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September 2018 - First Report Managed Care

Featured Article

Hospitals Brace for Impact of 340B Drug Pricing Program Changes
09/14/2018

Mary Beth Nierengarten

Mary Beth Nierengarten
Since the implementation of changes to the 340B Drug Pricing program in January 2018, a long, growing debate over the merits and problems with the program has only strengthened. 
Since the implementation of changes to the 340B Drug Pricing program in January 2018, a long, growing debate over the merits and problems with the program has only strengthened. 
Since the implementation of...
09/14/2018
First Report Managed Care

Department

Managed Care Q&A
Improving Access Through Walgreens New Digital Platform
09/18/2018

David Costill

David Costill
Giovanni Monti, MBA, MIA, Walgreens Boots Alliance vice president, and director of Healthcare Innovation, discusses the new platform created by Walgreens—Find Care Now—and explains how it will expand access to care for patients and also...
Giovanni Monti, MBA, MIA, Walgreens Boots Alliance vice president, and director of Healthcare Innovation, discusses the new platform created by Walgreens—Find Care Now—and explains how it will expand access to care for patients and also...
Giovanni Monti, MBA, MIA,...
09/18/2018
First Report Managed Care
News Connection
CVS Shifts to ICER Value-Based Drug Pricing Strategy
09/18/2018
CVS Caremark will shift to using the Institute for Clinical and Economic Review’s (ICER) value-based drug pricing system, which excludes some high-cost drugs from health plans, a white paper from CVS explained.
CVS Caremark will shift to using the Institute for Clinical and Economic Review’s (ICER) value-based drug pricing system, which excludes some high-cost drugs from health plans, a white paper from CVS explained.
CVS Caremark will shift to using...
09/18/2018
First Report Managed Care
News Connection
Prescription Drug Costs Account for 15% of Total Health Care Spending
09/18/2018
Despite the frequent claim by the industry that 10% of spending goes toward pharmaceuticals, a new report published online in Health Affairs suggests that prescription drugs may actually account for roughly 15% of all money spent on total...
Despite the frequent claim by the industry that 10% of spending goes toward pharmaceuticals, a new report published online in Health Affairs suggests that prescription drugs may actually account for roughly 15% of all money spent on total...
Despite the frequent claim by...
09/18/2018
First Report Managed Care
News Connection
CMS Increases Pricing Transparency, Requires Hospitals to Post Prices Online
09/18/2018
The Centers for Medicare and Medicaid Services (CMS) has issued a final rule on the Inpatient Prospective Payment System (IPPS) that increases pricing transparency by pushing hospitals to post standard charges online in a machine-readable...
The Centers for Medicare and Medicaid Services (CMS) has issued a final rule on the Inpatient Prospective Payment System (IPPS) that increases pricing transparency by pushing hospitals to post standard charges online in a machine-readable...
The Centers for Medicare and...
09/18/2018
First Report Managed Care
News Connection
Express Scripts Announces Formulary Exclusions for 2019, Drops Nearly 50 Drugs
09/18/2018
The nation’s largest pharmacy benefit manager, Express Scripts, has announced they will drop approximately 48 drugs in 2019 from its current lineup of covered drugs, according to a company press release.
The nation’s largest pharmacy benefit manager, Express Scripts, has announced they will drop approximately 48 drugs in 2019 from its current lineup of covered drugs, according to a company press release.
The nation’s largest pharmacy...
09/18/2018
First Report Managed Care
News Connection
CMS Announces Strategy to Lower Medicare Advantage Costs
09/18/2018
In an effort to negotiate better deals for Medicare patients and create competition between drugs used to treat the same conditions, the Centers for Medicare and Medicaid Services (CMS) has announced they will shift more than half of the...
In an effort to negotiate better deals for Medicare patients and create competition between drugs used to treat the same conditions, the Centers for Medicare and Medicaid Services (CMS) has announced they will shift more than half of the...
In an effort to negotiate better...
09/18/2018
First Report Managed Care
News Connection
VA Secretary Clarifies Collective Bargaining Authority Relating to Patient Care
09/18/2018
Robert Wilkie, department of Veteran Affairs (VA) secretary, recently clarified that unions can no longer use collective bargaining rights when it comes to professional conduct and patient care by VA providers.
Robert Wilkie, department of Veteran Affairs (VA) secretary, recently clarified that unions can no longer use collective bargaining rights when it comes to professional conduct and patient care by VA providers.
Robert Wilkie, department of...
09/18/2018
First Report Managed Care
News Connection
VA, Walgreens Announce Collaboration
09/18/2018
In an effort to improve care coordination for veterans, the Department of Veteran Affairs (VA) has announced it will work with Walgreens to coordinate patient and pharmaceutical care for VA-enrolled patients. 
In an effort to improve care coordination for veterans, the Department of Veteran Affairs (VA) has announced it will work with Walgreens to coordinate patient and pharmaceutical care for VA-enrolled patients. 
In an effort to improve care...
09/18/2018
First Report Managed Care
News Connection
Ahead of VA MISSION Act Expansion, Caregiver Program Requires Attention
09/18/2018
According to a recent analysis from the Department of Veteran Affairs (VA) Office of Inspector General (OIG), the VA has not adequately monitored its Caregiver Assistance Program, which has resulted in patient care access limitations and...
According to a recent analysis from the Department of Veteran Affairs (VA) Office of Inspector General (OIG), the VA has not adequately monitored its Caregiver Assistance Program, which has resulted in patient care access limitations and...
According to a recent analysis...
09/18/2018
First Report Managed Care
Conference Insider
Meeting Preview: What to Expect at HQC 2018
09/18/2018
The 2018 Health Care Quality Congress (HQC) is a new national meeting by the National Committee for Quality Assurance (NCQA) that will take place October 5–7 at the Hyatt Regency in Dallas, TX. 
The 2018 Health Care Quality Congress (HQC) is a new national meeting by the National Committee for Quality Assurance (NCQA) that will take place October 5–7 at the Hyatt Regency in Dallas, TX. 
The 2018 Health Care Quality...
09/18/2018
First Report Managed Care

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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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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
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Bayer’s Cipro Accord Won’t Be Questioned by U.S. High Court
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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

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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
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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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First Report Managed Care
Joe DePinto Headshot
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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.
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First Report Managed Care
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
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
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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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First Report Managed Care
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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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First Report Managed Care
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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...
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03/25/2024
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Yash Prajapati
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Navigating the Evolution of Digital Solutions in Health Care
02/27/2024

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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.
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First Report Managed Care
Mansur Shomali
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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.
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First Report Managed Care

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