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Volume 16, Issue 5, May 2019 - First Report Managed Care

Featured Article

Congress’ Spotlight Shines on PBMs
05/17/2019

Dean Celia

Dean Celia
The Senate Finance Committee recently examined the complicated role pharmacy benefit managers play in the pricing of pharmaceuticals. Six prominent themes emerged. First Report Managed Care consulted with a panel of experts to assess the...
The Senate Finance Committee recently examined the complicated role pharmacy benefit managers play in the pricing of pharmaceuticals. Six prominent themes emerged. First Report Managed Care consulted with a panel of experts to assess the...
The Senate Finance Committee...
05/17/2019
First Report Managed Care

Department

News Connection
US Pharmaceutical Spending Growth Increased 30% in 4 Years
05/17/2019
According to a report from the Pew Charitable Trusts, it is estimated that US retail pharmaceutical drug spending increased 26.8% between 2012 and 2016, an increase of over $90 billion.
According to a report from the Pew Charitable Trusts, it is estimated that US retail pharmaceutical drug spending increased 26.8% between 2012 and 2016, an increase of over $90 billion.
According to a report from the...
05/17/2019
First Report Managed Care
News Connection
Medicare Hospital Insurance Trust Running Out of Funds
05/17/2019
The Medicare Board of Trustees released the annual report measuring the stability and success of the program, as well as the current state of the Hospital Insurance Trust Fund and the Supplementary Medical Insurance (SMI) Trust Fund, the two...
The Medicare Board of Trustees released the annual report measuring the stability and success of the program, as well as the current state of the Hospital Insurance Trust Fund and the Supplementary Medical Insurance (SMI) Trust Fund, the two...
The Medicare Board of Trustees...
05/17/2019
First Report Managed Care
News Connection
Medicare Rules for Hospital Readmission Rates Lessen Financial Burden
05/17/2019
According to a research published in JAMA Internal Medicine, Medicare reimbursement rules that went into effect in January are shifting the financial burden of readmission rate penalties to hospitals that serve wealthier populations.
According to a research published in JAMA Internal Medicine, Medicare reimbursement rules that went into effect in January are shifting the financial burden of readmission rate penalties to hospitals that serve wealthier populations.
According to a research...
05/17/2019
First Report Managed Care
News Connection
Economic, Health Outcomes Minimally Impacted by Workplace Wellness Programs
05/17/2019
Research published by JAMA showed that while workplace wellness programs may improve employees’ health behaviors, there is little to no significant effects on clinical measures of health, health care spending and utilization, absenteeism,...
Research published by JAMA showed that while workplace wellness programs may improve employees’ health behaviors, there is little to no significant effects on clinical measures of health, health care spending and utilization, absenteeism,...
Research published by JAMA...
05/17/2019
First Report Managed Care
News Connection
EHR With Decision Support Reduced Unnecessary GIPP Testing, Saved Money
05/17/2019
Researchers found that hardwiring a hospital’s electronic health record (EHR) system to provide data on the appropriate times to order Gastrointestinal Pathogen Panel (GIPP) nearly halved the amount of inappropriate testing.
Researchers found that hardwiring a hospital’s electronic health record (EHR) system to provide data on the appropriate times to order Gastrointestinal Pathogen Panel (GIPP) nearly halved the amount of inappropriate testing.
Researchers found that...
05/17/2019
First Report Managed Care
Conference Insider
General Session: James Kenney and a New Look for AMCP
05/17/2019
James Kenney, RPH, MBA, new president of AMCP addressed attendees of the AMCP Managed Care & Specialty Pharmacy summit, where he discussed the importance of focusing on patient outcomes and innovating technology.
James Kenney, RPH, MBA, new president of AMCP addressed attendees of the AMCP Managed Care & Specialty Pharmacy summit, where he discussed the importance of focusing on patient outcomes and innovating technology.
James Kenney, RPH, MBA, new...
05/17/2019
First Report Managed Care
Conference Insider
Research Updates in Medication Therapy Management
05/17/2019
In a session at the AMCP Managed Care & Specialty Pharmacy Annual Meeting 2019, Nicole Brandt, PharmD, MBA, BCGP, BCPP, FASCP, executive director, The Peter Lamy Center on Drug Therapy and Aging Professor, Pharmacy Practice and Science...
In a session at the AMCP Managed Care & Specialty Pharmacy Annual Meeting 2019, Nicole Brandt, PharmD, MBA, BCGP, BCPP, FASCP, executive director, The Peter Lamy Center on Drug Therapy and Aging Professor, Pharmacy Practice and Science...
In a session at the AMCP Managed...
05/17/2019
First Report Managed Care
Conference Insider
The Future of Health Care: Payers Identify Key Trends
05/17/2019
To better understand payer insights in health care trends and also identify the most promising solutions to foster wider implementation of innovative strategies, a 33-item web-based survey was distributed to US pharmacy, contracting, and...
To better understand payer insights in health care trends and also identify the most promising solutions to foster wider implementation of innovative strategies, a 33-item web-based survey was distributed to US pharmacy, contracting, and...
To better understand payer...
05/17/2019
First Report Managed Care
Conference Insider
Pharmacy Savings Linked With Exclusion Formulary
05/17/2019
In an effort to address escalating drug expenditures, formulary exclusions have arisen, and according to a recent study, the exclusion formulary has resulted in significant pharmacy savings but was not associated with increased medical cost...
In an effort to address escalating drug expenditures, formulary exclusions have arisen, and according to a recent study, the exclusion formulary has resulted in significant pharmacy savings but was not associated with increased medical cost...
In an effort to address...
05/17/2019
First Report Managed Care
Conference Insider
Patient-Reported Outcomes Similarly Impacted By Migraine Treatments
05/17/2019
Researchers recently found that patient-reported outcomes (PROs) were no different among patients treated with calcitonin gene-related peptide (CGRP) antagonists or onabotulinumtoxinA (ONA) for the indication of chronic migraine prophylaxis. 
Researchers recently found that patient-reported outcomes (PROs) were no different among patients treated with calcitonin gene-related peptide (CGRP) antagonists or onabotulinumtoxinA (ONA) for the indication of chronic migraine prophylaxis. 
Researchers recently found that...
05/17/2019
First Report Managed Care

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Abuse and Misuse of Opioid Medications
09/19/2013

Tim Casey

Tim Casey
Opioid medications have been proven effective in treating chronic pain; however, they are also associated with misuse, abuse, and diversion. 
Opioid medications have been proven effective in treating chronic pain; however, they are also associated with misuse, abuse, and diversion. 
Opioid medications have been...
09/19/2013
First Report Managed Care
News
Melanoma Drugs Show Some Success
06/21/2011
06/21/2011
First Report Managed Care
News
Changes in Appearance of Medicine Effects Patient Adherence
07/15/2014
A recent study found that individuals are more likely to stop taking their medication after a heart attack if the appearance of their medication changes without explanation [Ann Intern Med. 2014;161(2):96-103]. Aaron S. Kesselheim, MD, JD,...
A recent study found that individuals are more likely to stop taking their medication after a heart attack if the appearance of their medication changes without explanation [Ann Intern Med. 2014;161(2):96-103]. Aaron S. Kesselheim, MD, JD,...
A recent study found that...
07/15/2014
First Report Managed Care
News
New FDA Commissioner Confirmed by Senate
05/10/2017
On Tuesday, the US Senate confirmed Scott Gottlieb, MD, to head the US Food and Drug Administration.
On Tuesday, the US Senate confirmed Scott Gottlieb, MD, to head the US Food and Drug Administration.
On Tuesday, the US Senate...
05/10/2017
First Report Managed Care
Asaf Kleinbort, CEO and co-founder of Medorion
Commentary
Behavior Focused Care: The Next Frontier
08/11/2021

Asaf Kleinbort, CEO and cofounder, Medorion

Asaf Kleinbort, CEO and cofounder, Me...
“The next frontier in public health will be scalable personalized communication, and it will seismically change the interactions between payer, provider, and health care recipient,” says Asaf Kleinbort, CEO and cofounder, Medorion.
“The next frontier in public health will be scalable personalized communication, and it will seismically change the interactions between payer, provider, and health care recipient,” says Asaf Kleinbort, CEO and cofounder, Medorion.
“The next frontier in public...
08/11/2021
Integrated Healthcare Executive

Video Insights

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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
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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
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03/27/2024

Featuring Tom Zaubler, MD, MPH, CMO at NeuroFlow

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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...
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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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...
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03/25/2024
First Report Managed Care
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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
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Featuring Mansur Shomali, MD, chief medical officer at Welldoc, endocrinologist at MedStar Health 

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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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May 2019 Volume 16 Issue 5

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