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November 2017 - FRMC

Department

Conference Insider
Specialty Pharmacy Pipeline Session Highlights Upcoming Approvals
11/27/2017
During a session at AMCP Nexus 2017, Amiee Tharaldson, PharmD, senior clinical consultant of emerging therapeutics at Express Scripts, outline the upcoming specialty pharmacy pipeline drugs.
During a session at AMCP Nexus 2017, Amiee Tharaldson, PharmD, senior clinical consultant of emerging therapeutics at Express Scripts, outline the upcoming specialty pharmacy pipeline drugs.
During a session at AMCP Nexus...
11/27/2017
First Report Managed Care
Conference Insider
AMCP General Session: What is Value? And What is it Worth?
11/03/2017
Value is the cornerstone of managed care—but is value worth the cost? And are high priced treatments worth their value? A panel of experts discussed the many facets of this issue at AMCP Nexus 2017.
Value is the cornerstone of managed care—but is value worth the cost? And are high priced treatments worth their value? A panel of experts discussed the many facets of this issue at AMCP Nexus 2017.
Value is the cornerstone of...
11/03/2017
First Report Managed Care

News

News
The Arrival of Gene Therapy: Will High Prices Force Payment Innovation?
11/14/2017

By Paul Nicolaus

By Paul Nicolaus
A newly approved treatment carries a jaw-dropping price tag of nearly half a million dollars, but some argue that amounts to a bargain when considering the bigger picture.
A newly approved treatment carries a jaw-dropping price tag of nearly half a million dollars, but some argue that amounts to a bargain when considering the bigger picture.
A newly approved treatment...
11/14/2017
First Report Managed Care
News
Provider Network Consolidation: Does it Help or Hurt Payers
11/03/2017

By Dean Celia

By Dean Celia
Two years ago, large health insurers sought to consolidate in response to mergers among health systems and providers. The DOJ said no, and now payers are watching other stakeholders gain more bargaining power. But are insurers as helpless as...
Two years ago, large health insurers sought to consolidate in response to mergers among health systems and providers. The DOJ said no, and now payers are watching other stakeholders gain more bargaining power. But are insurers as helpless as...
Two years ago, large health...
11/03/2017
First Report Managed Care
Treating Infectious Diseases In Prisons: Controlling Epidemics and Reducing Costs
11/07/2017

By Mary Beth Nierengarten

By Mary Beth Nierengarten
Infectious diseases in prisons present a unique opportunity for epidemic control; however, costs keep all prisoners from receiving expensive treatments.
Infectious diseases in prisons present a unique opportunity for epidemic control; however, costs keep all prisoners from receiving expensive treatments.
Infectious diseases in prisons...
11/07/2017
First Report Managed Care

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FRMC Volume 21, Issue 2

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Determining the Necessary Care to Prevent Readmission for Heart Failure
07/22/2014

Sarah O'Brien

Sarah O'Brien
In the United States, heart failure is a leading cause of hospitalization, as 25% of patients hospitalized for heart failure are readmitted within 30 days. A recent systematic review was conducted for the Effective Health Care Program of the...
In the United States, heart failure is a leading cause of hospitalization, as 25% of patients hospitalized for heart failure are readmitted within 30 days. A recent systematic review was conducted for the Effective Health Care Program of the...
In the United States, heart...
07/22/2014
First Report Managed Care
News
Hospitals Look For Disney Magic To Make Customers Happy
07/22/2011
07/22/2011
First Report Managed Care
News
Less Than Half of Doctors in Insurance Directories May be Available
10/30/2014
(Reuters Health) - More than half the dermatologists in Medicare Advantage plan directories were either dead, retired, not accepting new patients or specialized only in specific conditions, researchers found when they tried making...
(Reuters Health) - More than half the dermatologists in Medicare Advantage plan directories were either dead, retired, not accepting new patients or specialized only in specific conditions, researchers found when they tried making...
(Reuters Health) - More than...
10/30/2014
First Report Managed Care
News
Lobbies Keep Drug Pricing Reform Out of Federal Legislation
09/27/2017
So far in 2017, a number of health reform bills were proposed and debated in Congress; however, none of them addressed drug pricing reform.
So far in 2017, a number of health reform bills were proposed and debated in Congress; however, none of them addressed drug pricing reform.
So far in 2017, a number of...
09/27/2017
First Report Managed Care
News
Spectrum says FDA asks for more data on cancer drug
01/25/2010
01/25/2010
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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