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Volume 17, Issue 9, October 2020 - First Report Managed Care

Featured Article

What Primary Care Needs to Survive and Thrive
10/23/2020
Recent strains on primary care, including the COVID-19 pandemic, have inspired many practicing clinicians, administrators, and payers to examine its sustainability, reimbursement, and develop solutions to save practices.
Recent strains on primary care, including the COVID-19 pandemic, have inspired many practicing clinicians, administrators, and payers to examine its sustainability, reimbursement, and develop solutions to save practices.
Recent strains on primary care,...
10/23/2020
First Report Managed Care

Special Report

First Report
HEOR: Examining the Effectiveness, Costs of Various DLBCL Treatments
10/23/2020
Diffuse large B-cell lymphoma (DLBCL) is the most common type of non-Hodgkin lymphoma (NHL) in the United States, according to the Lymphoma Research Foundation, and worldwide, accounting for about 22% of newly diagnosed cases of B-cell NHL in...
Diffuse large B-cell lymphoma (DLBCL) is the most common type of non-Hodgkin lymphoma (NHL) in the United States, according to the Lymphoma Research Foundation, and worldwide, accounting for about 22% of newly diagnosed cases of B-cell NHL in...
Diffuse large B-cell lymphoma...
10/23/2020
First Report Managed Care
Literature Review
Regulating the Use of CAR-T Therapy Outside of the Drug Paradigm
10/23/2020
Currently, chimeric antigen receptor T-cell (CAR-T) therapies are regulated as drugs—often leading to higher prices and barriers to access for patients, as well as financial strains for hospitals. However, in a recent insights article in JAMA...
Currently, chimeric antigen receptor T-cell (CAR-T) therapies are regulated as drugs—often leading to higher prices and barriers to access for patients, as well as financial strains for hospitals. However, in a recent insights article in JAMA...
Currently, chimeric antigen...
10/23/2020
First Report Managed Care
Pharmacy Insight
How to Better Ensure Patients are Aware to Use Pre Tax Funds for OTC Meds, Other Products
10/23/2020
Marsha Barnes, CEO and founder of The Finance Bar, and Taylor Holgate, Director of Government Affairs at the Consumer Healthcare Products Association, explain why patients are often not familiar with their pre-tax funds and discuss recent...
Marsha Barnes, CEO and founder of The Finance Bar, and Taylor Holgate, Director of Government Affairs at the Consumer Healthcare Products Association, explain why patients are often not familiar with their pre-tax funds and discuss recent...
Marsha Barnes, CEO and founder...
10/23/2020
First Report Managed Care

Department

Veterans Health Today
How Digital Patient Engagement Tools Have Helped Improved Outcomes and Workflows
10/23/2020
In a recent podcast interview with Veterans Health Today, eVideon’s, Jeff Fallon, CEO, and Spencer Draper, clinical solutions director, and Rocky Mountain Regional VAMC’s, Gregory Crenshaw, veteran experience officer, discuss how the use of...
In a recent podcast interview with Veterans Health Today, eVideon’s, Jeff Fallon, CEO, and Spencer Draper, clinical solutions director, and Rocky Mountain Regional VAMC’s, Gregory Crenshaw, veteran experience officer, discuss how the use of...
In a recent podcast interview...
10/23/2020
First Report Managed Care
News Connection
HIV PrEP Medication Costs US More Than $2 Billion Annually
10/23/2020
Payments for HIV preexposure prophylaxis (PrEP) drugs in the United States totaled more than $2.08 billion in 2018, according to a study published online in the Annals of Internal Medicine.
Payments for HIV preexposure prophylaxis (PrEP) drugs in the United States totaled more than $2.08 billion in 2018, according to a study published online in the Annals of Internal Medicine.
Payments for HIV preexposure...
10/23/2020
First Report Managed Care
News Connection
New UnitedHealthcare Plan Reduces Premiums, Improves Care Coordination
10/23/2020
UnitedHealthcare collaborated with Canopy Health, a physician- and hospital-owned restricted Knox-Keene licensed provider network, to provide consumers with a new health plan focused on improving care coordination and reducing costs.
UnitedHealthcare collaborated with Canopy Health, a physician- and hospital-owned restricted Knox-Keene licensed provider network, to provide consumers with a new health plan focused on improving care coordination and reducing costs.
UnitedHealthcare collaborated...
10/23/2020
First Report Managed Care
News Connection
Examining Racial Differences in Medicare Bundled Payment Joint Replacement Model
10/23/2020
Medicare’s Comprehensive Care for Joint Replacement (CJR) model exists to improve care quality and control spending for older adults needing joint replacement services. Researchers of a study published in JAMA Network Open sought to better...
Medicare’s Comprehensive Care for Joint Replacement (CJR) model exists to improve care quality and control spending for older adults needing joint replacement services. Researchers of a study published in JAMA Network Open sought to better...
Medicare’s Comprehensive Care...
10/23/2020
First Report Managed Care
News Connection
ACA-Funded Medicaid Expansion Increased LTC Use
10/23/2020
According to new research published online in JAMA Network Open, long-term care (LTC) use among newly eligible low-income, middle-aged adults increased following the expansion of Medicaid.
According to new research published online in JAMA Network Open, long-term care (LTC) use among newly eligible low-income, middle-aged adults increased following the expansion of Medicaid.
According to new research...
10/23/2020
First Report Managed Care
News Connection
Analyzing Financial Risk Protections, Insurance Coverage Under ACA
10/23/2020
Since it passed and was implemented 10 years ago, the Patient Protection and Affordable Care Act (ACA) has increased insurance coverage for millions of Americans; however, affordability is still a top concern for consumers and health care...
Since it passed and was implemented 10 years ago, the Patient Protection and Affordable Care Act (ACA) has increased insurance coverage for millions of Americans; however, affordability is still a top concern for consumers and health care...
Since it passed and was...
10/23/2020
First Report Managed Care
News Connection
CMS: ACOs Enrolled in Pathways to Success Program Saved Medicare Billions
10/23/2020
Under the Pathways to Success program implemented by the Centers for Medicare & Medicaid Services (CMS) in 2018, accountable care organizations (ACOs) reported $1.19 billion in net savings to Medicare in 2019.
Under the Pathways to Success program implemented by the Centers for Medicare & Medicaid Services (CMS) in 2018, accountable care organizations (ACOs) reported $1.19 billion in net savings to Medicare in 2019.
Under the Pathways to Success...
10/23/2020
First Report Managed Care
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What's Trending?

News
Study Analyzes Health Technology Assessment Decisions for Pain Therapies
06/17/2019
Researchers presented data uncovered during an evaluation of health technology assessment decisions and rationale and found that many new pain therapies are rejected due to lack of demonstrated benefits.
Researchers presented data uncovered during an evaluation of health technology assessment decisions and rationale and found that many new pain therapies are rejected due to lack of demonstrated benefits.
Researchers presented data...
06/17/2019
First Report Managed Care
News
U.S. Rebukes Health Insurers
09/10/2010
09/10/2010
First Report Managed Care
News
Brands Over Generics: Some Formularies Break The Golden Rule
10/26/2017
Some formularies are pushing patients away from cheaper generics in favor of high cost generics. We spoke with some managed care experts to understand why this practice is in place for some insurers.
Some formularies are pushing patients away from cheaper generics in favor of high cost generics. We spoke with some managed care experts to understand why this practice is in place for some insurers.
Some formularies are pushing...
10/26/2017
First Report Managed Care
News
Prepectoral Edema Suggests Malignant Breast Tumor
04/06/2015
Prepectoral edema on magnetic resonance mammography (MRM) strongly suggests the presence of malignant breast tumors.
Prepectoral edema on magnetic resonance mammography (MRM) strongly suggests the presence of malignant breast tumors.
Prepectoral edema on magnetic...
04/06/2015
First Report Managed Care
Conference Insider
What’s Happening at ISPOR 2019?
05/17/2019
During ISPOR 2019, more than 4000 HEOR stakeholders that include policy makers, payers, thought leaders, researchers, decision makers, and representatives will gather in New Orleans to discuss the 2019 conference theme, "Rapid. Disruptive....
During ISPOR 2019, more than 4000 HEOR stakeholders that include policy makers, payers, thought leaders, researchers, decision makers, and representatives will gather in New Orleans to discuss the 2019 conference theme, "Rapid. Disruptive....
During ISPOR 2019, more than...
05/17/2019
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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October 2020 Volume 17 Issue 9

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