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Volume 16, Issue 10, October 2019 - First Report Managed Care

Featured Article

What are the Democratic Candidates Really Saying About Health Care?
10/17/2019

Dean Celia

Dean Celia
As candidates continue to debate health care, our experts took a look beyond the rhetoric and main talking points of five of the leading democratic contenders to analyze what they are—and potentially are not—telling payers, providers, and...
As candidates continue to debate health care, our experts took a look beyond the rhetoric and main talking points of five of the leading democratic contenders to analyze what they are—and potentially are not—telling payers, providers, and...
As candidates continue to debate...
10/17/2019
First Report Managed Care
New Payment Models Tackle Medicaid Drug Spending
10/17/2019

Paul Nicolaus

Paul Nicolaus
Several states are pursuing alternative payment models for prescription drugs to curb spending and address public health crises, but experts say these new strategies face a variety of challenges on their way to implementation.
Several states are pursuing alternative payment models for prescription drugs to curb spending and address public health crises, but experts say these new strategies face a variety of challenges on their way to implementation.
Several states are pursuing...
10/17/2019
First Report Managed Care
The Compassion of Care: Benefits to Patients and Providers
10/17/2019

Mary Beth Nierengarten

Mary Beth Nierengarten
As politics continue to play an ever-present role in the future of health care, providers, patients, plans, and other professionals are looking for ways to improve care quality and build meaningful, successful connections among their care...
As politics continue to play an ever-present role in the future of health care, providers, patients, plans, and other professionals are looking for ways to improve care quality and build meaningful, successful connections among their care...
As politics continue to play an...
10/17/2019
First Report Managed Care
Formulary Frontlines®
CGRP Inhibitors May Offer Significant Benefits for Migraine Patients
10/17/2019

Jeff Craven

Jeff Craven
With the advent of calcitonin gene-related peptide (CGRP) inhibitors, which are either monoclonal antibodies or CGRP receptor agonists that block CGRP proteins in the head and neck, another treatment option has emerged for patients where...
With the advent of calcitonin gene-related peptide (CGRP) inhibitors, which are either monoclonal antibodies or CGRP receptor agonists that block CGRP proteins in the head and neck, another treatment option has emerged for patients where...
With the advent of calcitonin...
10/17/2019
First Report Managed Care

Department

Conference Insider
Understanding the Importance of Partnerships in Health Care
10/17/2019
Ambria Moore, BA, PMP, and Denise Parker, both delegate oversight project managers at BlueCross BlueShield (BCBS) of Tennessee, provided tips and techniques for professionals to keep organizations engaged, accountable, and in an ongoing state...
Ambria Moore, BA, PMP, and Denise Parker, both delegate oversight project managers at BlueCross BlueShield (BCBS) of Tennessee, provided tips and techniques for professionals to keep organizations engaged, accountable, and in an ongoing state...
Ambria Moore, BA, PMP, and...
10/17/2019
First Report Managed Care
Conference Insider
How Population Health and Care Quality Relate
10/17/2019
David Nash, MD, MBA, launched the second annual Health Care Quality Congress 2019 with his session entitled, “Population Health and Quality: Two Peas in a Pod,” where he discussed how managing population health can help improve health care...
David Nash, MD, MBA, launched the second annual Health Care Quality Congress 2019 with his session entitled, “Population Health and Quality: Two Peas in a Pod,” where he discussed how managing population health can help improve health care...
David Nash, MD, MBA, launched...
10/17/2019
First Report Managed Care
Conference Insider
What is the Collaborative Care Model and How Does it Work?
10/17/2019
Nicole Andrews, MPH, PCDC, recently discussed the elements of the collaborative care model at Heath Care Quality Congress 2019, and she explained the models impact on health care cost and analyzed payment incentives for integrating the model.
Nicole Andrews, MPH, PCDC, recently discussed the elements of the collaborative care model at Heath Care Quality Congress 2019, and she explained the models impact on health care cost and analyzed payment incentives for integrating the model.
Nicole Andrews, MPH, PCDC,...
10/17/2019
First Report Managed Care
Conference Insider
Interview: Care Coordinators Improve Care Quality
10/17/2019
Lori Francis, MBA, PCMH CCE, a program management specialist at BlueCross BlueShield recently spoke with First Report Managed Care at Health Care Quality Congress 2019, on the benefits of using embedded care coordinators to improve physician...
Lori Francis, MBA, PCMH CCE, a program management specialist at BlueCross BlueShield recently spoke with First Report Managed Care at Health Care Quality Congress 2019, on the benefits of using embedded care coordinators to improve physician...
Lori Francis, MBA, PCMH CCE, a...
10/17/2019
First Report Managed Care
Conference Insider
Implementing PROMs in Primary Care and Understanding Chronic Pain
10/17/2019
Sarah Hudson Scholle, MPH, DrPH, and Daren Anderson, MD, addressed issues surrounding the implementation of patient-reported outcome measures (PROM) in the primary care setting.
Sarah Hudson Scholle, MPH, DrPH, and Daren Anderson, MD, addressed issues surrounding the implementation of patient-reported outcome measures (PROM) in the primary care setting.
Sarah Hudson Scholle, MPH, DrPH,...
10/17/2019
First Report Managed Care
Conference Insider
Strategies for Integrating Behavioral Health Distinction With PCMH
10/17/2019
During one of the sessions at PCMH Congress 2019, Rebecca Durday, MPH, PCMH, CCE, practice advancement strategies, Healthcare Association for New York State, explained the importance of integrating behavioral health into primary care and...
During one of the sessions at PCMH Congress 2019, Rebecca Durday, MPH, PCMH, CCE, practice advancement strategies, Healthcare Association for New York State, explained the importance of integrating behavioral health into primary care and...
During one of the sessions at...
10/17/2019
First Report Managed Care
Conference Insider
Improving Patient Care, Reducing Health Care Burden Through Physician, Health IT Partnerships
10/17/2019
Shivani Malhotra, MD FAAFP, associate program director & assistant professor family medicine, and Emily Leviner, MEd, system administrator, both from The University Of Alabama at Birmingham School of Medicine, recently discussed the adoption...
Shivani Malhotra, MD FAAFP, associate program director & assistant professor family medicine, and Emily Leviner, MEd, system administrator, both from The University Of Alabama at Birmingham School of Medicine, recently discussed the adoption...
Shivani Malhotra, MD FAAFP,...
10/17/2019
First Report Managed Care

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Health Spending Significantly Varies for Privately Insured
05/18/2018
A recent report found that insurers are paying a significantly different price for the same services in hospital for privately insured patients. 
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A recent report found that...
05/18/2018
First Report Managed Care
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First Report Managed Care
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Children with moderate to severe atopic dermatitis are at heightened risk of high systolic blood pressure and central obesity, according to an observational study.
Children with moderate to severe atopic dermatitis are at heightened risk of high systolic blood pressure and central obesity, according to an observational study.
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First Report Managed Care
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Using Pharmacists to Administer Vaccines Reduces Costs
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A recent study found that when pharmacists administer vaccines the costs are significantly lower compared with medical clinicians and providers.
A recent study found that when pharmacists administer vaccines the costs are significantly lower compared with medical clinicians and providers.
A recent study found that when...
04/20/2018
First Report Managed Care

Video Insights

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Evolving Health Care Contact Centers Into Drivers of Value-Based Care
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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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07/31/2024
First Report Managed Care
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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,...
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06/11/2024
First Report Managed Care
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05/24/2024
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05/24/2024
First Report Managed Care
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Navigating Payment Models in the CGT Landscape: Insights and Innovations
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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.
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05/21/2024
First Report Managed Care
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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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05/15/2024
First Report Managed Care
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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.
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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...
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02/27/2024

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First Report Managed Care

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