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November 2017 - FRMC

Column

Viewpoint
Selling Health Insurance Across State Lines Is Not the Change We Need
11/28/2017

By Greg Borca co-founder of SKYGEN USA

By Greg Borca co-founder of SKYGEN US...
Greg Borca, co-founder of SKYGEN USA, discusses the future competition that will enable full coverage and drive down costs following President Donald Trump's executive order to allow health insurance to be sold across state lines.
Greg Borca, co-founder of SKYGEN USA, discusses the future competition that will enable full coverage and drive down costs following President Donald Trump's executive order to allow health insurance to be sold across state lines.
Greg Borca, co-founder of SKYGEN...
11/28/2017
First Report Managed Care
Viewpoint
Reducing the Burden of Cardiovascular Disease with Precision Medicine
11/28/2017

By Jim Cross, former Vice President and Head of National Medical Policy and Operations, Aetna

By Jim Cross, former Vice President a...
Jim Cross, former Vice President and Head of National Medical Policy and Operations, Aetna, discusses how precision medicine is the new and emerging approach to treating patients cardiovascular disease.
Jim Cross, former Vice President and Head of National Medical Policy and Operations, Aetna, discusses how precision medicine is the new and emerging approach to treating patients cardiovascular disease.
Jim Cross, former Vice President...
11/28/2017
First Report Managed Care

Department

Formulary Frontlines®
Formulary Decisions For HIV Prevention: Pre-Exposure Prophylaxis
11/28/2017

By Julia Jarmoszko, PharmD, MBA, pharmacy resident at Magellan Rx Management

By Julia Jarmoszko, PharmD, MBA, phar...
Julia Jarmoszko, PharmD, discusses how PrEP is an effective preventative HIV measure that should be available for individuals at high risk of acquiring the virus.
Julia Jarmoszko, PharmD, discusses how PrEP is an effective preventative HIV measure that should be available for individuals at high risk of acquiring the virus.
Julia Jarmoszko, PharmD,...
11/28/2017
First Report Managed Care
Conference Insider
Pradaxa Shows Added Cost Benefits Compared to Warfarin, Xarelto
11/27/2017
A poster presentation at AMCP Nexus 2017 compared Pradaxa (dabigatran; Boehringer Ingelheim) to warfarin and Xarelto (rivaroxaban; Janssen) for prevention of stroke and bleed-related hospitalization, and costs. 
A poster presentation at AMCP Nexus 2017 compared Pradaxa (dabigatran; Boehringer Ingelheim) to warfarin and Xarelto (rivaroxaban; Janssen) for prevention of stroke and bleed-related hospitalization, and costs. 
A poster presentation at AMCP...
11/27/2017
First Report Managed Care
Conference Insider
Short-Acting Beta-Agonist Inhalers Reduce COPD Budget Impact
11/27/2017
A poster at AMCP Nexus 2017 found that use of short-acting beta-agonist inhalers with an integrated dose counter could reduce the budget impact of COPD.
A poster at AMCP Nexus 2017 found that use of short-acting beta-agonist inhalers with an integrated dose counter could reduce the budget impact of COPD.
A poster at AMCP Nexus 2017...
11/27/2017
First Report Managed Care
Conference Insider
Medicare Patients With Diabetes Incur Significantly Higher Costs Due to CVD Death
11/27/2017
Patients with diabetes who died as a result of comorbid cardiovascular disease incurred significantly higher direct costs before their death, according to a recent poster presentation at AMCP Nexus 2017.
Patients with diabetes who died as a result of comorbid cardiovascular disease incurred significantly higher direct costs before their death, according to a recent poster presentation at AMCP Nexus 2017.
Patients with diabetes who died...
11/27/2017
First Report Managed Care
Conference Insider
Value-Based Care for Diabetes Does Not Increase Costs
11/27/2017
A poster presented at AMCP Nexus 2017 found that implementation of a value-based plan design did not significantly impact costs compared to standard benefit design. 
A poster presented at AMCP Nexus 2017 found that implementation of a value-based plan design did not significantly impact costs compared to standard benefit design. 
A poster presented at AMCP Nexus...
11/27/2017
First Report Managed Care
Conference Insider
Opioid Management Program Helped Cut Misuse Among Medicaid Enrollees
11/27/2017
According to a poster presentation at AMCP Nexus 2017, a managed care pharmacy program tailored to Medicaid members helped to cut opioid utilization.
According to a poster presentation at AMCP Nexus 2017, a managed care pharmacy program tailored to Medicaid members helped to cut opioid utilization.
According to a poster...
11/27/2017
First Report Managed Care
Conference Insider
Switching Biologics Could Increase Costs
11/27/2017
A poster presented at AMCP Nexus 2017 found that switching biologic products was associated with greater health care costs among patients with rheumatoid arthritis. 
A poster presented at AMCP Nexus 2017 found that switching biologic products was associated with greater health care costs among patients with rheumatoid arthritis. 
A poster presented at AMCP Nexus...
11/27/2017
First Report Managed Care
Conference Insider
Breaking Down the Current State of the ACA
11/27/2017
Melissa Andel, MPP, director of health policy at Applied Policy outlined the most up to date policy changes that could impact how insurers participate in ACA marketplaces in 2018.
Melissa Andel, MPP, director of health policy at Applied Policy outlined the most up to date policy changes that could impact how insurers participate in ACA marketplaces in 2018.
Melissa Andel, MPP, director of...
11/27/2017
First Report Managed Care

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A recent study found that chemotherapy costs were lower when the treatments were administered at physician’s offices compared to hospital outpatient facilities.
A recent study found that chemotherapy costs were lower when the treatments were administered at physician’s offices compared to hospital outpatient facilities.
A recent study found that...
02/28/2018
First Report Managed Care
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First Report Managed Care
Choosing Therapy for Type 2 Diabetes Based on Patient-Related Variables
06/10/2015

Mary Beth Nierengarten

Mary Beth Nierengarten
With the expanding availability of multiple drugs to treat patients with type 2 diabetes, treatment can now be better tailored to the needs of each patient.
With the expanding availability of multiple drugs to treat patients with type 2 diabetes, treatment can now be better tailored to the needs of each patient.
With the expanding availability...
06/10/2015
First Report Managed Care
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Health Insurers Seek Delay Of New Consumer-Friendly Coverage Forms
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First Report Managed Care
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Adjuvant Therapy Tied to Better Survival in High-Risk Merkel Cell Carcinoma
12/11/2014
Adjuvant chemoradiotherapy is associated with improved survival in patients with high-risk Merkel cell carcinoma of the head and neck.
Adjuvant chemoradiotherapy is associated with improved survival in patients with high-risk Merkel cell carcinoma of the head and neck.
Adjuvant chemoradiotherapy is...
12/11/2014
First Report Managed Care

Video Insights

Hayward
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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
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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