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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
Dean Celia
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
Mary Beth Nierengarten
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
Edan Stanley
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
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 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
Edan Stanley
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
Julie Gould
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
Rahul Sharma, CEO of 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 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
Bernard Ross, CEO, Sky Medical Technology
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

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What's Trending?

News
Payers Spend Less For Chemotherapy in Physician Offices VS Hospitals
02/28/2018
A recent study found that chemotherapy costs were lower when the treatments were administered at physician’s offices compared to hospital outpatient facilities.
A recent study found that chemotherapy costs were lower when the treatments were administered at physician’s offices compared to hospital outpatient facilities.
A recent study found that...
02/28/2018
First Report Managed Care
News
Medicare physician pay cut reversal in Senate`s hands
06/07/2010
06/07/2010
First Report Managed Care
Choosing Therapy for Type 2 Diabetes Based on Patient-Related Variables
06/10/2015

Mary Beth Nierengarten

Mary Beth Nierengarten
With the expanding availability of multiple drugs to treat patients with type 2 diabetes, treatment can now be better tailored to the needs of each patient.
With the expanding availability of multiple drugs to treat patients with type 2 diabetes, treatment can now be better tailored to the needs of each patient.
With the expanding availability...
06/10/2015
First Report Managed Care
News
Health Insurers Seek Delay Of New Consumer-Friendly Coverage Forms
08/23/2011
08/23/2011
First Report Managed Care
News
Adjuvant Therapy Tied to Better Survival in High-Risk Merkel Cell Carcinoma
12/11/2014
Adjuvant chemoradiotherapy is associated with improved survival in patients with high-risk Merkel cell carcinoma of the head and neck.
Adjuvant chemoradiotherapy is associated with improved survival in patients with high-risk Merkel cell carcinoma of the head and neck.
Adjuvant chemoradiotherapy is...
12/11/2014
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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August 2021 Volume 18 Issue 5

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