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

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

Formulary Frontlines®

CGRP Inhibitors May Offer Significant Benefits for Migraine Patients

10/17/2019

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...

10/17/2019

First Report Managed Care

Integrated Healthcare Executive

Importance of Communication Within a Successful Partnership

10/17/2019

Julie Gould ;

Lynn Kryfke, RN, MSN, executive direct at Children’s Community Health Plan, and Sumant Rao, senior vice president of performance analytics at Cotiviti, discuss their renewed partnership and highlight what health plans can learn from their...

Lynn Kryfke, RN, MSN, executive...

10/17/2019

First Report Managed Care

Department

Managed Care Q&A

Weighing Cost Benefits of Ibrutinib Compared with Traditional Chemoimmunotherapy

10/17/2019

Edan Stanley ;

Gary Owens, MD, president of Gary Owens Associates and First Report Managed Care editorial advisory board member, shares a payer perspective on treatment options for chronic lymphocytic leukemia, and weighs the benefits and challenges of...

Gary Owens, MD, president of...

10/17/2019

First Report Managed Care

Veterans Health Today

Partnership Aims at Improving VA’s Health Care Supply Chain

10/17/2019

According to a recent press release, the Department of Veteran Affairs (VA) announced that it has partnered with the Department of Defense’s (DOD) Defense Logistics Agency (DLA) as an effort to enhance VA’s supply chain management...

According to a recent press...

10/17/2019

First Report Managed Care

Veterans Health Today

VA to Implement New Procedures in 2020 to Improve Medical Information Sharing Among Community Care Providers

10/17/2019

The Department of Veteran Affairs (VA) announced it will implement new procedures by January 2020 aimed at improving medical information sharing among veterans accessing health care in the community.

The Department of Veteran...

10/17/2019

First Report Managed Care

Veterans Health Today

New Goal Achieved By VA, Over 90,000 Appeal Decisions Delivered

10/17/2019

According to a press release from the Department of Veteran Affairs (VA), the agency has exceeded its goal ahead of schedule regarding appeals decisions for disability benefits and services provided to veterans in 2019.

According to a press release...

10/17/2019

First Report Managed Care

Veterans Health Today

Interview: Improving Prescribing Among Veterans

10/17/2019

Julie Gould ;

Catherine Chanfreau-Coffinier, PhD, explains how pharmacogenetic testing would impact a large proportion of veterans if it was implemented in the VA population.

Catherine Chanfreau-Coffinier,...

10/17/2019

First Report Managed Care

News Connection

Predictive Score Categorizes Potentially Avoidable Readmission Risk

10/17/2019

By identifying factors significantly associated with potentially avoidable readmissions (PAR), Anne-Laure Blanc, PharmD, Pharmacie des Hôpitaux de l’Est Lémanique in Switzerland, and fellow researchers, created and internally validated a...

By identifying factors...

10/17/2019

First Report Managed Care

News Connection

Challenges Managing High-Expenditure Medicaid Beneficiaries

10/17/2019

Social determinants of health, including transportation and housing, are creating obstacles in managing chronic conditions and high-expenditure Medicaid beneficiaries, according to a report published by the United States Government...

Social determinants of health,...

10/17/2019

First Report Managed Care

News Connection

CMS, Trump Administration Expect Decreased MA Premiums in 2020

10/17/2019

As Medicare open enrollment approaches, the Centers for Medicare & Medicaid Services (CMS) and the Trump administration announced in a press release that on average, 2020 premiums for Medicare Advantage (MA) enrollees are expected to be 23%...

As Medicare open enrollment...

10/17/2019

First Report Managed Care

Current Issue

September 2024

Volume 21

Issue 3

Current Issue

Issue Archive

What's Trending?

Protease Inhibitors for Hepatitis C

11/27/2012

Kevin L. Carter ;

Cincinnati—For pharmacy benefit managers, managing hepatitis C virus (HCV) protease inhibitors present significant challenges, including high costs, treatment complexity, and increased adverse events. RegenceRx Pharmacy Benefit Management in...

Cincinnati—For pharmacy benefit...

11/27/2012

First Report Managed Care

News

Forest Labs gets subpoena on hypertension drugs

05/11/2011

First Report Managed Care

News

U.S. says it`s on track to make health exchanges work

05/10/2013

First Report Managed Care

News

Novo Nordisk Reports Tresiba Insulin Achieves Target in Study

11/29/2016

According to a recent announcement, the long-acting Tresiba (insulin degludec; Novo Nordisk) showed a safe cardiovascular profile, and reduced episodes of severely low blood glucose levels in patients with type 2 diabetes.

According to a recent...

11/29/2016

First Report Managed Care

News

Medi-Cal Rx Program Disrupted After Centene Acquisition

04/08/2022

Samantha Young ;

Low-income Californians experienced disruptions to customer service and prescription refills after Medi-Cal management was shifted to the private sector.

Low-income Californians...

04/08/2022

First Report Managed Care

Video Insights

Videos

Bridging the Gaps in Prior Authorization: Challenges, Solutions, and Collaboration for Better Patient Care

11/13/2024

David Sand, MD, MBA, chief medical officer at ZeOmega, discusses the challenges of prior authorization, emphasizing the need for transparency, evidence-based standards, collaboration between payers and providers, and the potential for...

David Sand, MD, MBA, chief...

11/13/2024

First Report Managed Care

Videos

The Evolving Role of CGRP-targeting Therapies in Migraine Prevention

10/31/2024

Richard Lipton, MD, provides insights on the American Headache Society’s position statement update on calcitonin gene-related peptide (CGRP)-targeting therapies as a first-line option for the prevention of migraine.

Richard Lipton, MD, provides...

10/31/2024

First Report Managed Care

Videos

Unmet Needs in the Treatment and Management of Non–Small Cell Lung Cancer

09/26/2024

Alexander Spira , MD, PhD;

Alexander I. Spira, MD, PhD, discusses significant unmet needs in the treatment and management of non–small cell lung cancer (NSCLC).

Alexander I. Spira, MD, PhD,...

09/26/2024

First Report Managed Care

Videos

Treatment Options for NSCLC: A Discussion on Coverage, Clinical Outcomes, and Payer Perspectives

09/25/2024

Learn about research developments in 1L therapy for NSCLC patients with EGFR mutations and how outcomes may impact coverage and reimbursement decisions for insurers.

Learn about research...

09/25/2024

First Report Managed Care

Videos

Addressing the Root Cause of a Common Ocular Condition: A Virtual Roundtable

09/04/2024

View a roundtable discussion on Demodex blepharitis, a prevalent ocular condition that often goes undiagnosed in patients.

View a roundtable discussion on...

09/04/2024

First Report Managed Care

Videos

Addressing Health Disparities and Promoting Equity: The Role of Advanced Imaging Solutions

08/15/2024

Guest expert Jordan Bazinsky discusses the challenges facing the medical imaging industry, the potential of AI and emerging technologies, the role of advanced imaging solutions in promoting health equity, and the key trends and challenges...

Guest expert Jordan Bazinsky...

08/15/2024

First Report Managed Care

Videos

Promising Therapies and Clinical Trials for Chronic Lymphocytic Leukemia

08/14/2024

Farrukh T. Awan , MD;

Farrukh Awan, MD, highlights promising therapies and clinical trials within the field of chronic lymphocytic leukemia (CLL).

Farrukh Awan, MD, highlights...

08/14/2024

Journal of Clinical Pathways

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...

07/31/2024

First Report Managed Care

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...

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.

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

Featured Article

Department

Current Issue

What's Trending?

Video Insights

Subscribe to our eNewsletters!

October 2019 Volume 16 Issue 10

Specialties

Events

Year Round Education

HMP Global Products