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Volume 16, Issue 4, April 2019 - First Report Managed Care

Featured Article

Managed Care Innovator: Donald Rucker
04/19/2019
Donald Rucker, MD, discusses progress in the areas of interoperability, reducing provider burden, and giving patients more control of their health data, as well as suggests how managed care stakeholders can position themselves for success as...
Donald Rucker, MD, discusses progress in the areas of interoperability, reducing provider burden, and giving patients more control of their health data, as well as suggests how managed care stakeholders can position themselves for success as...
Donald Rucker, MD, discusses...
04/19/2019
First Report Managed Care
Adoption of Value-Based Reimbursement Among Private Insurers
04/19/2019
As the federal government moves toward adopting and expanding value-based payment models, private market providers and payers are striving to smoothly transition to the new models, furthering the transformation of thought and practice of how...
As the federal government moves toward adopting and expanding value-based payment models, private market providers and payers are striving to smoothly transition to the new models, furthering the transformation of thought and practice of how...
As the federal government moves...
04/19/2019
First Report Managed Care
The Growing Influence of Younger Generations
04/19/2019
Millennials and members of Generation Z are more dissatisfied than their older counterparts with some aspects of traditional health care. Here’s how these younger adults and their expectations are shaping the current and future managed care...
Millennials and members of Generation Z are more dissatisfied than their older counterparts with some aspects of traditional health care. Here’s how these younger adults and their expectations are shaping the current and future managed care...
Millennials and members of...
04/19/2019
First Report Managed Care
Digital Medicines: A Solution to Medication Nonadherence?
04/19/2019
Could medication with built-in digital sensors improve medication adherence and reduce health care costs? Experts discuss the potential benefits of novel digital medicines against privacy concerns of large-scale data collection.
Could medication with built-in digital sensors improve medication adherence and reduce health care costs? Experts discuss the potential benefits of novel digital medicines against privacy concerns of large-scale data collection.
Could medication with built-in...
04/19/2019
First Report Managed Care

Department

Formulary Frontlines®
Managing Chronic Asthma
04/19/2019
Asthma is a condition of hypersensitivity to common exposures associated with chronic airway inflammation, bronchial hyperreactivity with increased mucus and airway edema, obstruction, and narrowing. Barbara Yawn, MD, MSc, FAFFP, outlines...
Asthma is a condition of hypersensitivity to common exposures associated with chronic airway inflammation, bronchial hyperreactivity with increased mucus and airway edema, obstruction, and narrowing. Barbara Yawn, MD, MSc, FAFFP, outlines...
Asthma is a condition of...
04/19/2019
First Report Managed Care
Managed Care Q&A
Exploring the Cost Benefits of Cloud-Enabled Testing for RA Diagnosis
04/19/2019
Research economist, Katalin Bognar, PhD, Precision Health Economics, discusses the benefits of the use of rapid, cloud-enabled, onsite testing for rheumatoid arthritis.
Research economist, Katalin Bognar, PhD, Precision Health Economics, discusses the benefits of the use of rapid, cloud-enabled, onsite testing for rheumatoid arthritis.
Research economist, Katalin...
04/19/2019
First Report Managed Care
News Connection
Telehealth Services Outpace Other Venues of Care
04/19/2019
Between 2016 and 2017, the national utilization of telehealth as a service grew 53%, according to data from a recent white paper outlining service trends and medical pricing published by FAIR Health.
Between 2016 and 2017, the national utilization of telehealth as a service grew 53%, according to data from a recent white paper outlining service trends and medical pricing published by FAIR Health.
Between 2016 and 2017, the...
04/19/2019
First Report Managed Care
News Connection
J&J Announce Price of Newly Approved Depression Treatment
04/19/2019
Johnson & Johnson announced the US Federal Drug Administration approved the new, ketamine-like, nasal spray depression treatment, Spravato (esketamine). The pharmaceutical company confirmed that Spravato, will be priced at $590 for a 56mg...
Johnson & Johnson announced the US Federal Drug Administration approved the new, ketamine-like, nasal spray depression treatment, Spravato (esketamine). The pharmaceutical company confirmed that Spravato, will be priced at $590 for a 56mg...
Johnson & Johnson announced the...
04/19/2019
First Report Managed Care
News Connection
Coverage of Nondrug Treatments for Back Pain Inconsistent Across Insurers
04/19/2019
Although most insurers tend to cover physical and occupational therapy as well as chiropractic care for the treatment of chronic low back pain, coverage for acupuncture and psychological interventions is less consistent despite evidence...
Although most insurers tend to cover physical and occupational therapy as well as chiropractic care for the treatment of chronic low back pain, coverage for acupuncture and psychological interventions is less consistent despite evidence...
Although most insurers tend to...
04/19/2019
First Report Managed Care
News Connection
Newly Approved Nasal Spray Made Available for Veterans
04/19/2019
The Department of Veterans Affairs (VA) recently announced that its health care providers will be able to offer veterans the newly approved nasal spray for treatment-resistant depression. 
The Department of Veterans Affairs (VA) recently announced that its health care providers will be able to offer veterans the newly approved nasal spray for treatment-resistant depression. 
The Department of Veterans...
04/19/2019
First Report Managed Care
News Connection
Better Work Performance Among Engaged Employees Within VA Medical Centers
04/19/2019
A recent study revealed that engaged employees within the Department of Veteran Affairs (VA) medical centers had higher patient satisfaction, better call center performance, and lower turnover among registered nurses.
A recent study revealed that engaged employees within the Department of Veteran Affairs (VA) medical centers had higher patient satisfaction, better call center performance, and lower turnover among registered nurses.
A recent study revealed that...
04/19/2019
First Report Managed Care
FRMC Volume 21, Issue 3

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What's Trending?

News
Biotechnology Initial Public Offerings Soar in 2013
02/13/2014
New York—After several poor years, the biotechnology industry rebounded in 2013 with 45 initial public offerings (IPOs) of biotechnology companies and more money flowing into the sector. It was the most activity in the sector since 2000, and...
New York—After several poor years, the biotechnology industry rebounded in 2013 with 45 initial public offerings (IPOs) of biotechnology companies and more money flowing into the sector. It was the most activity in the sector since 2000, and...
New York—After several poor...
02/13/2014
First Report Managed Care
News
Study: Pediatric Patients Benefit From PCMH Utilization
03/22/2017
Researchers argue that public funding efforts should be invested in improving the use of patient centered medical homes for children covered under public insurance, or those who have no insurance at all.
Researchers argue that public funding efforts should be invested in improving the use of patient centered medical homes for children covered under public insurance, or those who have no insurance at all.
Researchers argue that public...
03/22/2017
First Report Managed Care
News
High Deductible Health Plans Associated With No Change in Asthma Care
10/26/2021
Authors noted that enrollment in high deductible health plans “was associated with minimal or no reductions in controller medication use for children and adults and no change in asthma exacerbations,” suggesting a potential benefit from...
Authors noted that enrollment in high deductible health plans “was associated with minimal or no reductions in controller medication use for children and adults and no change in asthma exacerbations,” suggesting a potential benefit from...
Authors noted that enrollment in...
10/26/2021
First Report Managed Care
Cancer Screening Cessation for Older Adults
06/26/2013
There are many educational efforts designed to increase the rates of screening for cancer, which is an important part of standard medical care. However, the balance of the risks and benefits of screening are affected by situations such as...
There are many educational efforts designed to increase the rates of screening for cancer, which is an important part of standard medical care. However, the balance of the risks and benefits of screening are affected by situations such as...
There are many educational...
06/26/2013
First Report Managed Care
News
Mylan gets approval for generic Effexor XR
06/08/2011
06/08/2011
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 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
Richard Lipton, MD
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 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
Alexander Spira, MD, PhD
Videos
Unmet Needs in the Treatment and Management of Non–Small Cell Lung Cancer
09/26/2024
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, 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 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
Title Card
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 Demodex blepharitis, a prevalent ocular condition that often goes undiagnosed in patients.
View a roundtable discussion on...
09/04/2024
First Report Managed Care
Jordan Bazinsky
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 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
Farrukh Awan, MD
Videos
Promising Therapies and Clinical Trials for Chronic Lymphocytic Leukemia
08/14/2024
Farrukh Awan, MD, highlights promising therapies and clinical trials within the field of chronic lymphocytic leukemia (CLL).
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
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

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April 2019 Volume 16 Issue 4

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