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Volume 18, Issue 3, May 2021 - First Report Managed Care

Feature

Cover Story
Real-Time Benefit Check: Key Insights and Challenges
05/28/2021
A technology intended to improve pricing and dosage transparency for patients in the electronic health record is slated to become a requirement under Medicare Part D plans by 2023. Some organizations have begun work on integration already,...
A technology intended to improve pricing and dosage transparency for patients in the electronic health record is slated to become a requirement under Medicare Part D plans by 2023. Some organizations have begun work on integration already,...
A technology intended to improve...
05/28/2021
First Report Managed Care
Feature
New Study Examines High Deductibles and Low-Value Care
05/28/2021
Recently published research took a closer look at the effects of employer-offered high-deductible health care insurance plans on low-value spending in the privately insured population.
Recently published research took a closer look at the effects of employer-offered high-deductible health care insurance plans on low-value spending in the privately insured population.
Recently published research took...
05/28/2021
First Report Managed Care
Feature
COVID-19 Urges Attention to Health Equity
05/28/2021
On January 21, 2021, President Biden issued an executive order “Ensuring an Equitable Pandemic Response and Recovery” in which he established the COVID-19 Health Equity Task Force, charged with providing specific recommendations for...
On January 21, 2021, President Biden issued an executive order “Ensuring an Equitable Pandemic Response and Recovery” in which he established the COVID-19 Health Equity Task Force, charged with providing specific recommendations for...
On January 21, 2021, President...
05/28/2021
First Report Managed Care
Literature Review
Examining Dry Eye Disease Flare Treatments
05/28/2021
With a newly proposed and easily applicable definition for dry eye disease, researchers believe the condition can be diagnosed with more consistency as well as inform future trials and research. 
With a newly proposed and easily applicable definition for dry eye disease, researchers believe the condition can be diagnosed with more consistency as well as inform future trials and research. 
With a newly proposed and easily...
05/28/2021
First Report Managed Care
Integrated Healthcare Executive
The Road to Equity Starts With the Right Patient Data
05/28/2021
"By bolstering capabilities for data capture, enrichment and analysis, health care stakeholders become better positioned to address and eliminate inequities in health care access and care that threaten vulnerable populations," said  Jason...
"By bolstering capabilities for data capture, enrichment and analysis, health care stakeholders become better positioned to address and eliminate inequities in health care access and care that threaten vulnerable populations," said  Jason...
"By bolstering capabilities for...
05/28/2021
First Report Managed Care

News

Literature Review
Examining Dry Eye Disease Flare Treatments
05/28/2021
With a newly proposed and easily applicable definition for dry eye disease, researchers believe the condition can be diagnosed with more consistency as well as inform future trials and research. 
With a newly proposed and easily applicable definition for dry eye disease, researchers believe the condition can be diagnosed with more consistency as well as inform future trials and research. 
With a newly proposed and easily...
05/28/2021
First Report Managed Care

Department

Managed Care Q&A
Using Digital Health Management Platforms to Connect With Members, Improve Care
05/28/2021
Sandhya Gardner, MD, chief medical officer at Wellframe, shares insight from a recent survey about plan member engagement, discusses care management and coordination via digital health tools, and explains how the pandemic has shed light on...
Sandhya Gardner, MD, chief medical officer at Wellframe, shares insight from a recent survey about plan member engagement, discusses care management and coordination via digital health tools, and explains how the pandemic has shed light on...
Sandhya Gardner, MD, chief...
05/28/2021
First Report Managed Care
Managed Care Q&A
Preventive HIV Care Needs to Be a Priority
05/28/2021
As the HIV/AIDs epidemic in the United States continues to ravage through lower income communities and disproportionately affect Black and Latinx men, Chris Beyrer, MD, MPH, discusses why preventive care is key.
As the HIV/AIDs epidemic in the United States continues to ravage through lower income communities and disproportionately affect Black and Latinx men, Chris Beyrer, MD, MPH, discusses why preventive care is key.
As the HIV/AIDs epidemic in the...
05/28/2021
First Report Managed Care
Veterans Health Today
Beneficial PTSD Initiatives and Making Veteran Patients More Aware of Resources
05/28/2021
Ryan Rogers, MBA, DHS candidate, director of business management, PTSD Foundation of America, discusses the Foundation and its initiatives, including Camp Hope, how clinicians can help veterans with post traumatic stress disorder (PTSD)...
Ryan Rogers, MBA, DHS candidate, director of business management, PTSD Foundation of America, discusses the Foundation and its initiatives, including Camp Hope, how clinicians can help veterans with post traumatic stress disorder (PTSD)...
Ryan Rogers, MBA, DHS candidate,...
05/28/2021
First Report Managed Care

Column

Viewpoint
Predictions for US Health Care Information Technology in 2021
05/28/2021
"COVID-19 and political uncertainty placed immense pressure across the entirety of the health care industry as organizations were tasked with balancing an already overloaded system with limited resources and shifting priorities to respond...
"COVID-19 and political uncertainty placed immense pressure across the entirety of the health care industry as organizations were tasked with balancing an already overloaded system with limited resources and shifting priorities to respond...
"COVID-19 and political...
05/28/2021
First Report Managed Care

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FRMC Volume 21, Issue 3

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September 2024
Volume 21
Issue 3
Current Issue
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Conference Insider
Patient-Reported Outcomes Similarly Impacted By Migraine Treatments
05/17/2019
Researchers recently found that patient-reported outcomes (PROs) were no different among patients treated with calcitonin gene-related peptide (CGRP) antagonists or onabotulinumtoxinA (ONA) for the indication of chronic migraine prophylaxis. 
Researchers recently found that patient-reported outcomes (PROs) were no different among patients treated with calcitonin gene-related peptide (CGRP) antagonists or onabotulinumtoxinA (ONA) for the indication of chronic migraine prophylaxis. 
Researchers recently found that...
05/17/2019
First Report Managed Care
News
Cancer`s growing burden: the high cost of care
03/02/2012
03/02/2012
First Report Managed Care
Mergers Pave Way for Good Opportunity to Enter Medicare Advantage Market
11/06/2015
While the largest insurance companies await their fate at the hands of federal regulators, other plans and investors should pay close attention to the opportunity to acquire divested plans from the two deals.
While the largest insurance companies await their fate at the hands of federal regulators, other plans and investors should pay close attention to the opportunity to acquire divested plans from the two deals.
While the largest insurance...
11/06/2015
First Report Managed Care
News
Trial to Test CAR T-Cell Therapy for Refractory Progressive MS
03/18/2024
An autologous, fully human CD19 chimeric antigen receptor (CAR) T-cell product candidate recently received clearance from the US Food and Drug Administration (FDA) as an investigational new drug for the treatment of patients with refractory...
An autologous, fully human CD19 chimeric antigen receptor (CAR) T-cell product candidate recently received clearance from the US Food and Drug Administration (FDA) as an investigational new drug for the treatment of patients with refractory...
An autologous, fully human CD19...
03/18/2024
First Report Managed Care
News
Cost-Effective Treatment Option for Tremor-Dominant Parkinson Disease
10/13/2020
Magnetic resonance-guided focused ultrasound thalamotomy is more cost-effective than continued medical therapy for patients with tremor-dominant Parkinson disease.
Magnetic resonance-guided focused ultrasound thalamotomy is more cost-effective than continued medical therapy for patients with tremor-dominant Parkinson disease.
Magnetic resonance-guided...
10/13/2020
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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May 2021 Volume 18 Issue 3

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