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October 2011 - FRMC

Using Express Lane Principles to Enroll Individuals in Health Insurance Programs
10/14/2011

Tori Socha

Tori Socha
Express lane principles, the automated use by one agency or program of data gathered and/or findings made by another, will be used by states as 2014 approaches to enroll and retain individuals in health coverage programs. Beginning in 2014,...
Express lane principles, the automated use by one agency or program of data gathered and/or findings made by another, will be used by states as 2014 approaches to enroll and retain individuals in health coverage programs. Beginning in 2014,...
Express lane principles, the...
10/14/2011
First Report Managed Care
Using Natural Language Processing to Screen for Adverse Postoperative Events
10/14/2011

Tori Socha

Tori Socha
The Agency for Healthcare Research and Quality (AHRQ) has developed a set of 20 patient safety indicators to use as measures to screen for potential adverse events that may occur during hospitalization. The measures utilize administrative...
The Agency for Healthcare Research and Quality (AHRQ) has developed a set of 20 patient safety indicators to use as measures to screen for potential adverse events that may occur during hospitalization. The measures utilize administrative...
The Agency for Healthcare...
10/14/2011
First Report Managed Care
Healthcare Reform and Safety-Net Providers
10/14/2011

Tori Socha

Tori Socha
The Patient Protection and Affordable Care Act (ACA) is designed to address the issue of uninsured adults in the United States by providing more choices for coverage and expanding Medicaid coverage. At present, a portion of uninsured patients...
The Patient Protection and Affordable Care Act (ACA) is designed to address the issue of uninsured adults in the United States by providing more choices for coverage and expanding Medicaid coverage. At present, a portion of uninsured patients...
The Patient Protection and...
10/14/2011
First Report Managed Care
Linaclotide Found to Reduce Unpleasant Effects of Chronic Constipation
10/14/2011

Christin Melton

Christin Melton
In 2 placebo-controlled phase 3 trials, a 12-week daily regimen of linaclotide significantly reduced symptoms of chronic constipation and improved quality of life. Study investigators said the ameliorating effects of linaclotide were evident...
In 2 placebo-controlled phase 3 trials, a 12-week daily regimen of linaclotide significantly reduced symptoms of chronic constipation and improved quality of life. Study investigators said the ameliorating effects of linaclotide were evident...
In 2 placebo-controlled phase 3...
10/14/2011
First Report Managed Care
Specialists Performing Carotid Stenting Procedures
10/14/2011

Tori Socha

Tori Socha
Carotid endarterectomy is performed on approximately 100,000 Americans every year to reduce their risk for stroke, a procedure performed by surgeons, followed by diagnostic carotid and cerebral angiography by radiologists. According to...
Carotid endarterectomy is performed on approximately 100,000 Americans every year to reduce their risk for stroke, a procedure performed by surgeons, followed by diagnostic carotid and cerebral angiography by radiologists. According to...
Carotid endarterectomy is...
10/14/2011
First Report Managed Care
Unintentional Discontinuation of Medications for Chronic Diseases
10/14/2011

Tori Socha

Tori Socha
Patients admitted to hospitals are particularly vulnerable during periods of transition in care; incomplete or inaccurate communication as responsibility moves from one physician to another can result in medical errors. Likewise, at hospital...
Patients admitted to hospitals are particularly vulnerable during periods of transition in care; incomplete or inaccurate communication as responsibility moves from one physician to another can result in medical errors. Likewise, at hospital...
Patients admitted to hospitals...
10/14/2011
First Report Managed Care
Early Repeated Screening Colonoscopy among Medicare Beneficiaries
10/14/2011

Tori Socha

Tori Socha
Increased rates of screening for colorectal cancer (CRC) have led to reductions in rates of mortality from CRC; the screening procedure preferred by the American Cancer Society is colonoscopy, which can identify and remove precancerous...
Increased rates of screening for colorectal cancer (CRC) have led to reductions in rates of mortality from CRC; the screening procedure preferred by the American Cancer Society is colonoscopy, which can identify and remove precancerous...
Increased rates of screening for...
10/14/2011
First Report Managed Care
Rivaroxaban Noninferior to Warfarin in Reducing Risk of Stroke
10/14/2011

Tori Socha

Tori Socha
For people at increased risk for ischemic stroke, warfarin has been shown to reduce the risk in patients with nonvalvular atrial fibrillation. However, possible food and drug interactions require frequent monitoring of coagulation to make...
For people at increased risk for ischemic stroke, warfarin has been shown to reduce the risk in patients with nonvalvular atrial fibrillation. However, possible food and drug interactions require frequent monitoring of coagulation to make...
For people at increased risk for...
10/14/2011
First Report Managed Care
Physican and Hospital Volume and Outcomes for Endovascular Treatment of AIOD
10/14/2011
With innovations in surgical technology, particularly in vascular surgery, aortoiliac occlusive disease (AIOD) is often treated with endovascular methods, including angioplasty and stenting. These techniques are used even in cases of severe...
With innovations in surgical technology, particularly in vascular surgery, aortoiliac occlusive disease (AIOD) is often treated with endovascular methods, including angioplasty and stenting. These techniques are used even in cases of severe...
With innovations in surgical...
10/14/2011
First Report Managed Care
Proton Pump Inhibitors May Compromise Antifracture Efficacy of Alendronate in Elderly Patients
10/14/2011

Christin Melton

Christin Melton
Elderly patients who receive proton pump inhibitors (PPIs) while using alendronate, an oral bisphosphonate typically prescribed to reduce the risk of osteoporotic fractures, may have poorer response to alendronate. According to a...
Elderly patients who receive proton pump inhibitors (PPIs) while using alendronate, an oral bisphosphonate typically prescribed to reduce the risk of osteoporotic fractures, may have poorer response to alendronate. According to a...
Elderly patients who receive...
10/14/2011
First Report Managed Care

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FRMC Volume 21, Issue 2

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Engaging Providers in Quality
03/30/2016
As the transition to value-based care, alternative payment models, and quality-related financial incentives continues, the number of quality measures and complexity of both measures and payment methodologies will also continue to expand in...
As the transition to value-based care, alternative payment models, and quality-related financial incentives continues, the number of quality measures and complexity of both measures and payment methodologies will also continue to expand in...
As the transition to value-based...
03/30/2016
First Report Managed Care
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Authors Call for Novel, Integrated Approaches in RSV Therapeutic Research
04/27/2023
Jolynn Tumolo
In addition to encouraging increased collaboration between bioinformaticians and pharmacologists, the authors recommended the use of new approaches such as nanotechnology, molecular inhibitors, and more.
In addition to encouraging increased collaboration between bioinformaticians and pharmacologists, the authors recommended the use of new approaches such as nanotechnology, molecular inhibitors, and more.
In addition to encouraging...
04/27/2023
Pharmacy Learning Network
News Connection
Hospice Profit Status and Patient Diagnosis/Utilization Profile
05/13/2011

Trisha Lee

Trisha Lee
During the past decade, for-profit hospice agencies soared in number, while the number of nonprofit hospices remained virtually unchanged.
During the past decade, for-profit hospice agencies soared in number, while the number of nonprofit hospices remained virtually unchanged.
During the past decade,...
05/13/2011
First Report Managed Care
News
Bayer’s Cipro Accord Won’t Be Questioned by U.S. High Court
03/09/2011
03/09/2011
First Report Managed Care
Veterans Health Today
The Impact of Patient Education in Oncology/Hematology Care: Empowering Patients in Their Battle Against Cancer
08/31/2020

Yvette C Terrie, BS Pharm, RPh, Consultant Pharmacist

Yvette C Terrie, BS Pharm, RPh, Consu...
As health care providers, we all strive to deliver the best quality of care to our patients and the heroic efforts of health care providers has definitely been validated during the COVID-19 pandemic and their commitments to patient care are...
As health care providers, we all strive to deliver the best quality of care to our patients and the heroic efforts of health care providers has definitely been validated during the COVID-19 pandemic and their commitments to patient care are...
As health care providers, we all...
08/31/2020
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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