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Volume 17, Issue 6, June/July 2020 - First Report Managed Care

Featured Article

Managed Care Innovators: A Modern Approach to Medicare Advantage, An Interview With Rebellis Group Founders Betsy Seals and Debra Devereaux
07/21/2020
Betsy Seals and Debra Devereaux, MBA, RPh, explain what motivated them to start a managed care consulting firm; how COVID-19 shifted things into hyperdrive; and the keys to success in the rapidly evolving Medicare Advantage space.
Betsy Seals and Debra Devereaux, MBA, RPh, explain what motivated them to start a managed care consulting firm; how COVID-19 shifted things into hyperdrive; and the keys to success in the rapidly evolving Medicare Advantage space.
Betsy Seals and Debra Devereaux,...
07/21/2020
First Report Managed Care

Department

Conference Insider
Hydroxychloroquine Plus Itraconazole Shows No Antitumor Activity in Advanced EOC
07/21/2020
Although the combination of hydroxychloroquine and itraconazole was shown to be feasible in heavily pre-treated patients with platinum-resistant epithelial ovarian cancer (EOC), the regimen did not show any antitumor activity, according to...
Although the combination of hydroxychloroquine and itraconazole was shown to be feasible in heavily pre-treated patients with platinum-resistant epithelial ovarian cancer (EOC), the regimen did not show any antitumor activity, according to...
Although the combination of...
07/21/2020
First Report Managed Care
Veterans Health Today
Exercise Appears to Preserve Cognitive Function in Veterans With Depression
07/21/2020
In a nationally representative sample of older US military veterans, the negative effect of depression on cognitive functioning was moderated by a pair of factors that affect brain-derived neurotropic factor (BDNF) function in the brain: BDNF...
In a nationally representative sample of older US military veterans, the negative effect of depression on cognitive functioning was moderated by a pair of factors that affect brain-derived neurotropic factor (BDNF) function in the brain: BDNF...
In a nationally representative...
07/21/2020
First Report Managed Care
Veterans Health Today
Omega-3 Supplements, Fish Intake Not Associated With Lower Risk of Nonfatal Coronary Artery Disease in Veterans
07/21/2020
Neither omega-3 fatty acid supplement use nor fish intake was linked with a lower risk of nonfatal coronary artery disease in US veterans, according to a study in Clinical Nutrition.
Neither omega-3 fatty acid supplement use nor fish intake was linked with a lower risk of nonfatal coronary artery disease in US veterans, according to a study in Clinical Nutrition.
Neither omega-3 fatty acid...
07/21/2020
First Report Managed Care
Veterans Health Today
Vitamin D Deficiency Increases Hospitalization Risk in Veterans With Heart Failure
07/21/2020
The risk of hospitalization in veterans with heart failure was significantly higher for those with vitamin D deficiency, according to a study published in the journal Maturitas. 
The risk of hospitalization in veterans with heart failure was significantly higher for those with vitamin D deficiency, according to a study published in the journal Maturitas. 
The risk of hospitalization in...
07/21/2020
First Report Managed Care
Veterans Health Today
Nonopioid Treatment Option for Chronic Low Back Pain in Veterans
07/21/2020
Jennifer Naylor, PhD, clinical & experimental psychologist, Durham VA Health Care System and co-director for the VA Mid-Atlantic MIRECC’s Clinical Core, and Chris Marx, MD, staff psychiatrist, Durham VA Health Care System and codDirector for...
Jennifer Naylor, PhD, clinical & experimental psychologist, Durham VA Health Care System and co-director for the VA Mid-Atlantic MIRECC’s Clinical Core, and Chris Marx, MD, staff psychiatrist, Durham VA Health Care System and codDirector for...
Jennifer Naylor, PhD, clinical &...
07/21/2020
First Report Managed Care
News Connection
Comparing Medical Costs, Utilization Rates for Patients With Both Diabetes and Cancer
07/21/2020
In a recent study, researchers found that patients with type 2 diabetes mellitus who have also been diagnosed with cancer incur higher direct medical costs than patients with diabetes alone.
In a recent study, researchers found that patients with type 2 diabetes mellitus who have also been diagnosed with cancer incur higher direct medical costs than patients with diabetes alone.
In a recent study, researchers...
07/21/2020
First Report Managed Care
News Connection
HHS Partners With US-Based Pharma Manufacturers to Address Shortages
07/21/2020
The US Department of Health and Human Services (HHS) announced a plan to partner with a team of private industry partners in an effort to expand US-based pharmaceutical manufacturing, reducing the risk of shortages during the COVID-19...
The US Department of Health and Human Services (HHS) announced a plan to partner with a team of private industry partners in an effort to expand US-based pharmaceutical manufacturing, reducing the risk of shortages during the COVID-19...
The US Department of Health and...
07/21/2020
First Report Managed Care

Insights

Commentary
5 Critical Strategies for Health Plans to Connect with Members During a Pandemic
07/21/2020
In the midst of the COVID-19 pandemic, engaging and communicating with members has never been more important for health plans. With the situation evolving so rapidly, both globally and locally, plan members run the risk of being confused by...
In the midst of the COVID-19 pandemic, engaging and communicating with members has never been more important for health plans. With the situation evolving so rapidly, both globally and locally, plan members run the risk of being confused by...
In the midst of the COVID-19...
07/21/2020
First Report Managed Care

Column

Viewpoint
Three Reasons Why Medication Adherence is Crucial During COVID-19
07/21/2020
Medication adherence must become a national priority as we deal with the continued effects of COVID-19.
Medication adherence must become a national priority as we deal with the continued effects of COVID-19.
Medication adherence must become...
07/21/2020
First Report Managed Care
Integrated Healthcare Executive
Taking the Surprise Out of Medical Billing
07/21/2020
Steve Avery, president and chief client officer of abeo. breaks down the rates of surprise billing within organizations and provides some best practices for providers who want to ensure patients are prepared to meet all of their financial...
Steve Avery, president and chief client officer of abeo. breaks down the rates of surprise billing within organizations and provides some best practices for providers who want to ensure patients are prepared to meet all of their financial...
Steve Avery, president and chief...
07/21/2020
First Report Managed Care
FRMC Volume 21, Issue 4

Current Issue

October/November/December Volume 21, Issue 4, First Report Managed Care
Current Issue
Issue Archive

What's Trending?

News
U.S. Families Provide Billions in Unpaid Care to Kids with Special Needs
12/29/2016
Children with special needs who receive care from family members would typically cost thousands of dollars per year if it was provided by home health aides. 
Children with special needs who receive care from family members would typically cost thousands of dollars per year if it was provided by home health aides. 
Children with special needs who...
12/29/2016
First Report Managed Care
News
Missouri Takes Months to Process Medicaid Applications—Longer Than Law Allows
02/18/2022
Typical Medicaid applications in Missouri are taking an average of 70 days to process, which exceeds the 45 days allowed by federal law.
Typical Medicaid applications in Missouri are taking an average of 70 days to process, which exceeds the 45 days allowed by federal law.
Typical Medicaid applications in...
02/18/2022
First Report Managed Care
Conference Insider
Combination Therapy for ADHD Shows Promise
12/17/2012
San Diego—Combination therapy has been used informally in mental health, but new evidence is emerging that combination therapy is safe and effective for difficult and treatment-resistant cases of attention-deficit hyperactivity disorder...
San Diego—Combination therapy has been used informally in mental health, but new evidence is emerging that combination therapy is safe and effective for difficult and treatment-resistant cases of attention-deficit hyperactivity disorder...
San Diego—Combination therapy...
12/17/2012
First Report Managed Care
News
Aetna sues 9 N.J. doctors for "unconscionable" fees
05/16/2011
05/16/2011
First Report Managed Care
News
How Medicare Can Save Big Dollars on Drug Costs
06/04/2013
06/04/2013
First Report Managed Care

Video Insights

Hennessy Headshot
Videos
Navigating Biosimilar Integration: Cost Savings, Coverage, and Future Strategies for Payers
12/10/2024
John Hennessy, MBA, discusses the complexities of biosimilar adoption, highlighting potential cost savings, payer strategies, challenges in provider and patient acceptance, regulatory impacts, and the critical need for sustainable market...
John Hennessy, MBA, discusses the complexities of biosimilar adoption, highlighting potential cost savings, payer strategies, challenges in provider and patient acceptance, regulatory impacts, and the critical need for sustainable market...
John Hennessy, MBA, discusses...
12/10/2024
First Report Managed Care
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

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July 2020 Volume 17 Issue 6

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