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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
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
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
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
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
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
FRMC Volume 21, Issue 3

Current Issue

September 2024
Volume 21
Issue 3
Current Issue
Issue Archive

What's Trending?

News
Call for Gastric Surgery to be Standard Diabetes Treatment
05/25/2016
People with diabetes should be offered gastric surgery as a standard treatment option which could help control it for years without medication.
People with diabetes should be offered gastric surgery as a standard treatment option which could help control it for years without medication.
People with diabetes should be...
05/25/2016
First Report Managed Care
News
Montana Lawmakers Propose New Abortion Regulations for Medicaid Reimbursement
01/24/2023
Under the proposed change, providers would be required to have state approval before performing an abortion and submit supporting documents to demonstrate the procedure's medical necessity.
Under the proposed change, providers would be required to have state approval before performing an abortion and submit supporting documents to demonstrate the procedure's medical necessity.
Under the proposed change,...
01/24/2023
First Report Managed Care
Trends in Coronary Revascularization Procedures
08/22/2011
One of the most common major medical procedures provided by the healthcare system in the United States, coronary revascularization, is performed >1 million times each year. The procedure comprises coronary artery bypass graft (CABG)...
One of the most common major medical procedures provided by the healthcare system in the United States, coronary revascularization, is performed >1 million times each year. The procedure comprises coronary artery bypass graft (CABG)...
One of the most common major...
08/22/2011
First Report Managed Care
News
Insurer wants focus on what drives up health costs
03/28/2011
03/28/2011
First Report Managed Care
News
Takeda’s Successor Drug to Actos Fails to Win Approval
04/26/2012
04/26/2012
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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April 2021 Volume 18 Issue 2

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