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September 2017 - FRMC

Department

Managed Care Q&A
Provider Groups Express Concerns With MACRA Transition
09/26/2017
David Costill
Jacqueline W Fincher, MD, Chairman of the Medical Practice & Quality Committee at ACP, recently explained how physcians and providers are adapting to the upcoming MACRA transition.
Jacqueline W Fincher, MD, Chairman of the Medical Practice & Quality Committee at ACP, recently explained how physcians and providers are adapting to the upcoming MACRA transition.
Jacqueline W Fincher, MD,...
09/26/2017
First Report Managed Care
Formulary Frontlines®
Breakthroughs in ALS Treatment
09/25/2017
Russell J. Spjut, PharmD
An outpouring of social awareness for amyotrophic lateral sclerosis research has led to the first new drug approved for treatment of the disease in 20 years.
An outpouring of social awareness for amyotrophic lateral sclerosis research has led to the first new drug approved for treatment of the disease in 20 years.
An outpouring of social...
09/25/2017
First Report Managed Care
Conference Insider
Not All Blood Glucose Monitors Effectively Help Manage Diabetes
09/25/2017
Despite FDA approval, many devices vary in their ability to accurately monitor blood glucose levels for diabetes patients, according to a session at the American Association of Diabetes Educators 2017 Annual Meeting.
Despite FDA approval, many devices vary in their ability to accurately monitor blood glucose levels for diabetes patients, according to a session at the American Association of Diabetes Educators 2017 Annual Meeting.
Despite FDA approval, many...
09/25/2017
First Report Managed Care
Conference Insider
Reducing the Burden of Type 2 Diabetes With Precision Medicine
09/25/2017
During the American Association of Diabetes Educators 2017 Annual Meeting, Erika Gebel Berg, PhD, discussed how precision medicine can be used to curb type 2 diabetes in patients with prediabetes symptoms.
During the American Association of Diabetes Educators 2017 Annual Meeting, Erika Gebel Berg, PhD, discussed how precision medicine can be used to curb type 2 diabetes in patients with prediabetes symptoms.
During the American Association...
09/25/2017
First Report Managed Care
Conference Insider
General Session: America’s Pipeline Conundrum: Paying for Cures
09/25/2017
On Tuesday, October 17, 2017, Alan Weil, JD, editor in chief of Health Affairs, will moderate the AMCP 2017 general session. Mr Weil is a leader in health care research, and frequently speaks on national health policy including Medicare and...
On Tuesday, October 17, 2017, Alan Weil, JD, editor in chief of Health Affairs, will moderate the AMCP 2017 general session. Mr Weil is a leader in health care research, and frequently speaks on national health policy including Medicare and...
On Tuesday, October 17, 2017,...
09/25/2017
First Report Managed Care
Conference Insider
Meeting Preview: AMCP Nexus 2017
09/25/2017
AMPC Nexus 2017, the Academy of Managed Care Pharmacy’s annual Meeting  (October 16–19 at the Gaylord Texan Resort & Convention Center in Dallas, Texas) is a literal nexus of professionals from all across the managed care spectrum coming...
AMPC Nexus 2017, the Academy of Managed Care Pharmacy’s annual Meeting  (October 16–19 at the Gaylord Texan Resort & Convention Center in Dallas, Texas) is a literal nexus of professionals from all across the managed care spectrum coming...
AMPC Nexus 2017, the Academy of...
09/25/2017
First Report Managed Care
News Connection
Anthem Axes Payments For Outpatient Imaging at Hospitals
09/25/2017
Anthem recently announced a new imaging payment policy, which excludes payments to hospitals for outpatient MRIs and CT scans.
Anthem recently announced a new imaging payment policy, which excludes payments to hospitals for outpatient MRIs and CT scans.
Anthem recently announced a new...
09/25/2017
First Report Managed Care
News Connection
Bipartisan Group of Governors Release ACA Health Reform Plan
09/25/2017
A group of eight United States governors released a comprehensive plan for stabilizing the ACA through congressional reform in an open letter to the Majority and Minority leaders of both congressional houses. 
A group of eight United States governors released a comprehensive plan for stabilizing the ACA through congressional reform in an open letter to the Majority and Minority leaders of both congressional houses. 
A group of eight United States...
09/25/2017
First Report Managed Care
News Connection
Consolidated Provider Networks, Hospital Systems Reduce Payer Costs
09/25/2017
A recent study in Health Affairs found that provider networks and hospital systems that concentrated providers resulted in payers having more power to negotiate lower health service costs.
A recent study in Health Affairs found that provider networks and hospital systems that concentrated providers resulted in payers having more power to negotiate lower health service costs.
A recent study in Health Affairs...
09/25/2017
First Report Managed Care
Oncology Care Model: Delivering Better Care
09/15/2017
Jill Sederstorm
The CMS Oncology Care Model turned 1 year old this July.
The CMS Oncology Care Model turned 1 year old this July.
The CMS Oncology Care Model...
09/15/2017
First Report Managed Care

Behind the Bill

Behind the Bill
SCOTUS Takes on the Nondelegation Doctrine: Surprising Reactions and What They Mean for Agency Power
04/02/2025
Katie Hayes, MJ
The Supreme Court recently heard arguments in Federal Communication Commission (FCC) v Consumers’ Research, a case that I covered in February and one that could dramatically reshape federal agency authority through the nondelegation...
The Supreme Court recently heard arguments in Federal Communication Commission (FCC) v Consumers’ Research, a case that I covered in February and one that could dramatically reshape federal agency authority through the nondelegation...
The Supreme Court recently heard...
04/02/2025
First Report Managed Care
Behind the Bill
Dr Oz’s Prescription for Making Medicaid “Viable at Every Level”
03/26/2025
Katie Hayes, MJ
On Tuesday, March 25, 2025, the Senate Finance Committee voted to advance Dr Mehmet Oz in his confirmation as the next head of the Centers for Medicare and Medicaid Services (CMS).1 The full Senate vote is expected “soon” (whatever that...
On Tuesday, March 25, 2025, the Senate Finance Committee voted to advance Dr Mehmet Oz in his confirmation as the next head of the Centers for Medicare and Medicaid Services (CMS).1 The full Senate vote is expected “soon” (whatever that...
On Tuesday, March 25, 2025, the...
03/26/2025
First Report Managed Care
Behind the Bill
The $880 Billion Question Continues: Dr Oz's Confirmation and the Future of Medicaid
03/19/2025
Katie Hayes, MJ
Last week, I explored the $880 billion question facing Congress—whether lawmakers could achieve their budget goals without cutting Medicaid. This week, that question took center stage as Dr Mehmet Oz, President Trump's nominee to lead the...
Last week, I explored the $880 billion question facing Congress—whether lawmakers could achieve their budget goals without cutting Medicaid. This week, that question took center stage as Dr Mehmet Oz, President Trump's nominee to lead the...
Last week, I explored the $880...
03/19/2025
First Report Managed Care
Behind the Bill
The $880 Billion Question: Can Congress Cut Spending Without Touching Medicaid?
03/12/2025
Katie Hayes, MJ
I’d like to step away from administrative law for a moment to provide a quick update on Medicaid. With news coming from all sides, what does the future of Medicaid actually look like? The House of Representatives narrowly passed a budget...
I’d like to step away from administrative law for a moment to provide a quick update on Medicaid. With news coming from all sides, what does the future of Medicaid actually look like? The House of Representatives narrowly passed a budget...
I’d like to step away from...
03/12/2025
First Report Managed Care
Behind the Bill
RFK Jr’s Public Comment Ban: The Silent Shift in Health Care Rulemaking
03/05/2025
Katie Hayes, MJ
The erosion of administrative law continues, and with it, the dismantling of decades-long precedent. In June, the Supreme Court overturned a 40-year-old doctrine that allowed federal agencies to interpret their own ambiguous statutes. Later...
The erosion of administrative law continues, and with it, the dismantling of decades-long precedent. In June, the Supreme Court overturned a 40-year-old doctrine that allowed federal agencies to interpret their own ambiguous statutes. Later...
The erosion of administrative...
03/05/2025
First Report Managed Care
Behind the Bill
Prevention Over Pills? The First 2 Weeks of Health Care’s New Direction
02/26/2025
Katie Hayes, MJ
The dust has barely settled from Robert F Kennedy Jr’s confirmation as Secretary of Health and Human Services (HHS), but the changes are already coming fast and furious—a key theme of the Trump Administration’s actions within the last several...
The dust has barely settled from Robert F Kennedy Jr’s confirmation as Secretary of Health and Human Services (HHS), but the changes are already coming fast and furious—a key theme of the Trump Administration’s actions within the last several...
The dust has barely settled from...
02/26/2025
First Report Managed Care
Behind the Bill
The Nondelegation Doctrine: The Next Constitutional Showdown (Part 2)
02/19/2025
Katie Hayes, MJ
Last week, I explored the potential revival of the nondelegation doctrine through Federal Communication Commission v Consumers’ Research. Today, I want to examine what this could mean for health care regulation by considering the parallels...
Last week, I explored the potential revival of the nondelegation doctrine through Federal Communication Commission v Consumers’ Research. Today, I want to examine what this could mean for health care regulation by considering the parallels...
Last week, I explored the...
02/19/2025
First Report Managed Care
Behind the Bill
The Nondelegation Doctrine: The Next Constitutional Showdown (Part 1)
02/12/2025
Katie Hayes, MJ
Just when you thought the dust had settled from the Chevron decision, the Supreme Court is gearing up to hear arguments in Federal Communications Commission v Consumers' Research next month, potentially reviving the long-dormant nondelegation...
Just when you thought the dust had settled from the Chevron decision, the Supreme Court is gearing up to hear arguments in Federal Communications Commission v Consumers' Research next month, potentially reviving the long-dormant nondelegation...
Just when you thought the dust...
02/12/2025
First Report Managed Care
Behind the Bill
No, President Trump Did Not Actually Sign an Executive Order That Would Increase Drug Costs for Beneficiaries
02/05/2025
Katie Hayes, MJ
On inauguration day, President Trump issued an executive order rescinding several Biden-era health care initiatives, including 3 experimental drug pricing models developed by the Center for Medicare and Medicaid Innovation (CMMI). Oh boy did...
On inauguration day, President Trump issued an executive order rescinding several Biden-era health care initiatives, including 3 experimental drug pricing models developed by the Center for Medicare and Medicaid Innovation (CMMI). Oh boy did...
On inauguration day, President...
02/05/2025
First Report Managed Care
Behind the Bill
Robert F. Kennedy Jr’s Confirmation and the Unexpected Turn in the Drug Pricing Debate
01/29/2025
Katie Hayes, MJ
The Plot Thickens in Drug Pricing Drama Just when you thought the drug pricing debate couldn't get more interesting, Robert F. Kennedy Jr adds an unexpected twist. During closed-door Senate meetings, President Trump’s US Department of...
The Plot Thickens in Drug Pricing Drama Just when you thought the drug pricing debate couldn't get more interesting, Robert F. Kennedy Jr adds an unexpected twist. During closed-door Senate meetings, President Trump’s US Department of...
The Plot Thickens in Drug...
01/29/2025
First Report Managed Care

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Trending Articles

Elizabeth Brem University of California Irvine
Videos
Analyzing Patient Selection and the Utility of CNS Prophylaxis for Patients With DLBCL
04/20/2023
In a debate at the 2023 Great Debates & Updates in Hematologic Malignancies conference in New York, New York, Elizabeth A. Brem, MD, analyzed the role of central nervous system prophylaxis for patients with DLBCL.
In a debate at the 2023 Great Debates & Updates in Hematologic Malignancies conference in New York, New York, Elizabeth A. Brem, MD, analyzed the role of central nervous system prophylaxis for patients with DLBCL.
In a debate at the 2023 Great...
04/20/2023
Oncology
News
Thousands Face Medicaid Coverage Disruptions in South Dakota and North Carolina
05/18/2023
Arielle Zionts
Now that the public health emergency has expired, individuals may lose coverage but then requalify several months later in states which have recently approved Medicaid expansion.
Now that the public health emergency has expired, individuals may lose coverage but then requalify several months later in states which have recently approved Medicaid expansion.
Now that the public health...
05/18/2023
First Report Managed Care
News
Digital Therapeutics "Viable Solution" for Mental Health Needs
06/07/2023
Jolynn Tumolo
“The participants were willing to utilize digital therapeutics if available, and even preferred this type of support compared to actually visiting a clinic,” researchers wrote.
“The participants were willing to utilize digital therapeutics if available, and even preferred this type of support compared to actually visiting a clinic,” researchers wrote.
“The participants were willing...
06/07/2023
First Report Managed Care
News
First Gene Therapy for Severe Hemophilia A Is Approved
06/29/2023
Amanda Balbi
This approval comes after a safety and effectiveness trial showed that the treatment improved participants’ annualized bleeding rate after 3 years.
This approval comes after a safety and effectiveness trial showed that the treatment improved participants’ annualized bleeding rate after 3 years.
This approval comes after a...
06/29/2023
First Report Managed Care
Stock image of a doctor holding a phone
Commentary
Prescription Digital Therapeutics: Ongoing Efforts to Expand Awareness, Integrate Into Clinical Practice
07/28/2023
Yvette C. Terrie, BS Pharm, RPh
Yvette Terrie shares digital therapeutic updates regarding FDA approvals, recent and upcoming clinical trials, and current industry regulations.
Yvette Terrie shares digital therapeutic updates regarding FDA approvals, recent and upcoming clinical trials, and current industry regulations.
Yvette Terrie shares digital...
07/28/2023
First Report Managed Care

September 2017 Volume 14 Issue 9

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