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November 2016 - FRMC

Department

News Connection
Health Insurers Have “Strong Claim” to Billions in ACA Compensation
11/22/2016
A lawsuit filed by health insurers has a “strong claim” to billions of dollars in compensation from the Affordable Care Act’s risk-corridor program.
A lawsuit filed by health insurers has a “strong claim” to billions of dollars in compensation from the Affordable Care Act’s risk-corridor program.
A lawsuit filed by health...
11/22/2016
First Report Managed Care
News Connection
Allowing Off-Label Drug Promotion Would Hurt Patients and Payers, Experts Warn
11/22/2016
Recent court decisions have endangered the US FDA’s long-standing prohibition against the off-label marketing of pharmaceuticals in favor of free speech protections.
Recent court decisions have endangered the US FDA’s long-standing prohibition against the off-label marketing of pharmaceuticals in favor of free speech protections.
Recent court decisions have...
11/22/2016
First Report Managed Care
News Connection
Intensive Home Care Offers Comparable Treatment at Reduced Cost
11/22/2016
Home care has become a viable, low-cost alternative to hospitalization for certain conditions due to new technology and a growing skilled-nursing workforce. 
Home care has become a viable, low-cost alternative to hospitalization for certain conditions due to new technology and a growing skilled-nursing workforce. 
Home care has become a viable,...
11/22/2016
First Report Managed Care
News Connection
Price Transparency Tool Decreases Spending on Select Services
11/22/2016
Recent data show that a tool that allows patients to view price estimates for procedures prior to undergoing them can result in reduced spending.
Recent data show that a tool that allows patients to view price estimates for procedures prior to undergoing them can result in reduced spending.
Recent data show that a tool...
11/22/2016
First Report Managed Care
Trends Report
Autoimmune Diseases: Multiple Sclerosis
11/22/2016
The final installment of this 3-part First Report Managed Care Trends Report reports the findings from survey participants on multiple sclerosis (MS). 
The final installment of this 3-part First Report Managed Care Trends Report reports the findings from survey participants on multiple sclerosis (MS). 
The final installment of this...
11/22/2016
First Report Managed Care
Managed Care Q&A
Quality Care: A Unique Perspective Part 1
11/22/2016
Margaret E O’Kane, an industry leader, addresses the evolution of quality care, including challenges that have been overcome and those that remain.
Margaret E O’Kane, an industry leader, addresses the evolution of quality care, including challenges that have been overcome and those that remain.
Margaret E O’Kane, an industry...
11/22/2016
First Report Managed Care
Formulary Frontlines®
Schizophrenia Therapy: Do Cost-Saving Strategies Conflict With Care?
11/22/2016
Formulary decisions for treating schizophrenia must balance saving costs and improving medication  adherence without contributing to the disease burden.
Formulary decisions for treating schizophrenia must balance saving costs and improving medication  adherence without contributing to the disease burden.
Formulary decisions for treating...
11/22/2016
First Report Managed Care

News

News
Biosimilars: Too Expensive to Switch?
11/22/2016
Concern about costs and rising premiums may signal a need for less expensive alternatives, but what if patients are already controlled or ancillary costs increase? 
Concern about costs and rising premiums may signal a need for less expensive alternatives, but what if patients are already controlled or ancillary costs increase? 
Concern about costs and rising...
11/22/2016
First Report Managed Care
News
Exondys 51: Controversy in the Wake of an Unprecedented FDA Approval
11/22/2016
With insurers refusing to cover Exondys 51, or imposing coverage restrictions, managed care experts are left wondering: is this a battle worth fighting?
With insurers refusing to cover Exondys 51, or imposing coverage restrictions, managed care experts are left wondering: is this a battle worth fighting?
With insurers refusing to cover...
11/22/2016
First Report Managed Care
Urgent Care & Managed Care: A Popular Source of Low-Cost Care
11/22/2016
Walk-in retail and urgent care clinics are popping up all over the country due to their convenience and transparent pricing structure. With the support of managed care organizations, urgent care facilities are poised to change the way health...
Walk-in retail and urgent care clinics are popping up all over the country due to their convenience and transparent pricing structure. With the support of managed care organizations, urgent care facilities are poised to change the way health...
Walk-in retail and urgent care...
11/22/2016
First Report Managed Care

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Probiotics Effective for Primary Prevention of C. Diff
05/04/2018
Researchers recently examined the effectiveness of probiotics for preventing Clostridium difficile infection in patients treated with antibiotics. 
Researchers recently examined the effectiveness of probiotics for preventing Clostridium difficile infection in patients treated with antibiotics. 
Researchers recently examined...
05/04/2018
Pharmacy Learning Network
News
Newly certified EHRs expected by fall
06/21/2010
06/21/2010
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
News
Employers say they will shift more health costs to workers
09/14/2011
09/14/2011
First Report Managed Care
News
Neuromyelitis Optica May be Linked with Epstein-Barr Virus
12/26/2014
Persistent, active replication of Epstein-Barr virus might play a role in neuromyelitis optica and also might contribute to the immunological alterations that play a role in the disorder.
Persistent, active replication of Epstein-Barr virus might play a role in neuromyelitis optica and also might contribute to the immunological alterations that play a role in the disorder.
Persistent, active replication...
12/26/2014
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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