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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

Mary Beth Nierengarten

Mary Beth Nierengarten
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

Edan Stanley

Edan Stanley
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

Julie Gould

Julie Gould
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

Julie Gould

Julie Gould
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

Julie Gould

Julie Gould
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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News
Shortened Hospital Stay With Standardized Order Set
09/14/2018
Compared with usual care, care provided under an electronic health system-based standardized order set was associated with a 31% lower steroid dose and a 1.1-day shorter length of stay in the hospital, with no effect on readmission rates, a...
Compared with usual care, care provided under an electronic health system-based standardized order set was associated with a 31% lower steroid dose and a 1.1-day shorter length of stay in the hospital, with no effect on readmission rates, a...
Compared with usual care, care...
09/14/2018
First Report Managed Care
News
‘Meaningful Use’ Regs for Electronic Medical Records Finally Drop!
07/14/2010
07/14/2010
First Report Managed Care
News
Debate Over Health Plan-Driven Clinical Pathways Continues
08/15/2016

By Dean Celia

By Dean Celia
While a California bill to restrict payer-driven clinical pathways was defeated, a similar bill was recently proposed in Connecticut, further stoking the debate between whether or not payers should be allowed to have input in the development...
While a California bill to restrict payer-driven clinical pathways was defeated, a similar bill was recently proposed in Connecticut, further stoking the debate between whether or not payers should be allowed to have input in the development...
While a California bill to...
08/15/2016
First Report Managed Care
News
Carper, Coburn urge supercommittee to focus on Medicare, Medicaid waste
10/13/2011
10/13/2011
First Report Managed Care
News
Call for Inclusion of PCPs in Hospital Teams
01/28/2015
Internal medicine resaerchers from Massachusetts General Hospital have proposed a collaborative model that coordinates primary care practitioners and hospitalists.
Internal medicine resaerchers from Massachusetts General Hospital have proposed a collaborative model that coordinates primary care practitioners and hospitalists.
Internal medicine resaerchers...
01/28/2015
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...
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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

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
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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 

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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October 2020 Volume 17 Issue 9

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