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November 2017 - FRMC

Column

Viewpoint
Selling Health Insurance Across State Lines Is Not the Change We Need
11/28/2017
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
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
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
FRMC Volume 21, Issue 3

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News
Biotechnology Initial Public Offerings Soar in 2013
02/13/2014
New York—After several poor years, the biotechnology industry rebounded in 2013 with 45 initial public offerings (IPOs) of biotechnology companies and more money flowing into the sector. It was the most activity in the sector since 2000, and...
New York—After several poor years, the biotechnology industry rebounded in 2013 with 45 initial public offerings (IPOs) of biotechnology companies and more money flowing into the sector. It was the most activity in the sector since 2000, and...
New York—After several poor...
02/13/2014
First Report Managed Care
News
Study: Pediatric Patients Benefit From PCMH Utilization
03/22/2017
Researchers argue that public funding efforts should be invested in improving the use of patient centered medical homes for children covered under public insurance, or those who have no insurance at all.
Researchers argue that public funding efforts should be invested in improving the use of patient centered medical homes for children covered under public insurance, or those who have no insurance at all.
Researchers argue that public...
03/22/2017
First Report Managed Care
News
High Deductible Health Plans Associated With No Change in Asthma Care
10/26/2021
Authors noted that enrollment in high deductible health plans “was associated with minimal or no reductions in controller medication use for children and adults and no change in asthma exacerbations,” suggesting a potential benefit from...
Authors noted that enrollment in high deductible health plans “was associated with minimal or no reductions in controller medication use for children and adults and no change in asthma exacerbations,” suggesting a potential benefit from...
Authors noted that enrollment in...
10/26/2021
First Report Managed Care
Cancer Screening Cessation for Older Adults
06/26/2013
There are many educational efforts designed to increase the rates of screening for cancer, which is an important part of standard medical care. However, the balance of the risks and benefits of screening are affected by situations such as...
There are many educational efforts designed to increase the rates of screening for cancer, which is an important part of standard medical care. However, the balance of the risks and benefits of screening are affected by situations such as...
There are many educational...
06/26/2013
First Report Managed Care
News
Mylan gets approval for generic Effexor XR
06/08/2011
06/08/2011
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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