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Relationship Between High Utilization and Changes in PCMH Implementation

03/31/2020

Changes in patient-centered medical home (PCMH) implementation had no consistent association with changes in high cost health care utilization, according to a study results published in JAMA Network Open.

Changes in patient-centered...

03/31/2020

First Report Managed Care

News Connection

Pharma Spends Billions on Lobbying, Campaign Contributions

03/31/2020

From 1999 to 2018, the United States pharmaceutical and health product industry spent $4.7 billion on lobbying expenditures and campaign contributions, according to a recent JAMA Internal Medicine study.

From 1999 to 2018, the United...

03/31/2020

First Report Managed Care

News Connection

Humana Announces Program Focused on Social Determinants of Health

03/31/2020

Humana is launching a new value-based care payment initiative that will focus on social determinants of health to help clinicians better address nonmedical health risk factors.

Humana is launching a new...

03/31/2020

First Report Managed Care

News Connection

High Insurance Costs Dissuade US Adults From Seeking Medical Care

03/31/2020

As the number of US adults reaching retirement age continues to grow, researchers of a recent JAMA Network Open study sought to measure the association between high health insurance costs and potential avoidance of medical care, and found a...

As the number of US adults...

03/31/2020

First Report Managed Care

News Connection

ICER Partners With Aetion, Expands Use of Real-World Evidence

03/31/2020

The Institute for Clinical and Economic Review (ICER) announced a new partnership with health care technology company Aetion in a continued effort to expand its use of real-world evidence (RWE) in patient data.

The Institute for Clinical and...

03/31/2020

First Report Managed Care

Conference Insider

Penicillin Drug Class Substitutes Save Patients and Hospitals Money

02/21/2020

According to data presented at ASHP’s 54th Midyear Clinical Meeting and Exhibition, improved allergy documentation offers increased choices to patients and has the ability to save hospitals money.

According to data presented at...

02/21/2020

First Report Managed Care

Conference Insider

Fish Antibiotics Consumed by Consumers Seeking Cheaper Options

02/21/2020

Patients seeking out the cheapest, fastest antibiotics have been consuming medication meant for fish instead of humans, according to research presented at ASHP’s 54th Midyear Clinical Meeting and Exhibition.

Patients seeking out the...

02/21/2020

First Report Managed Care

Conference Insider

Increased Pharmacist Interaction Improves Patient Satisfaction

02/21/2020

Reduced readmission rates and higher patient satisfaction were observed when patients had increased, focused interaction with pharmacists throughout their hospital stays, per a new study presented at ASHP’s 54th Midyear Clinical Meeting and...

Reduced readmission rates and...

02/21/2020

First Report Managed Care

Conference Insider

What to Expect at PBMI’s 2020 National Conference

02/21/2020

PBMI is hosting its 25th Anniversary National Conference March 2 to March 4 at the Rosen Shingle Creek Hotel in Orlando, FL. PBMI’s yearly conference has been a staple to pharmacy benefit management (PBM), offering an open forum for the...

PBMI is hosting its 25th...

02/21/2020

First Report Managed Care

Managed Care Q&A

Ensuring Members Utilize and Understand Their Benefits

02/21/2020

Edan Stanley ;

Beth Roberts, senior vice president, commercial business at Harvard Pilgrim Health Care, discusses the importance of communicating with members what is available to them through their plan, and how population health management is key in...

Beth Roberts, senior vice...

02/21/2020

First Report Managed Care

Current Issue

September 2024

Volume 21

Issue 3

Current Issue

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Managing Chronic Kidney Disease in Older Adults

11/03/2014

Eileen Koutnik-Fotopoulos ;

Chronic kidney disease is pervasive in the older population. The progression of CKD can have a significant affect on the overall prognosis of a geriatric patient.

Chronic kidney disease is...

11/03/2014

First Report Managed Care

News

Retirement, health insurance commonly targeted

08/04/2011

First Report Managed Care

News

US Government Proposes More Transparency in Clinical Trials

11/19/2014

Health officials proposed significantly expanding what researchers are required to report about clinical trials of drugs, devices, and other interventions.

Health officials proposed...

11/19/2014

First Report Managed Care

News

Device Could Reduce Direct Medical Costs For Patients with COPD

11/15/2017

Recent research in the International Journal of COPD found that a handheld mechanical oscillating positive expiratory pressure device could significantly improve post-exacerbation care.

Recent research in...

11/15/2017

First Report Managed Care

News

Pelosi: Public option will not be in health bill despite liberal efforts

03/12/2010

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...

11/13/2024

First Report Managed Care

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...

10/31/2024

First Report Managed Care

Videos

Unmet Needs in the Treatment and Management of Non–Small Cell Lung Cancer

09/26/2024

Alexander Spira , MD, PhD;

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...

09/25/2024

First Report Managed Care

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...

09/04/2024

First Report Managed Care

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...

08/15/2024

First Report Managed Care

Videos

Promising Therapies and Clinical Trials for Chronic Lymphocytic Leukemia

08/14/2024

Farrukh T. Awan , MD;

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

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...

07/31/2024

First Report Managed Care

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...

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.

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