April 2015 - FRMC

Coordinating Managed Care and Long-Term Services and Support

06/18/2015

Melissa D. Cooper ;

In the United States, two-thirds of nursing home residents’ costs are funded by Medicaid.

In the United States, two-thirds...

06/18/2015

First Report Managed Care

An Analysis of Prescription Drug Use by Exchange Enrollees in the First Year of Coverage

06/18/2015

Kerri Fitzgerald ;

According to a report from Prime Therapeutics, customers who purchased health insurance on the exchange via the Patient Protection and Affordable Care Act filled 13.6% more prescriptions on average compared with commercial members.

According to a report from Prime...

06/18/2015

First Report Managed Care

Targeted Biopsy Identifies Prostate Cancer Better than Standard Biopsy

06/18/2015

Mary Mihalovic ;

A study of men undergoing biopsy for suspected prostate cancer used targeted MRI/ultrasound fusion biopsy to detect cancers.

A study of men undergoing biopsy...

06/18/2015

First Report Managed Care

Department

Conference Insider

Improving Care Coordination in Medicaid Managed Care

06/18/2015

Melissa D. Cooper ;

An increasing number of aging adults and disabled individuals are enrolling in Medicaid due to the recent decision by many states to expand Medicaid coverage.

An increasing number of...

06/18/2015

First Report Managed Care

Conference Insider

Integrating Managed Care and Medicaid

06/18/2015

Melissa D. Cooper ;

In 2013, state and local Medicaid spending increased 5.9% and federal Medicaid spending increased 6.2%, with a total increase of 6.1% in Medicaid expenditures.

In 2013, state and local...

06/18/2015

First Report Managed Care

News

Effect of Medicare Part D and Generics on Breast Cancer Treatment

06/18/2015

Melissa D. Cooper ;

In the United States, breast cancer is the second most common cancer diagnosis and the second most fatal form of cancer among women. Endocrine therapy agents, including aromatase inhibitors (AIs) and tamoxi- fen, have shown effectiveness in...

In the United States, breast...

06/18/2015

First Report Managed Care

News

11 Million Americans Gain Insurance Since Passage of ACA

06/18/2015

Jolynn Tumolo ;

Since President Barack Obama signed the Patient Protection and Affordable Care Act (ACA) into law 5 years ago, the number of insured Americans has dropped by more than 11 million to the lowest level in 15 years, according to new...

Since President Barack Obama...

06/18/2015

First Report Managed Care

News

Examining Treatment Costs Related to HIV-Positive Dually Enrolled Medicare Beneficiaries

06/18/2015

Kerri Fitzgerald ;

In the United States, Medicare and Medicaid account for more than three-quarters of domestic federal spending on HIV/AIDS treatment. In turn, policymakers are interested in monitoring the cost and quality of treatments for HIV/AIDS.

In the United States, Medicare...

06/18/2015

First Report Managed Care

News

Long-Term Mortality Higher in Patients with Diabetes and COPD

06/18/2015

Mary Mihalovic ;

Patients with a confirmed physician's diagnosis of diabetes had a higher risk of long-term mortality after a mild to moderate exacerbation of chronic obstructive pulmonary disease (COPD), according to the results of a recent study.

Patients with a confirmed...

06/18/2015

First Report Managed Care

News

5 Years After ACA Enacted: Poll Examines Opinion on the Law

06/18/2015

Kerri Fitzgerald ;

March marked 5 years since the Patient Protection and Affordable Care Act (ACA) was passed into law. With the Supreme Court set to weigh in on the law in the case of King v. Burwell, the Kaiser Family Foundation presented results of a poll...

March marked 5 years since the...

06/18/2015

First Report Managed Care

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Statin Therapy Recipients Increase Under ACC/AHA Guidelines

04/22/2014

Melissa D. Cooper ;

A recent study showed statin therapy decreased relative cardiovascular risk by 25% [Database Syst Rev. 2013;1:CD004816]. In 2013, the American College of Cardiology and the American Heart Association (ACC/AHA) made recommendations for...

A recent study showed statin...

04/22/2014

First Report Managed Care

News

Health reform rule unveiled

07/12/2011

First Report Managed Care

News

CMS to Push Meaningful Use EHR Incentive Program to End of November

10/07/2014

The Centers for Medicare & Medicaid Services (CMS) has delayed the deadline for submitting meaningful use hardship exceptions for the electronic health records (EHRs) incentive program to November 30. The deadline was previously slated for...

The Centers for Medicare &...

10/07/2014

First Report Managed Care

News

2018 ACA Rates Likely to Vary Widely Across States

08/11/2017

Early rates for plans sold on the 2018 ACA individual market indicate that plan premiums will vary widely across the United States.

Early rates for plans sold on...

08/11/2017

First Report Managed Care

Interview

Using Clinical Natural Language Processing Solutions to Solve Payer Challenges, Improve Outcomes

05/18/2021

Frank Jackson, vice president and general manager of health language, Wolters Kluwer, emphasizes the importance of using the correct health language to improve processes for physicians and patients, as well as explains how to solve challenges...

Frank Jackson, vice president...

05/18/2021

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;

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.

April 2015 - FRMC

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