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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
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
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
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
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
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
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
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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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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November 2020 Volume 17 Issue 10

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