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September 2016 - FRMC

Department
Enbrel Effective, Safe Among Patients Who Lost Response to Humira
09/15/2016
Using Enbrel (etanercept; Amgen) for treatment of plaque psoriasis was safe and effective among patients who lost response to Humira (adalimumab; AbbVie), according to recent data presented at the 2016 AAD Summer Annual Meeting.
Using Enbrel (etanercept; Amgen) for treatment of plaque psoriasis was safe and effective among patients who lost response to Humira (adalimumab; AbbVie), according to recent data presented at the 2016 AAD Summer Annual Meeting.
Using Enbrel (etanercept; Amgen)...
09/15/2016
First Report Managed Care

Department

Managed Care Q&A
Evaluating the Effectiveness of the Choosing Wisely Initiative
09/15/2016

David Costill

David Costill
An interview with Daniel B Wolfson, MBA, executive vice president and COO of the ABIM Foundation.
An interview with Daniel B Wolfson, MBA, executive vice president and COO of the ABIM Foundation.
An interview with Daniel B...
09/15/2016
First Report Managed Care
News Connection
Pharmacists Weigh in On Preferences for Naming Biosimilars
09/15/2016
Recent results from a survey of pharmacists showed that they prefer naming a biosimilar using the nonproprietary name with a designated suffix; however, many pharmacists believe dispensing these drugs would be higher if a biosimilar and...
Recent results from a survey of pharmacists showed that they prefer naming a biosimilar using the nonproprietary name with a designated suffix; however, many pharmacists believe dispensing these drugs would be higher if a biosimilar and...
Recent results from a survey of...
09/15/2016
First Report Managed Care
News Connection
New Payment Models Needed For Financial Viability of Team-Based Care
09/15/2016
Implementation of a team-based care system in a primary care practice for managing patients with coronary heart disease (CHD) improved patient outcomes but had a negative financial impact on primary care under a fee-for-service (FFS) payment...
Implementation of a team-based care system in a primary care practice for managing patients with coronary heart disease (CHD) improved patient outcomes but had a negative financial impact on primary care under a fee-for-service (FFS) payment...
Implementation of a team-based...
09/15/2016
First Report Managed Care
News Connection
Medicare Advantage Plans Pay Less to Hospitals than Traditional Medicare Plans
09/15/2016
According to a recent study, Medicare Advantage plans pay less for hospital services than traditional fee-for-service Medicare.
According to a recent study, Medicare Advantage plans pay less for hospital services than traditional fee-for-service Medicare.
According to a recent study,...
09/15/2016
First Report Managed Care
News Connection
Magnitude of Non-Rare Disease Use of Orphan Drugs May Inflate Prices
09/15/2016
A recent report by the American Health Insurance Plans determined that of the orphan drugs developed between 2012 and 2014, approximately half were used for non-orphan diseases.
A recent report by the American Health Insurance Plans determined that of the orphan drugs developed between 2012 and 2014, approximately half were used for non-orphan diseases.
A recent report by the American...
09/15/2016
First Report Managed Care
News Connection
Low-Value Services Still Costing Insurers Millions
09/15/2016
Nearly 8% of patients out of a national sample of almost 1.5 million commercially insured adults received health services considered low-value in 2013, according to a study in JAMA Internal Medicine. The cost of those services totaled $32.8...
Nearly 8% of patients out of a national sample of almost 1.5 million commercially insured adults received health services considered low-value in 2013, according to a study in JAMA Internal Medicine. The cost of those services totaled $32.8...
Nearly 8% of patients out of a...
09/15/2016
First Report Managed Care
News Connection
Opioid Dependence Claims Soar Among Privately Insured
09/15/2016
Recent data from the nonprofit FAIR Health discovered that private health insurance claims for opioid dependence increased 3203% as well claims for opioids misuse which increased by 317%, between 2007 and 2014. 
Recent data from the nonprofit FAIR Health discovered that private health insurance claims for opioid dependence increased 3203% as well claims for opioids misuse which increased by 317%, between 2007 and 2014. 
Recent data from the nonprofit...
09/15/2016
First Report Managed Care
News Connection
ACA Coverage Leads to More Prescriptions, Less Out-of-Pocket Costs
09/15/2016
People who gained insurance coverage following the Patient Protection and Affordable Care Act (ACA) coverage expansion filled more prescriptions and paid significantly less out-of-pocket compared with those who lacked health coverage,...
People who gained insurance coverage following the Patient Protection and Affordable Care Act (ACA) coverage expansion filled more prescriptions and paid significantly less out-of-pocket compared with those who lacked health coverage,...
People who gained insurance...
09/15/2016
First Report Managed Care
News Connection
Cash Incentives Fail to Improve Care for Complex Patients
09/15/2016
Recent research determined that paying primary care physicians a $315 per-complex-patient annual fee did not improve care, decrease hospitalizations, or save costs. 
Recent research determined that paying primary care physicians a $315 per-complex-patient annual fee did not improve care, decrease hospitalizations, or save costs. 
Recent research determined that...
09/15/2016
First Report Managed Care

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Eileen Koutnik-Fotopoulos

Eileen Koutnik-Fotopoulos
Chronic kidney disease is pervasive in the older population. The progression of CKD can have a significant affect on the overall prognosis of a geriatric patient.
Chronic kidney disease is pervasive in the older population. The progression of CKD can have a significant affect on the overall prognosis of a geriatric patient.
Chronic kidney disease is...
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US Government Proposes More Transparency in Clinical Trials
11/19/2014
Health officials proposed significantly expanding what researchers are required to report about clinical trials of drugs, devices, and other interventions.
Health officials proposed significantly expanding what researchers are required to report about clinical trials of drugs, devices, and other interventions.
Health officials proposed...
11/19/2014
First Report Managed Care
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Device Could Reduce Direct Medical Costs For Patients with COPD
11/15/2017
Recent research in the International Journal of COPD found that a handheld mechanical oscillating positive expiratory pressure device could significantly improve post-exacerbation care.
Recent research in the International Journal of COPD found that a handheld mechanical oscillating positive expiratory pressure device could significantly improve post-exacerbation care.
Recent research in...
11/15/2017
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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.
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Enhancing Patient Medication Adherence: Insights and Strategies From Asembia 2024
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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...
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First Report Managed Care
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Navigating the Impact of the Inflation Reduction Act: Implications for Payers, Patients, and Manufacturers
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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...
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Navigating Payment Models in the CGT Landscape: Insights and Innovations
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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...
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Jennifer L. Mathieu Senior Vice President, Professional and Government Affairs at AMCP
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Unlocking the Future of Managed Care Pharmacy: A Deep Dive into Federal Legislation and Regulations
05/15/2024
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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.
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Personalizing Weight Loss Management With GLP-1 Agonists
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Featuring Tejaswi Kompala, MD, head of cardiometabolic clinical strategy, Teladoc 

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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...
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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...
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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

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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...
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Navigating the Evolution of Digital Solutions in Health Care
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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.
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Advancements and Challenges in Diabetes Management
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Featuring Mansur Shomali, MD, chief medical officer at Welldoc, endocrinologist at MedStar Health 

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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...
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First Report Managed Care

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