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What’s In Store for Medicaid Enrollees as COVID-19 Subsides?
04/18/2022
The official end to the public health emergency is a welcome sight for most, but for Medicaid enrollees, it could signal disruption as the coverage redetermination process is restored. How will states react, what measures can help the...
The official end to the public health emergency is a welcome sight for most, but for Medicaid enrollees, it could signal disruption as the coverage redetermination process is restored. How will states react, what measures can help the...
The official end to the public...
04/18/2022
First Report Managed Care
Cover Story
Can Cost-Plus Pricing Lower the Cost of Generic Drugs for Patients?
04/18/2022
With the ever-rising costs of medications, new business models and patient care initiatives are becoming increasingly common methods to disrupt the industry to instill lasting change. But how do these recent ventures, like Mark Cuban’s new...
With the ever-rising costs of medications, new business models and patient care initiatives are becoming increasingly common methods to disrupt the industry to instill lasting change. But how do these recent ventures, like Mark Cuban’s new...
With the ever-rising costs of...
04/18/2022
First Report Managed Care
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Series
Navigating Clinical Challenges, Improving Care for Patients With Overactive Bladder
03/08/2022
This 3-part interview series highlights efforts to reduce the burden and risks associated with overactive bladder, with insight from experts in long-term care, pharmacy, and managed care.
This 3-part interview series highlights efforts to reduce the burden and risks associated with overactive bladder, with insight from experts in long-term care, pharmacy, and managed care.
This 3-part interview series...
03/08/2022
First Report Managed Care

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Cover Story
Addressing Fair Access Barriers: Payers Must Improve Transparency
02/07/2022
The Institute for Clinical and Economic Review (ICER) recently outlined key conclusions from the preliminary stages of its Fair Access initiative in an attempt to create new structures to combat barriers to fair and equal access to...
The Institute for Clinical and Economic Review (ICER) recently outlined key conclusions from the preliminary stages of its Fair Access initiative in an attempt to create new structures to combat barriers to fair and equal access to...
The Institute for Clinical and...
02/07/2022
First Report Managed Care
Feature Story
Long-term Effects of COVID-19 Pose Challenges for Patients, Providers, and Payers
02/02/2022
Issues like fatigue, muscle pain, and brain fog affect some COVID-19 survivors for lengthy periods. Experts suggest there is a growing need to better understand and respond to this phenomenon.
Issues like fatigue, muscle pain, and brain fog affect some COVID-19 survivors for lengthy periods. Experts suggest there is a growing need to better understand and respond to this phenomenon.
Issues like fatigue, muscle...
02/02/2022
First Report Managed Care

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Headshot of Vivian Shi, UAMS, on a blue background underneath the PopHealth Perspectives logo.
Podcast Series
Treating Atopic Dermatitis: Disease Burden, Therapy Options, Unmet Needs
02/01/2022
Vivian Shi, MD, FAAD, provides an overview of atopic dermatitis, including the symptom burden between mild and severe cases and efficacy of current therapy options.
Vivian Shi, MD, FAAD, provides an overview of atopic dermatitis, including the symptom burden between mild and severe cases and efficacy of current therapy options.
Vivian Shi, MD, FAAD, provides...
02/01/2022
First Report Managed Care
Feature Story
The No Surprises Act Becomes Law
01/31/2022
Does this bipartisan effort demonstrate that lawmakers in Washington are more willing to work together than previously thought to improve health care? What are the implications for payers, providers, and patients? Our experts weigh in.
Does this bipartisan effort demonstrate that lawmakers in Washington are more willing to work together than previously thought to improve health care? What are the implications for payers, providers, and patients? Our experts weigh in.
Does this bipartisan effort...
01/31/2022
First Report Managed Care
Cover Story
Is Medicare Poised to Negotiate Drug Prices?
12/22/2021
A provision allowing CMS to negotiate with pharmaceutical companies survived the House version of President Biden’s Build Back Better Act that passed in November. Now the Senate is taking it up. Even if the measure clears the Senate and is...
A provision allowing CMS to negotiate with pharmaceutical companies survived the House version of President Biden’s Build Back Better Act that passed in November. Now the Senate is taking it up. Even if the measure clears the Senate and is...
A provision allowing CMS to...
12/22/2021
First Report Managed Care

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Feature Story
Why Interoperability Rule Could Spur Payer Innovation
12/22/2021
The Interoperability and Patient Access rule presents an array of challenges for payers, but it may also pave the way toward new improvements.
The Interoperability and Patient Access rule presents an array of challenges for payers, but it may also pave the way toward new improvements.
The Interoperability and Patient...
12/22/2021
First Report Managed Care

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FRMC Volume 21, Issue 3

Current Issue

September 2024
Volume 21
Issue 3
Current Issue
Issue Archive

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The Pharmaceutical Pipeline: 2011 and Beyond
11/29/2011
Atlanta—The number of drugs granted US Food and Drug Administration (FDA) approval decreased markedly in 2011 compared with other years. The FDA approval rate has slowed and the number of drugs under development has decreased, leading to a...
Atlanta—The number of drugs granted US Food and Drug Administration (FDA) approval decreased markedly in 2011 compared with other years. The FDA approval rate has slowed and the number of drugs under development has decreased, leading to a...
Atlanta—The number of drugs...
11/29/2011
First Report Managed Care
News
Buying Brand-Name Drugs Over Generics Raises Medicaid Costs
03/30/2011
03/30/2011
First Report Managed Care
News
Consumer-directed health plans show mixed results
05/08/2012
05/08/2012
First Report Managed Care
News
Low Rate of Endometrial Abnormalities in Women Taking Tamoxifen
06/09/2016
Findings from a new study may ease the minds of women taking tamoxifen for breast cancer, according to researchers at Loyola Medicine.
Findings from a new study may ease the minds of women taking tamoxifen for breast cancer, according to researchers at Loyola Medicine.
Findings from a new study may...
06/09/2016
First Report Managed Care
Headshots of Edmund Pezalla, Adam Kittai, Farrukh Awan, Jeffrey Dunn
Podcasts
Future of Care in CLL: Provider, Managed Care Perspectives
12/21/2022
Adam Kittai, MD, hematology specialist and assistant professor of medicine, Ohio State University; Farrukh Awan, MD, professor of internal medicine, UT Southwestern Medical Center; and Jeffrey Dunn, PharmD, MBA, chief clinical officer,...
Adam Kittai, MD, hematology specialist and assistant professor of medicine, Ohio State University; Farrukh Awan, MD, professor of internal medicine, UT Southwestern Medical Center; and Jeffrey Dunn, PharmD, MBA, chief clinical officer,...
Adam Kittai, MD, hematology...
12/21/2022
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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