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October 2016 - FRMC

Featured Article

House of Cards: How Much Longer Can the ACA Hold Up?
10/20/2016

By Paul Nicolaus

By Paul Nicolaus
With insurers pulling out, premiums on the rise, and the presidential election on the way, the fate of Obamacare hangs in the balance. 
With insurers pulling out, premiums on the rise, and the presidential election on the way, the fate of Obamacare hangs in the balance. 
With insurers pulling out,...
10/20/2016
First Report Managed Care

Department

News Connection
Alternative Management Strategies Achieve Comparable Clinical Outcomes
11/20/2016
A recently published review suggests that alternatives to inpatient hospitalization do not jeopardize the treatment of several acute medical conditions.
A recently published review suggests that alternatives to inpatient hospitalization do not jeopardize the treatment of several acute medical conditions.
A recently published review...
11/20/2016
First Report Managed Care
Managed Care Q&A
Implementing Value-Based Care Through Clinically Integrated Organizations
10/20/2016

By David Costill

By David Costill
An interview with Chad Johnson, senior vice president and executive director, Phoenix Children’s Care Network.
An interview with Chad Johnson, senior vice president and executive director, Phoenix Children’s Care Network.
An interview with Chad...
10/20/2016
First Report Managed Care
News Connection
Republican Lawmakers Warn of MACRA’s Impact on Small Practices
10/20/2016
A group of Republican lawmakers are urging the Centers for Medicare and Medicaid Services (CMS) to revise its proposed implementation of the Medicare Access and CHIP Reauthorization Act, or MACRA, of 2015, which they argue would complicate...
A group of Republican lawmakers are urging the Centers for Medicare and Medicaid Services (CMS) to revise its proposed implementation of the Medicare Access and CHIP Reauthorization Act, or MACRA, of 2015, which they argue would complicate...
A group of Republican lawmakers...
10/20/2016
First Report Managed Care
News Connection
Investigation Reveals "Gross Mismanagement" to Blame for Denver VA Facility`s Exorbitant Cost
10/20/2016
An internal investigation by the US Department of Veterans’ Affairs (VA) found that the bloated budget and costly delays for construction of a new VA medical campus near Denver, Colorado were caused by gross mismanagement.
An internal investigation by the US Department of Veterans’ Affairs (VA) found that the bloated budget and costly delays for construction of a new VA medical campus near Denver, Colorado were caused by gross mismanagement.
An internal investigation by the...
10/20/2016
First Report Managed Care
News Connection
Non-TNF-targeted Biologics Most Effective After RA Treatment Failure
10/20/2016
According to recent research, for rheumatoid arthritis patients who have failed initial anti-tumor necrosis factor therapy, care providers should consider a non–TNF-targeted biologic due to a an effictive clinical response.
According to recent research, for rheumatoid arthritis patients who have failed initial anti-tumor necrosis factor therapy, care providers should consider a non–TNF-targeted biologic due to a an effictive clinical response.
According to recent research,...
10/20/2016
First Report Managed Care
News Connection
Malnutrition Contributes $15.5 Billion to Nationwide Medical Spending Annually
10/20/2016
Malnutrition associated with disease is responsible for more than $15.5 billion in direct medical costs each year, and is disproportionately driven by patients aged 65 years or older, according to an economic analysis recently published in...
Malnutrition associated with disease is responsible for more than $15.5 billion in direct medical costs each year, and is disproportionately driven by patients aged 65 years or older, according to an economic analysis recently published in...
Malnutrition associated with...
10/20/2016
First Report Managed Care
News Connection
MI Survival Rates Extended at High-Performing Hospitals
10/20/2016
A recent analysis suggests myocardial infarction patients who were treated in health care institutions that demonstrated favorable 30-day risk-standardized mortality rates, also had longer life expectancies when compared to patients who were...
A recent analysis suggests myocardial infarction patients who were treated in health care institutions that demonstrated favorable 30-day risk-standardized mortality rates, also had longer life expectancies when compared to patients who were...
A recent analysis suggests...
10/20/2016
First Report Managed Care
Orphan Drugs: Rare Disease Treatments Becoming Commonplace
10/20/2016

By Mary Beth Nierengarten

By Mary Beth Nierengarten
As the popularity of rare-disease indicated orphan drugs increases, payers are becoming concerned about whether or not these prescriptions are entirely necessary.
As the popularity of rare-disease indicated orphan drugs increases, payers are becoming concerned about whether or not these prescriptions are entirely necessary.
As the popularity of...
10/20/2016
First Report Managed Care
Presidential Plans to Fix Drug Pricing: Would Either Work?
10/20/2016

By Dean Celia

By Dean Celia
Recent controversy related to drug price gouging has pushed the issue onto the political stage in the midst of the 2016 Presidential election. Each candidate has taken a stance against allowing drug companies to unnecessarily raise prices to...
Recent controversy related to drug price gouging has pushed the issue onto the political stage in the midst of the 2016 Presidential election. Each candidate has taken a stance against allowing drug companies to unnecessarily raise prices to...
Recent controversy related to...
10/20/2016
First Report Managed Care

News

News
Untangling the Mylan EpiPen Controversy
10/20/2016

By Dean Celia

By Dean Celia
After public backlash against exorbitant price increases for the EpiPen, industry leaders are weighing in on the practicality of the new price and the validity of possible solutions presented by its manufacturer.
After public backlash against exorbitant price increases for the EpiPen, industry leaders are weighing in on the practicality of the new price and the validity of possible solutions presented by its manufacturer.
After public backlash against...
10/20/2016
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
News
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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