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November 2018 - First Report Managed Care

Department

Conference Insider
Medication Therapy Management Program Cost-Effectiveness
11/28/2018
According to an analysis of pharmacy and medical claims among patients who received Medication Therapy Management (MTM)—a range of services provided to individual members to optimize therapeutic outcomes and to detect and prevent costly...
According to an analysis of pharmacy and medical claims among patients who received Medication Therapy Management (MTM)—a range of services provided to individual members to optimize therapeutic outcomes and to detect and prevent costly...
According to an analysis of...
11/28/2018
First Report Managed Care
Conference Insider
How a Payer-Provider Partnership Impacts Care
11/28/2018
According to recent research, a payer-provider collaboration allowed providers access to timely, actionable patient data related to Healthcare Effectiveness Data and Information Set (HEDIS) quality gaps.
According to recent research, a payer-provider collaboration allowed providers access to timely, actionable patient data related to Healthcare Effectiveness Data and Information Set (HEDIS) quality gaps.
According to recent research, a...
11/28/2018
First Report Managed Care
Conference Insider
How a Person-Centered Approach to Care Planning Improves Outcomes
11/28/2018
Katherine Tardiff, MSN, RN, GNP-BC, vice president of clinical operations at Seniorlink, discussed the impact that a person-centered care planning initiative had on satisfaction outcomes in complex populations, during a session at Health Care...
Katherine Tardiff, MSN, RN, GNP-BC, vice president of clinical operations at Seniorlink, discussed the impact that a person-centered care planning initiative had on satisfaction outcomes in complex populations, during a session at Health Care...
Katherine Tardiff, MSN, RN,...
11/28/2018
First Report Managed Care
Conference Insider
Care for Special Populations Requires Identifying Barriers, Solutions
11/28/2018
During a general session at Health Care Quality Congress, Pamela Riley, MD, MPH, medical director of the Department of Health Care Finance at the Government of the District of Columbia, discussed the health care needs of vulnerable...
During a general session at Health Care Quality Congress, Pamela Riley, MD, MPH, medical director of the Department of Health Care Finance at the Government of the District of Columbia, discussed the health care needs of vulnerable...
During a general session at...
11/28/2018
First Report Managed Care
Conference Insider
How Improved Population Health Can Lead to Better Care
11/28/2018
During a session at Health Care Quality Congress 2018, David Nash, MD, MBA, dean of Jefferson College of Population Health at Thomas Jefferson University, discussed how managing population health can help improve health care quality.
During a session at Health Care Quality Congress 2018, David Nash, MD, MBA, dean of Jefferson College of Population Health at Thomas Jefferson University, discussed how managing population health can help improve health care quality.
During a session at Health Care...
11/28/2018
First Report Managed Care
Conference Insider
Improving Care Quality Through Clinical Integration
11/28/2018
Patrick J Brennan, MD, senior vice president and chief medical officer of the Perelman Center for Advanced Medicine at Penn Medicine, discussed approaches taken by Penn Medicine to integrate and collaborate with payers.
Patrick J Brennan, MD, senior vice president and chief medical officer of the Perelman Center for Advanced Medicine at Penn Medicine, discussed approaches taken by Penn Medicine to integrate and collaborate with payers.
Patrick J Brennan, MD, senior...
11/28/2018
First Report Managed Care
Conference Insider
Understanding Current Providers, Health Plans, and the Government
11/28/2018
Nathan Bays, JD, managing director of Cain Brothers & Company, LLC, discussed the current policy environment and regulatory landscape during a session called, “Tightening the Beltway: Providers, Health Plans, the Government, and Making Sense...
Nathan Bays, JD, managing director of Cain Brothers & Company, LLC, discussed the current policy environment and regulatory landscape during a session called, “Tightening the Beltway: Providers, Health Plans, the Government, and Making Sense...
Nathan Bays, JD, managing...
11/28/2018
First Report Managed Care

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Conference Insider
Is Sitting Just As Dangerous As Smoking?
01/20/2015
Emerging research has indicated that it is possible to meet current daily physical activity guidelines while still being too sedentary, which increases the risk of death and disease despite physical activity that is taking place.
Emerging research has indicated that it is possible to meet current daily physical activity guidelines while still being too sedentary, which increases the risk of death and disease despite physical activity that is taking place.
Emerging research has indicated...
01/20/2015
First Report Managed Care
News
GOP raises more questions about healthcare waivers
08/15/2011
08/15/2011
First Report Managed Care
Best Practices in Medicaid Claims Administration and Oversight
12/02/2014
Every Medicaid operation needs high-performing claims administration. With strict medical loss ratios as required by healthcare reform, ongoing regulatory changes, timeliness, and payment accuracy relevant to provider pricing and benefit...
Every Medicaid operation needs high-performing claims administration. With strict medical loss ratios as required by healthcare reform, ongoing regulatory changes, timeliness, and payment accuracy relevant to provider pricing and benefit...
Every Medicaid operation needs...
12/02/2014
First Report Managed Care
News
U.S. warns Aetna over Medicare prescription policies
04/12/2010
04/12/2010
First Report Managed Care
News
Biologics: Changing the Treatment Scope for Psoriasis and Psoriatic Arthritis: References
12/01/2014
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References 1. Levy LL, Solomon SM, Emer JJ. Biologics in the treatment of psoriasis and emerging new therapies in the pipeline. Psoriasis: Targets and Therapy. 2012;2:29-43. 2. Bhosle MJ, Kulkarni A, Feldman SR, Balkrishnan. Quality of life...
References 1. Levy LL, Solomon SM, Emer JJ. Biologics in the treatment of psoriasis and emerging new therapies in the pipeline. Psoriasis: Targets and Therapy. 2012;2:29-43. 2. Bhosle MJ, Kulkarni A, Feldman SR, Balkrishnan. Quality of life...
References 1. Levy LL, Solomon...
12/01/2014
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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