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Volume 17, Issue 8, September 2020 - First Report Managed Care

Featured Article

Health Care on the Ballot: Four More Years or a New Direction?
09/25/2020

Dean Celia

Dean Celia
How is the health care landscape expected to look over the next four years? We consulted with managed care experts to analyze what has changed since 2016, what is likely to occur if the president is reelected, and how events might unfold...
How is the health care landscape expected to look over the next four years? We consulted with managed care experts to analyze what has changed since 2016, what is likely to occur if the president is reelected, and how events might unfold...
How is the health care landscape...
09/25/2020
First Report Managed Care

Department

Formulary Frontlines®
Achieving Effective Motor Control for Patients With Parkinson Disease
09/25/2020

Edan Stanley

Edan Stanley
There is no definitive cure for PD but the main objective is reducing symptoms and achieving effective motor control through medication and surgical therapy. The cornerstone of symptomatic treatment for PD is dopamine replacement therapy.
There is no definitive cure for PD but the main objective is reducing symptoms and achieving effective motor control through medication and surgical therapy. The cornerstone of symptomatic treatment for PD is dopamine replacement therapy.
There is no definitive cure for...
09/25/2020
First Report Managed Care
Managed Care Q&A
Refocusing the Multiple Sclerosis Treatment Landscape
09/25/2020

Edan Stanley

Edan Stanley
Edmund Pezalla, MD, MPH, CEO of Enlightenment Bioconsult, formerly of Aetna, discusses treatment options for multiple sclerosis (MS), highlights results from the ASCLEPIOS I and II studies, and notes why this data can be useful for payers. Dr...
Edmund Pezalla, MD, MPH, CEO of Enlightenment Bioconsult, formerly of Aetna, discusses treatment options for multiple sclerosis (MS), highlights results from the ASCLEPIOS I and II studies, and notes why this data can be useful for payers. Dr...
Edmund Pezalla, MD, MPH, CEO of...
09/25/2020
First Report Managed Care
News Connection
Examining Access to Home Health Care During Pandemic
09/25/2020
In a recent study published in JAMA Network Open, researchers assessed patient access and utilization of home health care, post-hospital discharge. Results showed a number of barriers including socioeconomic disparities.
In a recent study published in JAMA Network Open, researchers assessed patient access and utilization of home health care, post-hospital discharge. Results showed a number of barriers including socioeconomic disparities.
In a recent study published in...
09/25/2020
First Report Managed Care
News Connection
Nearly 12 Million People Lost Employer-Sponsored Insurance Amid Pandemic
09/25/2020
It is no surprise that many Americans lost access to health insurance throughout the pandemic, but new data shows that nearly 12 million people have been cut off from employee-sponsored plans.
It is no surprise that many Americans lost access to health insurance throughout the pandemic, but new data shows that nearly 12 million people have been cut off from employee-sponsored plans.
It is no surprise that many...
09/25/2020
First Report Managed Care
News Connection
Hospitalization Predictors of Readmission for Psoriasis
09/25/2020
US patients hospitalized for psoriasis had high rates of hospital readmission overall, but low rates of readmission for psoriasis specifically, according to a study published in the Journal of the American Academy of Dermatology.
US patients hospitalized for psoriasis had high rates of hospital readmission overall, but low rates of readmission for psoriasis specifically, according to a study published in the Journal of the American Academy of Dermatology.
US patients hospitalized for...
09/25/2020
First Report Managed Care
News Connection
Examining Trends in ED Costs of Care for Medicare Beneficiaries
09/25/2020
According to results of a recent JAMA Network Open study, total 30-day costs of emergency department (ED) care for Medicare beneficiaries has decreased over the last several years, which the authors mostly attribute to declining rates of...
According to results of a recent JAMA Network Open study, total 30-day costs of emergency department (ED) care for Medicare beneficiaries has decreased over the last several years, which the authors mostly attribute to declining rates of...
According to results of a recent...
09/25/2020
First Report Managed Care
News Connection
Quality of Life Significantly Lower With Chronic Lymphocytic Leukemia
09/25/2020
Whether on watch-and-wait or treatment regimens, patients with chronic lymphocytic leukemia had significantly impaired quality of life compared with age-matched healthy control participants, according to a study published online in the...
Whether on watch-and-wait or treatment regimens, patients with chronic lymphocytic leukemia had significantly impaired quality of life compared with age-matched healthy control participants, according to a study published online in the...
Whether on watch-and-wait or...
09/25/2020
First Report Managed Care
News Connection
Over $1.4 Billion Wasted on Discarded Cancer Drugs According to Medicare Advantage, CMS Data
09/25/2020
According to a recent data analysis by the Centers for Medicare & Medicaid Services (CMS) and Medicare Advantage, more than $1.4 billion was wasted on discarded units of chemotherapy and other cancer-treating drugs in 2017 and 2018.
According to a recent data analysis by the Centers for Medicare & Medicaid Services (CMS) and Medicare Advantage, more than $1.4 billion was wasted on discarded units of chemotherapy and other cancer-treating drugs in 2017 and 2018.
According to a recent data...
09/25/2020
First Report Managed Care
News Connection
CMS Launches Digital Medicare Platform, Streamlines Resources
09/25/2020
Care Compare, a redesign of eight existing health care tools and platforms, was launched by the Centers of Medicare & Medicaid Services (CMS) recently in an effort to improve patient access to information and streamline health care service...
Care Compare, a redesign of eight existing health care tools and platforms, was launched by the Centers of Medicare & Medicaid Services (CMS) recently in an effort to improve patient access to information and streamline health care service...
Care Compare, a redesign of...
09/25/2020
First Report Managed Care
Integrated Healthcare Executive
Benefits of New Cloud-Based Program for Health Plans
09/25/2020

Julie Gould

Julie Gould
Eric Sullivan, senior vice president of innovation and data strategies, Inovalon, discusses the Consumer Health Gateway, a new portal that allows health plans to build their own Patient Access API to comply with the new requirement of the...
Eric Sullivan, senior vice president of innovation and data strategies, Inovalon, discusses the Consumer Health Gateway, a new portal that allows health plans to build their own Patient Access API to comply with the new requirement of the...
Eric Sullivan, senior vice...
09/25/2020
First Report Managed Care

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Managing Chronic Kidney Disease in Older Adults
11/03/2014

Eileen Koutnik-Fotopoulos

Eileen Koutnik-Fotopoulos
Chronic kidney disease is pervasive in the older population. The progression of CKD can have a significant affect on the overall prognosis of a geriatric patient.
Chronic kidney disease is pervasive in the older population. The progression of CKD can have a significant affect on the overall prognosis of a geriatric patient.
Chronic kidney disease is...
11/03/2014
First Report Managed Care
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08/04/2011
First Report Managed Care
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US Government Proposes More Transparency in Clinical Trials
11/19/2014
Health officials proposed significantly expanding what researchers are required to report about clinical trials of drugs, devices, and other interventions.
Health officials proposed significantly expanding what researchers are required to report about clinical trials of drugs, devices, and other interventions.
Health officials proposed...
11/19/2014
First Report Managed Care
News
Device Could Reduce Direct Medical Costs For Patients with COPD
11/15/2017
Recent research in the International Journal of COPD found that a handheld mechanical oscillating positive expiratory pressure device could significantly improve post-exacerbation care.
Recent research in the International Journal of COPD found that a handheld mechanical oscillating positive expiratory pressure device could significantly improve post-exacerbation care.
Recent research in...
11/15/2017
First Report Managed Care
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Pelosi: Public option will not be in health bill despite liberal efforts
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First Report Managed Care

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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...
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First Report Managed Care
Lucille Accetta Headshot
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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
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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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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
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Unlocking the Future of Managed Care Pharmacy: A Deep Dive into Federal Legislation and Regulations
05/15/2024
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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
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Personalizing Weight Loss Management With GLP-1 Agonists
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Featuring Tejaswi Kompala, MD, head of cardiometabolic clinical strategy, Teladoc 

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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
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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
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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

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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.
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First Report Managed Care
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Advancements and Challenges in Diabetes Management
02/27/2024

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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September 2020 Volume 17 Issue 8

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