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November 2015 - FRMC

Department

Conference Insider
AMCP: Qualified Health Plans: Ratings, Restrictions, and Requirements for 2016 and Beyond
12/21/2015
CMS submitted its letter outlining the 2016 prescription drug requirements to insurers in the federally facilitated marketplace.
CMS submitted its letter outlining the 2016 prescription drug requirements to insurers in the federally facilitated marketplace.
CMS submitted its letter...
12/21/2015
First Report Managed Care
Conference Insider
PCMH: Systematizing Patient-Centered Medical Home Transformation
12/16/2015
Systematizing Patient-Centered Medical Home Transformation With the rise of patient-centered medical homes (PCMHs) and accountable care organizations (ACOs), it is important for managed care professionals to understand how these models can...
Systematizing Patient-Centered Medical Home Transformation With the rise of patient-centered medical homes (PCMHs) and accountable care organizations (ACOs), it is important for managed care professionals to understand how these models can...
Systematizing Patient-Centered...
12/16/2015
First Report Managed Care
Conference Insider
ECTRIMS: Impact of Impaired Walking On Health Care Utilization
12/16/2015
Impaired mobility and walking in patients with multiple sclerosis (MS) negatively impacts all aspects of the patients’ lives.
Impaired mobility and walking in patients with multiple sclerosis (MS) negatively impacts all aspects of the patients’ lives.
Impaired mobility and walking in...
12/16/2015
First Report Managed Care
Conference Insider
ECTRIMS: EMERALD Shows High Compliance Rate With Alemtuzumab
12/16/2015
Interim analysis from the ongoing EMERALD [Evaluation of the Management of Infusion Reactions in Alemtuzumab- treated Patients] study will help provide additional guidance for optimizing the management of infusion-associated reactions (IARs)...
Interim analysis from the ongoing EMERALD [Evaluation of the Management of Infusion Reactions in Alemtuzumab- treated Patients] study will help provide additional guidance for optimizing the management of infusion-associated reactions (IARs)...
Interim analysis from the...
12/16/2015
First Report Managed Care
Conference Insider
ECTRIMS: Overcoming Uncertainty When Managing MS Relapse
12/16/2015
Relapses are one of the dis­tinctive features of relapsing-remitting multiple sclerosis (MS) and serve as the defining clinical presentation that leads to diagnosis and delivery of value-based care. There is uncertainty and het­erogeneity in...
Relapses are one of the dis­tinctive features of relapsing-remitting multiple sclerosis (MS) and serve as the defining clinical presentation that leads to diagnosis and delivery of value-based care. There is uncertainty and het­erogeneity in...
Relapses are one of the...
12/16/2015
First Report Managed Care
Literature Review: Hyperkalemia
12/18/2015
  New Treatment for Hyperkalemia Current therapy options are limited and there is an increased risk of drug–drug interactions when patients take >1 potassium increasing drug. Hyperkalemia is defined as elevated serum potassium...
  New Treatment for Hyperkalemia Current therapy options are limited and there is an increased risk of drug–drug interactions when patients take >1 potassium increasing drug. Hyperkalemia is defined as elevated serum potassium...
  New Treatment for...
12/18/2015
First Report Managed Care
MANAGING ASTHMA: Keys to Delivering Value-Based Care
12/16/2015
Asthma can be difficult to treat, making it a challenge to manage in a value-based framework.  
Asthma can be difficult to treat, making it a challenge to manage in a value-based framework.  
Asthma can be difficult to...
12/16/2015
First Report Managed Care
Department
Disease State Overview: MANAGING ASTHMA: Keys to Delivering Value-Based Care
12/16/2015
MANAGING ASTHMA: Keys to Delivering Value-Based Care Asthma can be difficult to treat, making it a challenge to manage in a value-based framework.  
MANAGING ASTHMA: Keys to Delivering Value-Based Care Asthma can be difficult to treat, making it a challenge to manage in a value-based framework.  
MANAGING ASTHMA: Keys to...
12/16/2015
First Report Managed Care
Department
Literature Review: Psoriasis Carries Hefty Price Tag
12/16/2015
Costs associated with psoriasis may be viewed from several different perspectives, including the patient, payer, and society.  
Costs associated with psoriasis may be viewed from several different perspectives, including the patient, payer, and society.  
Costs associated with psoriasis...
12/16/2015
First Report Managed Care
Burden of Antibiotic Resistance: Stopping an Epidemic, Containing Cost
12/16/2015
Burden of Antibiotic Resistance: Stopping an Epidemic, Containing Cost​ Antibiotic resistance is exacting a high price in the US. In April 2011, the Centers for Dis­ease Control (CDC) reported that antibiotic resistance accounted for...
Burden of Antibiotic Resistance: Stopping an Epidemic, Containing Cost​ Antibiotic resistance is exacting a high price in the US. In April 2011, the Centers for Dis­ease Control (CDC) reported that antibiotic resistance accounted for...
Burden of Antibiotic Resistance:...
12/16/2015
First Report Managed Care
FRMC Volume 21, Issue 3

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September 2024
Volume 21
Issue 3
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Newsfeed
Is Trump Pushing Health Insurance Innovation or an ACA Rollback?
11/30/2018
The Trump administration offered states specific examples of how they could change the way they implement the Affordable Care Act.
The Trump administration offered states specific examples of how they could change the way they implement the Affordable Care Act.
The Trump administration offered...
11/30/2018
First Report Managed Care
News
H1N1 pandemic is over, health director says
08/11/2010
08/11/2010
First Report Managed Care
Hospital Star Wars: Sounding Off on the New CMS Star Ratings
02/09/2017
In an interview last year, Gary Owens, MD, noted that "star ratings work better for restaurants and movies.”
In an interview last year, Gary Owens, MD, noted that "star ratings work better for restaurants and movies.”
In an interview last year, Gary...
02/09/2017
First Report Managed Care
Risk Adjustment Data Validation (RADV) Audits Just Got Real
02/20/2015
Last night the second-largest Medicare Advantage plan in the country, Humana, filed an SEC document detailing a US Department of Justice investigation into the company’s risk adjustment coding and data collection practices.  The investigation...
Last night the second-largest Medicare Advantage plan in the country, Humana, filed an SEC document detailing a US Department of Justice investigation into the company’s risk adjustment coding and data collection practices.  The investigation...
Last night the second-largest...
02/20/2015
First Report Managed Care
News
Featured Sessions at AHS 2018
11/14/2018
The Scottsdale Headache Symposium offers a variety of sessions and educational objectives to help attendees gain a better understanding of headache treatment.
The Scottsdale Headache Symposium offers a variety of sessions and educational objectives to help attendees gain a better understanding of headache treatment.
The Scottsdale Headache...
11/14/2018
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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