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

Featured Article

Managed Care Innovator: Donald Rucker
04/19/2019

Dean Celia

Dean Celia
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

Mary Beth Nierengarten

Mary Beth Nierengarten
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

Paul Nicolaus

Paul Nicolaus
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

Jeff Craven

Jeff Craven
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

Barbara Yawn, MD, MSc, FAFFP and Edan Stanley

Barbara Yawn, MD, MSc, FAFFP and Edan...
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

Julie Gould

Julie Gould
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

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News
Shortened Hospital Stay With Standardized Order Set
09/14/2018
Compared with usual care, care provided under an electronic health system-based standardized order set was associated with a 31% lower steroid dose and a 1.1-day shorter length of stay in the hospital, with no effect on readmission rates, a...
Compared with usual care, care provided under an electronic health system-based standardized order set was associated with a 31% lower steroid dose and a 1.1-day shorter length of stay in the hospital, with no effect on readmission rates, a...
Compared with usual care, care...
09/14/2018
First Report Managed Care
News
‘Meaningful Use’ Regs for Electronic Medical Records Finally Drop!
07/14/2010
07/14/2010
First Report Managed Care
News
Debate Over Health Plan-Driven Clinical Pathways Continues
08/15/2016

By Dean Celia

By Dean Celia
While a California bill to restrict payer-driven clinical pathways was defeated, a similar bill was recently proposed in Connecticut, further stoking the debate between whether or not payers should be allowed to have input in the development...
While a California bill to restrict payer-driven clinical pathways was defeated, a similar bill was recently proposed in Connecticut, further stoking the debate between whether or not payers should be allowed to have input in the development...
While a California bill to...
08/15/2016
First Report Managed Care
News
Carper, Coburn urge supercommittee to focus on Medicare, Medicaid waste
10/13/2011
10/13/2011
First Report Managed Care
News
Call for Inclusion of PCPs in Hospital Teams
01/28/2015
Internal medicine resaerchers from Massachusetts General Hospital have proposed a collaborative model that coordinates primary care practitioners and hospitalists.
Internal medicine resaerchers from Massachusetts General Hospital have proposed a collaborative model that coordinates primary care practitioners and hospitalists.
Internal medicine resaerchers...
01/28/2015
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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April 2019 Volume 16 Issue 4

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