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Volume 18, Issue 2, March/April 2021 - First Report Managed Care

Special Report

Vibegron Proves Effective as Oral Therapy for Patients With Overactive Bladder
First Report
Vibegron Proves Effective as Oral Therapy for Patients With Overactive Bladder
04/12/2021

Edan Stanley

Edan Stanley
While OAB is not associated with high mortality rates, its effects on quality of life and overall burden can be stressful to patients and diagnosis/treatment is often delayed due to patients’ lack of understanding of available treatments.
While OAB is not associated with high mortality rates, its effects on quality of life and overall burden can be stressful to patients and diagnosis/treatment is often delayed due to patients’ lack of understanding of available treatments.
While OAB is not associated with...
04/12/2021
First Report Managed Care
Integrated Healthcare Executive
Why Health Systems, Providers Should Inform Patients of New Alliance Aimed at Improving Health Care for Women
04/12/2021

Julie Gould

Julie Gould
Ted Anderson, MD, PhD, American College of Obstetricians and Gynecologists (ACOG), Mary Lou Ballweg, Endometriosis Association, along with Tammy Boyd and Kineta Sealey, both from the Black Women’s Health Imperative (BWHI), discuss a new...
Ted Anderson, MD, PhD, American College of Obstetricians and Gynecologists (ACOG), Mary Lou Ballweg, Endometriosis Association, along with Tammy Boyd and Kineta Sealey, both from the Black Women’s Health Imperative (BWHI), discuss a new...
Ted Anderson, MD, PhD, American...
04/12/2021
First Report Managed Care
Feature
Payer Expansion of Telehealth Initiatives
04/12/2021

Paul Nicolaus

Paul Nicolaus
As COVID-19 spurs expansion of payer telehealth offerings, some say initiatives begun during the pandemic could become the norm.
As COVID-19 spurs expansion of payer telehealth offerings, some say initiatives begun during the pandemic could become the norm.
As COVID-19 spurs expansion of...
04/12/2021
First Report Managed Care

Feature

Cover Story
A Population-Based Approach to Curb the Mental Health Crisis
04/12/2021

Mary Beth Nierengarten

Mary Beth Nierengarten
While the COVID-19 pandemic has resulted in increased morbidity and mortality rates on a global scale, it has also exacerbated and brought the mental health crisis to the forefront. More than ever, people are seeking mental health services...
While the COVID-19 pandemic has resulted in increased morbidity and mortality rates on a global scale, it has also exacerbated and brought the mental health crisis to the forefront. More than ever, people are seeking mental health services...
While the COVID-19 pandemic has...
04/12/2021
First Report Managed Care

Column

Viewpoint
Five Trends Driving Adoption of Holistic Strategies: Focusing on Revenue Integrity
04/12/2021

Vasilios Nassiopoulos, Vice President of Platform Strategy and Innovation, Hayes

Vasilios Nassiopoulos, Vice President...
Holistic approaches to revenue integrity ensure that all billing and compliance functions are working collaboratively to address all sides of a claim.
Holistic approaches to revenue integrity ensure that all billing and compliance functions are working collaboratively to address all sides of a claim.
Holistic approaches to revenue...
04/12/2021
First Report Managed Care

News

News
AHA Urges HHS to Expedite COVID Vaccine Administration
04/12/2021
As the anniversary of the first US COVID-19 case approached, the American Hospital Association (AHA) wrote to former US Health and Human Services (HHS) Secretary Alex Azar urging the agency to become more transparent about the vaccine...
As the anniversary of the first US COVID-19 case approached, the American Hospital Association (AHA) wrote to former US Health and Human Services (HHS) Secretary Alex Azar urging the agency to become more transparent about the vaccine...
As the anniversary of the first...
04/12/2021
First Report Managed Care
News
CMS Rule Reduces Cost-Sharing, Increases Transparency for Medicare Advantage, Part D
04/12/2021
The Centers for Medicare & Medicaid Services (CMS) finalized a rule in an effort to improve both Medicare Advantage and Part D prescription drug programs.
The Centers for Medicare & Medicaid Services (CMS) finalized a rule in an effort to improve both Medicare Advantage and Part D prescription drug programs.
The Centers for Medicare &...
04/12/2021
First Report Managed Care
News
Trauma Patients Without Insurance Decreased After ACA, But Mortality Odds Increased
04/12/2021
Trauma patients covered by Medicare or Medicaid had improved mortality after implementation of the Patient Protection and Affordable Care Act (ACA) compared with before the ACA, but uninsured trauma patients did not. Researchers published...
Trauma patients covered by Medicare or Medicaid had improved mortality after implementation of the Patient Protection and Affordable Care Act (ACA) compared with before the ACA, but uninsured trauma patients did not. Researchers published...
Trauma patients covered by...
04/12/2021
First Report Managed Care
News
CMS Shares New SDoH Guidance and Strategies for Medicaid, CHIP
04/12/2021
Recently, the Centers for Medicare & Medicaid Services (CMS) shared new guidance with state health officials to better address social determinants of health (SDoH) for Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries. The...
Recently, the Centers for Medicare & Medicaid Services (CMS) shared new guidance with state health officials to better address social determinants of health (SDoH) for Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries. The...
Recently, the Centers for...
04/12/2021
First Report Managed Care
News
Association of ACA With Young Adult Females Seeking Sexual, Reproductive Health Services
04/12/2021
According to data published in JAMA Network Open, the implementation of the 2010 Patient Protection and Affordable Care Act Dependent Coverage Expansion (ACA-DCE) is associated with a reduction in insurance use for sexual and reproductive...
According to data published in JAMA Network Open, the implementation of the 2010 Patient Protection and Affordable Care Act Dependent Coverage Expansion (ACA-DCE) is associated with a reduction in insurance use for sexual and reproductive...
According to data published in...
04/12/2021
First Report Managed Care

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FRMC Volume 21, Issue 2

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June 2024
Volume 21
Issue 2
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News
FDA Cuts a Deal to Fast Track Drugs and Devices
05/14/2012
05/14/2012
First Report Managed Care
News
CMS Finalizes New Rule to Cut Clinical Lab Fees by Millions
06/21/2016
Beginning in 2018, the Centers for Medicare & Medicaid will pay the same prices as private insurers for clinical diagnostic testing. For an overview of the new ruling and anticipated savings, read more. 
Beginning in 2018, the Centers for Medicare & Medicaid will pay the same prices as private insurers for clinical diagnostic testing. For an overview of the new ruling and anticipated savings, read more. 
Beginning in 2018, the Centers...
06/21/2016
First Report Managed Care
News
Addiction Treatment Proponents Urge Rural Clinicians to Pitch In by Prescribing Medication
12/01/2022

Tony Leys, Kaiser Health News 

Tony Leys, Kaiser Health News  ...
Front-line health care professionals are being encouraged by federal and state authorities to prescribe medications containing buprenorphine to patients with opioid use disorder.
Front-line health care professionals are being encouraged by federal and state authorities to prescribe medications containing buprenorphine to patients with opioid use disorder.
Front-line health care...
12/01/2022
First Report Managed Care
The Pharmaceutical Pipeline: 2011 and Beyond
11/29/2011

Tori Socha

Tori Socha
Atlanta—The number of drugs granted US Food and Drug Administration (FDA) approval decreased markedly in 2011 compared with other years. The FDA approval rate has slowed and the number of drugs under development has decreased, leading to a...
Atlanta—The number of drugs granted US Food and Drug Administration (FDA) approval decreased markedly in 2011 compared with other years. The FDA approval rate has slowed and the number of drugs under development has decreased, leading to a...
Atlanta—The number of drugs...
11/29/2011
First Report Managed Care
News
Buying Brand-Name Drugs Over Generics Raises Medicaid Costs
03/30/2011
03/30/2011
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...
03/27/2024
First Report Managed Care
Zaubler Headshot
Videos
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
Videos
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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April 2021 Volume 18 Issue 2

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