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April 2014 - FRMC

Analysis of a Value-Based Insurance Design Program
04/22/2014
Las Vegas—A retrospective cross-sectional study found that a value-based insurance design program reached the sickest and most costly patients, but it did not attract individuals who were most nonadherent to medications. Only a small...
Las Vegas—A retrospective cross-sectional study found that a value-based insurance design program reached the sickest and most costly patients, but it did not attract individuals who were most nonadherent to medications. Only a small...
Las Vegas—A retrospective...
04/22/2014
First Report Managed Care
Risks of Prescription Drug Abuse
04/22/2014
Las Vegas—Patients with commercial insurance who are taking prescription drugs are at risk of abusing the medications and burdening the healthcare system with significant costs, according to pharmaceutical and medical claims data. The authors...
Las Vegas—Patients with commercial insurance who are taking prescription drugs are at risk of abusing the medications and burdening the healthcare system with significant costs, according to pharmaceutical and medical claims data. The authors...
Las Vegas—Patients with...
04/22/2014
First Report Managed Care
Costs and Risks Associated with Specialty Medications
04/22/2014
Las Vegas—According to a retrospective review of a large payer’s specialty drug pharmacy claims from January 1, 2011, to December 31, 2011, 32.3% of patients who received a 90-day supply of an oral oncology drug did not fill the prescription...
Las Vegas—According to a retrospective review of a large payer’s specialty drug pharmacy claims from January 1, 2011, to December 31, 2011, 32.3% of patients who received a 90-day supply of an oral oncology drug did not fill the prescription...
Las Vegas—According to a...
04/22/2014
First Report Managed Care
Medication Adherence Program for Medicare Advantage
04/22/2014
Las Vegas—A retrospective analysis of claims data from a Medicare Advantage prescription drug plan found that a comprehensive medication adherence program benefitted prescribers and members. From 2012 to 2013, New West Medicare’s adherence...
Las Vegas—A retrospective analysis of claims data from a Medicare Advantage prescription drug plan found that a comprehensive medication adherence program benefitted prescribers and members. From 2012 to 2013, New West Medicare’s adherence...
Las Vegas—A retrospective...
04/22/2014
First Report Managed Care
ACE and ARB Treatment among Medicare Beneficiaries with Diabetes and Hypertension
04/22/2014
Between 2000 and 2010, the percentage of patients aged ≥65 years with diabetes and hypertension increased from 9% to 15%. Angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) have proven to decrease the...
Between 2000 and 2010, the percentage of patients aged ≥65 years with diabetes and hypertension increased from 9% to 15%. Angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) have proven to decrease the...
Between 2000 and 2010, the...
04/22/2014
First Report Managed Care
Department
Assessing the Cost Burden of AF and Heart Failure
04/22/2014
Common complications of acute coronary syndrome (ACS) are atrial fibrillation (AF) and heart failure.
Common complications of acute coronary syndrome (ACS) are atrial fibrillation (AF) and heart failure.
Common complications of acute...
04/22/2014
First Report Managed Care
Department
Greater Prevalence of Clinically Significant Anxiety and Depression among SSc Cohort
04/22/2014
Systemic sclerosis (SSc) is a connective-tissue disease characterized by excessive collagen deposition in the dermis and internal organs.
Systemic sclerosis (SSc) is a connective-tissue disease characterized by excessive collagen deposition in the dermis and internal organs.
Systemic sclerosis (SSc) is a...
04/22/2014
First Report Managed Care

Department

Conference Insider
Changes in LTC Services and Supports
04/22/2014
Falls Church—Until recently, long-term services and supports in Medicaid were refined to nursing homes or institutional care. For the past few years, however, there has been a “very dramatic” change in where Medicaid long-term care spending...
Falls Church—Until recently, long-term services and supports in Medicaid were refined to nursing homes or institutional care. For the past few years, however, there has been a “very dramatic” change in where Medicaid long-term care spending...
Falls Church—Until recently,...
04/22/2014
First Report Managed Care
Conference Insider
The ACA is Changing Healthcare
04/22/2014
Falls Church—The Patient Protection and Affordable Care Act (ACA) has transformed the healthcare industry, leading to delivery and payment reforms. Payers are focusing more on the value of care and attempting to compensate doctors on quality...
Falls Church—The Patient Protection and Affordable Care Act (ACA) has transformed the healthcare industry, leading to delivery and payment reforms. Payers are focusing more on the value of care and attempting to compensate doctors on quality...
Falls Church—The Patient...
04/22/2014
First Report Managed Care
Conference Insider
Poll: Healthcare is Second Most Important Issue Heading into November Elections
04/22/2014
Washington, DC—A poll released at the AHIP conference found that voters consider healthcare to be the second most important issue heading into the November 2014 midterm elections, trailing only the economy/jobs. Peter Hart and Bill McInturff,...
Washington, DC—A poll released at the AHIP conference found that voters consider healthcare to be the second most important issue heading into the November 2014 midterm elections, trailing only the economy/jobs. Peter Hart and Bill McInturff,...
Washington, DC—A poll released...
04/22/2014
First Report Managed Care

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FRMC Volume 21, Issue 3

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September 2024
Volume 21
Issue 3
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News Connection
Ozanimod Prevents Multiple Sclerosis Relapse in Phase 3 Trial
03/20/2017
Multiple sclerosis patients treated with ozanimod, a selective S1P 1 and 5 receptor modulator, were less likely to relapse than those treated with weekly Avonex.
Multiple sclerosis patients treated with ozanimod, a selective S1P 1 and 5 receptor modulator, were less likely to relapse than those treated with weekly Avonex.
Multiple sclerosis patients...
03/20/2017
First Report Managed Care
News
Health law ruling could be political earthquake
12/06/2011
12/06/2011
First Report Managed Care
News
Online Access to Care May be Beneficial for Treatment of Atopic Dermatitis
03/03/2015
A recent study found that direct-access online care may be an innovative model of delivering dermatological services to patients with chronic skin diseases.
A recent study found that direct-access online care may be an innovative model of delivering dermatological services to patients with chronic skin diseases.
A recent study found that...
03/03/2015
First Report Managed Care
Newsfeed
Variable Weight, BP, Cholesterol Raises Risk of Heart Attack
12/07/2018
High variability in weight, blood pressure (BP), cholesterol, and blood sugar levels in otherwise healthy individuals could predict mortality and cardiovascular events, according to the results of a recent study.
High variability in weight, blood pressure (BP), cholesterol, and blood sugar levels in otherwise healthy individuals could predict mortality and cardiovascular events, according to the results of a recent study.
High variability in weight,...
12/07/2018
First Report Managed Care
News
CMS approves first medical-necessity reviews
08/12/2010
08/12/2010
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 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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