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Volume 18, Issue 5, July/August 2021 - First Report Managed Care

Feature

Cover Story
Managed Care Innovator: A Passion for Revenue Cycle Management
08/12/2021
Diana Allen, PhD, took the helm at The SSI Group just as the COVID-19 pandemic was emerging. In an exclusive interview, she discusses what that was like, notes the critical need to educate patients about their financial obligation, and...
Diana Allen, PhD, took the helm at The SSI Group just as the COVID-19 pandemic was emerging. In an exclusive interview, she discusses what that was like, notes the critical need to educate patients about their financial obligation, and...
Diana Allen, PhD, took the helm...
08/12/2021
First Report Managed Care
Feature Story
The Coming Obesity Rx Cost Crisis
08/12/2021
New treatments have been approved by the US Food & Drug Administration (FDA) for the treatment of obesity but payers covering these patient populations must now determine how to provide coverage and that begins with understanding the latest...
New treatments have been approved by the US Food & Drug Administration (FDA) for the treatment of obesity but payers covering these patient populations must now determine how to provide coverage and that begins with understanding the latest...
New treatments have been...
08/12/2021
First Report Managed Care
Literature Review
Examining Benefits of Cannabidiol for Patients With Seizures
08/12/2021
For the purpose of this literature review, we examine the latest data presented at the American Academy of Neurology’s (AAN) 2021 Virtual Annual Meeting regarding the use of CBD for patients with seizure disorders including TSC.  
For the purpose of this literature review, we examine the latest data presented at the American Academy of Neurology’s (AAN) 2021 Virtual Annual Meeting regarding the use of CBD for patients with seizure disorders including TSC.  
For the purpose of this...
08/12/2021
First Report Managed Care

Department

Viewpoint
Health Care Is the Economy: A Perspective
08/12/2021
“We are failing to reshape the American way of health care because the storyline of cost and price is perpetuating feedback loops that have not changed in more than 50 years,” says John G Singer, executive director of Blue Spoon Consulting.
“We are failing to reshape the American way of health care because the storyline of cost and price is perpetuating feedback loops that have not changed in more than 50 years,” says John G Singer, executive director of Blue Spoon Consulting.
“We are failing to reshape the...
08/12/2021
First Report Managed Care
Managed Care Q&A
Navigating Privacy, Stigma Concerns in At-Risk HIV Populations
08/12/2021
In order to end the HIV epidemic, payers and providers must work to improve uptake of pre-exposure prophylaxis (PrEP) among at-risk patient populations. In this interview, Edmund Pezalla, MD, MPH, CEO, Enlightenment Bioconsult, LLC, shares...
In order to end the HIV epidemic, payers and providers must work to improve uptake of pre-exposure prophylaxis (PrEP) among at-risk patient populations. In this interview, Edmund Pezalla, MD, MPH, CEO, Enlightenment Bioconsult, LLC, shares...
In order to end the HIV...
08/12/2021
First Report Managed Care
Managed Care Q&A
Insights Into a New Anticancer Therapy and What Payers Should Know
08/12/2021
Matthew R Price, MBA, executive vice president and chief operating officer, Phosplatin Therapeutics, discusses the current pipeline of treatments at Phosplatin—highlighting their lead candidate, PT-112—and explains how they will engage with...
Matthew R Price, MBA, executive vice president and chief operating officer, Phosplatin Therapeutics, discusses the current pipeline of treatments at Phosplatin—highlighting their lead candidate, PT-112—and explains how they will engage with...
Matthew R Price, MBA, executive...
08/12/2021
First Report Managed Care
Commentary
Breaking Through the Social Determinants of Health Data Barriers
08/12/2021
“As providers and payers move deeper into population health and value-based case, one thing is clear—they need to be much more strategic in how they tackle social determinants of health,” says Rahul Sharma, CEO, HSBlox.
“As providers and payers move deeper into population health and value-based case, one thing is clear—they need to be much more strategic in how they tackle social determinants of health,” says Rahul Sharma, CEO, HSBlox.
“As providers and payers move...
08/12/2021
First Report Managed Care
Veterans Health Today
Improving Patient Outcomes and Lowering Treatment Costs for Veterans With DVT, PE
08/12/2021
Venous thromboembolism (VTE) incidents cause the death of up to 100,000 Americans every year. A new medical technology device has been approved for use on the Veterans Administration Federal Supply Schedule. In this commentary, Bernard Ross,...
Venous thromboembolism (VTE) incidents cause the death of up to 100,000 Americans every year. A new medical technology device has been approved for use on the Veterans Administration Federal Supply Schedule. In this commentary, Bernard Ross,...
Venous thromboembolism (VTE)...
08/12/2021
First Report Managed Care
News Connection
July 2021 Industry Updates
08/12/2021
News Connection features the latest industry updates from the July 2021 issue of First Report Managed Care.
News Connection features the latest industry updates from the July 2021 issue of First Report Managed Care.
News Connection features the...
08/12/2021
First Report Managed Care
FRMC Volume 21, Issue 3

Current Issue

September 2024
Volume 21
Issue 3
Current Issue
Issue Archive

What's Trending?

Zolpidem Tartrate Sublingual Tablets to Treat Insomnia
08/16/2012
Boston—According to a post hoc analysis of a double-blind, placebo-controlled cross-over study, patients who took 1.75 mg and 3.5 mg of zolpidem tartrate sublingual tablets had a significantly shorter time to sleep compared with those who...
Boston—According to a post hoc analysis of a double-blind, placebo-controlled cross-over study, patients who took 1.75 mg and 3.5 mg of zolpidem tartrate sublingual tablets had a significantly shorter time to sleep compared with those who...
Boston—According to a post hoc...
08/16/2012
First Report Managed Care
News
Report outlines possible savings for Medicaid
05/09/2011
05/09/2011
First Report Managed Care
News
CMS Issues Rules on Loss Ratios for Medicare Plans
02/19/2013
02/19/2013
First Report Managed Care
News
Obama Says His Departure May Fix What Ails Obamacare
10/20/2016
President Barack Obama recently spoke in Florida, and said that his departure from office in January might be what it takes to begin to reverse the political scars over the Affordable Care Act and allow for needed fixes to his signature...
President Barack Obama recently spoke in Florida, and said that his departure from office in January might be what it takes to begin to reverse the political scars over the Affordable Care Act and allow for needed fixes to his signature...
President Barack Obama recently...
10/20/2016
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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August 2021 Volume 18 Issue 5

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