for HIV...
11/27/2012
First Report Managed Care
Protease Inhibitors for Hepatitis C
11/27/2012

Kevin L. Carter

Kevin L. Carter
Cincinnati—For pharmacy benefit managers, managing hepatitis C virus (HCV) protease inhibitors present significant challenges, including high costs, treatment complexity, and increased adverse events. RegenceRx Pharmacy Benefit Management in...
Cincinnati—For pharmacy benefit managers, managing hepatitis C virus (HCV) protease inhibitors present significant challenges, including high costs, treatment complexity, and increased adverse events. RegenceRx Pharmacy Benefit Management in...
Cincinnati—For pharmacy benefit...
11/27/2012
First Report Managed Care
Health Spending Continues to Grow but Rate Slows
11/27/2012

Tim Casey

Tim Casey
Healthcare spending is now among the most expensive budget items, and there is no end in sight.
Healthcare spending is now among the most expensive budget items, and there is no end in sight.
Healthcare spending is now among...
11/27/2012
First Report Managed Care

Department

Conference Insider
Federal and State Legislative Impact on Managed Care Pharmacy
11/27/2012

Eileen Koutnik-Fotopoulos

Eileen Koutnik-Fotopoulos
Cincinnati—Federal and state legislative proposals that will affect AMCP members and other stakeholders were the focus of a Contemporary Issues session at the AMCP meeting. Paul Lakomski, RPh, pharmacy director, Empire BlueCross...
Cincinnati—Federal and state legislative proposals that will affect AMCP members and other stakeholders were the focus of a Contemporary Issues session at the AMCP meeting. Paul Lakomski, RPh, pharmacy director, Empire BlueCross...
Cincinnati—Federal and state...
11/27/2012
First Report Managed Care

News

News
Predictors of High Relapse Activity in Patients with MS
11/27/2012

Tori Socha

Tori Socha
Cincinnati—Worse clinical outcomes can be expected in patients with multiple sclerosis (MS) who have high relapse activity (HRA) due to faster disability progression. Understanding the factors that can predict HRA can help clinicians identify...
Cincinnati—Worse clinical outcomes can be expected in patients with multiple sclerosis (MS) who have high relapse activity (HRA) due to faster disability progression. Understanding the factors that can predict HRA can help clinicians identify...
Cincinnati—Worse clinical...
11/27/2012
First Report Managed Care

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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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