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Volume 17, Issue 10, November 2020 - First Report Managed Care

Featured Article

An Expert Look at Presidential Pandemic Plans
11/20/2020

Dean Celia

Dean Celia
In the waning days before the election, President Trump and President-elect Biden laid out their thoughts on the pandemic. President Trump touted that COVID was all the media could speak about and added that talk of the virus would disappear...
In the waning days before the election, President Trump and President-elect Biden laid out their thoughts on the pandemic. President Trump touted that COVID was all the media could speak about and added that talk of the virus would disappear...
In the waning days before the...
11/20/2020
First Report Managed Care

Department

Formulary Frontlines®
New Options Available for Treatment-Resistant Depression
11/20/2020

Jeff Craven

Jeff Craven
Over the past 30 years, few new pharmacologic therapies have been developed for mood disorders, including depression. However, for patients who do not respond to conventional pharmacologic treatments for MDD, new answers for...
Over the past 30 years, few new pharmacologic therapies have been developed for mood disorders, including depression. However, for patients who do not respond to conventional pharmacologic treatments for MDD, new answers for...
Over the past 30 years, few new...
11/20/2020
First Report Managed Care
Conference Insider
Reducing Opioid Utilization, Costs Through Provider Outreach, Coordination
11/20/2020
Study findings from a poster presented at AMCP Nexus 2020 suggest that when providers perform outreach and coordination across both prescribers and patients, opioid utilization and costs are reduced.
Study findings from a poster presented at AMCP Nexus 2020 suggest that when providers perform outreach and coordination across both prescribers and patients, opioid utilization and costs are reduced.
Study findings from a poster...
11/20/2020
First Report Managed Care
Conference Insider
Advancing Health Equity by Addressing SDoH, Health Disparities
11/20/2020
As much as 80% of health outcomes are driven by social determinants of health (SDoH) which are defined as the community-level conditions and environments in which people live, work, learn, worship, and age. 
As much as 80% of health outcomes are driven by social determinants of health (SDoH) which are defined as the community-level conditions and environments in which people live, work, learn, worship, and age. 
As much as 80% of health...
11/20/2020
First Report Managed Care
Conference Insider
Examining Definition Discrepancies for Curative Therapies From a Payer Perspective
11/20/2020
Coverage decisions for curative therapies can vary greatly due to their extended benefit/risk profiles and differing definitions by payers, according to research presented at AMCP Nexus 2020. 
Coverage decisions for curative therapies can vary greatly due to their extended benefit/risk profiles and differing definitions by payers, according to research presented at AMCP Nexus 2020. 
Coverage decisions for curative...
11/20/2020
First Report Managed Care
Conference Insider
Cost vs Utility: Weighing Benefits and Challenges of Gene Therapies
11/20/2020
As gene therapies continue to grow in popularity for the treatment of rare diseases, stakeholders are navigating the benefits and challenges associated with these expensive treatments. 
As gene therapies continue to grow in popularity for the treatment of rare diseases, stakeholders are navigating the benefits and challenges associated with these expensive treatments. 
As gene therapies continue to...
11/20/2020
First Report Managed Care
Managed Care Q&A
Improving Care Quality Through Meaningful Partnerships
11/20/2020

Edan Stanley

Edan Stanley
Ben Park, MD, president and CEO, American Health Network, part of Optum Care, discusses a recent partnership with Suburban Health Organization that will improve health care quality for Medicare Advantage members and reduce costs, and shares...
Ben Park, MD, president and CEO, American Health Network, part of Optum Care, discusses a recent partnership with Suburban Health Organization that will improve health care quality for Medicare Advantage members and reduce costs, and shares...
Ben Park, MD, president and CEO,...
11/20/2020
First Report Managed Care
Managed Care Q&A
Analyzing What the Health Care System Will Be Like Under a New Administration
11/20/2020

Julie Gould

Julie Gould
Ben Isgur, Health Research Institute Leader, PwC, leads PwC’s Health Research Institute, the think tank within the firm that looks at health industry trends that affect pharma, life sciences, payers, providers, and large employers through...
Ben Isgur, Health Research Institute Leader, PwC, leads PwC’s Health Research Institute, the think tank within the firm that looks at health industry trends that affect pharma, life sciences, payers, providers, and large employers through...
Ben Isgur, Health Research...
11/20/2020
First Report Managed Care
Veterans Health Today
VA-Specific Primary Care Clinicians Say E-Consultations Are Valuable, But May Increase Workload
11/20/2020

Julie Gould

Julie Gould
In this interview with Veterans Health Today, Joseph Simonetti, MD, MPH, assistant professor of medicine in the Division of Hospital Medicine, University of Colorado School of Medicine, discusses his recent study examining the pros and cons...
In this interview with Veterans Health Today, Joseph Simonetti, MD, MPH, assistant professor of medicine in the Division of Hospital Medicine, University of Colorado School of Medicine, discusses his recent study examining the pros and cons...
In this interview with Veterans...
11/20/2020
First Report Managed Care
Pharmacy Insight
New Walgreens Survey Identifies Flu-Related Knowledge Gaps Among Patient Groups
11/20/2020

Julie Gould

Julie Gould
Tasha Polster, BSPharm, vice president, pharmacy quality compliance and patient safety, Walgreens, discusses misconceptions that often keep patients from getting a flu shot, and what age group is often less knowledgeable about the flu and the...
Tasha Polster, BSPharm, vice president, pharmacy quality compliance and patient safety, Walgreens, discusses misconceptions that often keep patients from getting a flu shot, and what age group is often less knowledgeable about the flu and the...
Tasha Polster, BSPharm, vice...
11/20/2020
First Report Managed Care
Integrated Healthcare Executive
Solutions for Organizations Suffering from a Lack of Data Insights
11/20/2020

Julie Gould

Julie Gould
Michael Simmons, CEO and founder of andros, explains how the use of technology, including his new solution CredSimple, helps leverage data-enabled learnings and an AI-powered process that streamlines health care organizations’ entire...
Michael Simmons, CEO and founder of andros, explains how the use of technology, including his new solution CredSimple, helps leverage data-enabled learnings and an AI-powered process that streamlines health care organizations’ entire...
Michael Simmons, CEO and founder...
11/20/2020
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
News
Post-reform positioning (America`s Health Insurance Plans annual meeting)
07/11/2011
07/11/2011
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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November 2020 Volume 17 Issue 10

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