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April 2016 - FRMC

Multiple Myeloma: Factors for Payers to Consider
04/13/2016
Multiple Myleoma (MM) is a malignant cancer caused by the abnormal accumulation of the plasma cells derived from B cells in the bone marrow, leading to eventual marrow failure and skeletal destruction through bone metastases.1 The American...
Multiple Myleoma (MM) is a malignant cancer caused by the abnormal accumulation of the plasma cells derived from B cells in the bone marrow, leading to eventual marrow failure and skeletal destruction through bone metastases.1 The American...
Multiple Myleoma (MM) is a...
04/13/2016
First Report Managed Care
Health Transformation Alliance Seeks Dramatic Changes
04/13/2016
Industry titans want to exert their heft to alter employer-sponsored health care. Do they have what it takes, and how is managed care responding?
Industry titans want to exert their heft to alter employer-sponsored health care. Do they have what it takes, and how is managed care responding?
Industry titans want to exert...
04/13/2016
First Report Managed Care
Managing Mental Health: The Demands of Dementia
04/13/2016
As dementia saps the health and resources of an aging population and their family members, university programs are fighting back with innovative solutions.
As dementia saps the health and resources of an aging population and their family members, university programs are fighting back with innovative solutions.
As dementia saps the health and...
04/13/2016
First Report Managed Care
Department
FDA Approves Biosimilar of Johnson and Johnson’s Blockbuster Drug Remicade
04/12/2016
The FDA has approved Inflectra (infliximab-dyyb, Celltrion Inc) for the treatment of multiple conditions, including rheumatoid arthritis and inflammatory bowel disease. This is the second biosimilar to be approved in the US.
The FDA has approved Inflectra (infliximab-dyyb, Celltrion Inc) for the treatment of multiple conditions, including rheumatoid arthritis and inflammatory bowel disease. This is the second biosimilar to be approved in the US.
The FDA has approved...
04/12/2016
First Report Managed Care
Department
Valeant Doubles Price of Physician-Assisted Suicide Drug
04/12/2016
In response to California’s passage of the “aid in-dying” law, Valeant Pharmaceuticals has doubled the price of Seconal Sodium (secobarbital) to more than $3000.
In response to California’s passage of the “aid in-dying” law, Valeant Pharmaceuticals has doubled the price of Seconal Sodium (secobarbital) to more than $3000.
In response to California’s...
04/12/2016
First Report Managed Care

Department

News Connection
Three New Agents for Multiple Myeloma Expand Armamentarium
04/13/2016
Primary clinical reviewers from the FDA discuss the changing treatment models for individuals living with the disease.
Primary clinical reviewers from the FDA discuss the changing treatment models for individuals living with the disease.
Primary clinical reviewers from...
04/13/2016
First Report Managed Care
News Connection
Diabetes Prevention Program First Under ACA to Gain Medicare Coverage
04/12/2016
In an expansion of the YMCA’s diabetes prevention program, Medicare will pay for services for individuals at high risk of developing the disease. 
In an expansion of the YMCA’s diabetes prevention program, Medicare will pay for services for individuals at high risk of developing the disease. 
In an expansion of the YMCA’s...
04/12/2016
First Report Managed Care
News Connection
Coordinated Care May Help Reduce Harmful Transitions for Patients With Dementia
04/12/2016
Coordinated care and a long-term care plan may help reduce unnecessary transitions for patients with dementia according to a study published in the Journal of the American Geriatrics Society.
Coordinated care and a long-term care plan may help reduce unnecessary transitions for patients with dementia according to a study published in the Journal of the American Geriatrics Society.
Coordinated care and a long-term...
04/12/2016
First Report Managed Care
News Connection
Long-Term Care Payment Initiative To Lower Medicare, Medicaid Spending
04/12/2016
CMS will test a new payment model for nursing facilities and practitioners in long-term care settings that is designed to lower Medicare and Medicaid spending by reducing avoidable inpatient hospitalizations.
CMS will test a new payment model for nursing facilities and practitioners in long-term care settings that is designed to lower Medicare and Medicaid spending by reducing avoidable inpatient hospitalizations.
CMS will test a new payment...
04/12/2016
First Report Managed Care
News Connection
Newer Antidepressants Not Associated With CV Risk
04/11/2016
A study investigated the link between the use of selective serotonin reuptake inhibitors and individual risk of arrhythmia, stroke, and myocardial infarction.
A study investigated the link between the use of selective serotonin reuptake inhibitors and individual risk of arrhythmia, stroke, and myocardial infarction.
A study investigated the link...
04/11/2016
First Report Managed Care

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FRMC Volume 21, Issue 3

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September 2024
Volume 21
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News Connection
Statin Therapy Recipients Increase Under ACC/AHA Guidelines
04/22/2014
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 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
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 & 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 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
Using Clinical Natural Language Processing Solutions to Solve Payer Challenges, Improve Outcomes
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 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 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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