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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

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
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

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Effect of Practice Nurse Involvement in Depression Management
03/18/2014

Sarah O'Brien

Sarah O'Brien
Depression is a health priority in many countries and is the most common mental health disorder, globally.
Depression is a health priority in many countries and is the most common mental health disorder, globally.
Depression is a health priority...
03/18/2014
First Report Managed Care
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First Report Managed Care
News
Medicare Fines Thousands of Hospitals for Readmissions
10/06/2014
According to a report from the Kaiser Family Foundation, Medicare is fining a record 2610 hospitals for having too many patients return within a month for additional treatments. Though the nation’s readmission rate is dropping, Medicare’s...
According to a report from the Kaiser Family Foundation, Medicare is fining a record 2610 hospitals for having too many patients return within a month for additional treatments. Though the nation’s readmission rate is dropping, Medicare’s...
According to a report from the...
10/06/2014
First Report Managed Care
News
Medicaid Plans Have Higher Satisfaction Than Commercial Plans
08/04/2017
A recent report from JD Power found that Medicaid managed care plans have higher customer satisfaction compared to private plans.
A recent report from JD Power found that Medicaid managed care plans have higher customer satisfaction compared to private plans.
A recent report from JD Power...
08/04/2017
First Report Managed Care
News
Corporate Executives Call Rising Health Care Costs Unsustainable, Favor Greater Government Interventions
05/12/2021
Amid COVID-19, a new political landscape, and ever-increasing costs, corporate executives say that the expense of providing coverage to employees will be unsustainable within a decade and favor more government policies over market solutions.
Amid COVID-19, a new political landscape, and ever-increasing costs, corporate executives say that the expense of providing coverage to employees will be unsustainable within a decade and favor more government policies over market solutions.
Amid COVID-19, a new political...
05/12/2021
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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October 2019 Volume 16 Issue 10

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