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March 2018 - FRMC

Featured Article

Managed Care Innovator: Jane Lutz - Part 2
03/16/2018
First Report Managed Care spoke with Jane Lutz, PBMI’s executive director, about the recent merging of large PBMs with payers, like Express Scripts and Cigna, and how these changes will impact managed care.
First Report Managed Care spoke with Jane Lutz, PBMI’s executive director, about the recent merging of large PBMs with payers, like Express Scripts and Cigna, and how these changes will impact managed care.
First Report Managed Care spoke...
03/16/2018
First Report Managed Care
Managed Care Innovator: Jane Lutz - Part 1
03/16/2018
Jane Lutz, executive director of PBMI, draws her on organization’s independent research to reveal what stakeholders expect of pharmacy benefits managers, how transparency (or lack thereof) factors in, and where PBMs need to step up.
Jane Lutz, executive director of PBMI, draws her on organization’s independent research to reveal what stakeholders expect of pharmacy benefits managers, how transparency (or lack thereof) factors in, and where PBMs need to step up.
Jane Lutz, executive director of...
03/16/2018
First Report Managed Care

Department

Conference Insider
Atopic Dermatitis ED Visits Common, Costly
04/04/2018
A poster presented at the AAD 2018 Annual Meeting found that atopic dermatitis is a costly driver of increased emergency department (ED) utilization.
A poster presented at the AAD 2018 Annual Meeting found that atopic dermatitis is a costly driver of increased emergency department (ED) utilization.
A poster presented at the AAD...
04/04/2018
First Report Managed Care
Conference Insider
High Dermatologist Areas Associated With Increased Medicare Utilization, Costs
04/04/2018
According to a recent presentation at the AAD 2018 Annual Meeting measured the impact of dermatologist density on Medicare costs and utilization throughout the United States.
According to a recent presentation at the AAD 2018 Annual Meeting measured the impact of dermatologist density on Medicare costs and utilization throughout the United States.
According to a recent...
04/04/2018
First Report Managed Care
News Connection
Apple Launching Employee Health Clinics, Integrated Health Plans
04/04/2018
On the heels of a similar announcement by Amazon, JPMorgan, and Berkshire Hathaway, Apple has announced it will launch a group of health clinics for its employees and their families, according to recent reports.
On the heels of a similar announcement by Amazon, JPMorgan, and Berkshire Hathaway, Apple has announced it will launch a group of health clinics for its employees and their families, according to recent reports.
On the heels of a similar...
04/04/2018
First Report Managed Care
News Connection
Aetna Report Identifies Drivers of Shift to Value-Based Care
04/04/2018
A recent report from Aetna outlined how a myriad of factors, including care integration, technology, and payer collaborations, are influencing the shift toward value-based care.
A recent report from Aetna outlined how a myriad of factors, including care integration, technology, and payer collaborations, are influencing the shift toward value-based care.
A recent report from Aetna...
04/04/2018
First Report Managed Care
News Connection
VA EHR Proposal Would Link Records With Private Providers
04/04/2018
A new rule released by The Department of Veterans Affairs (VA) aims to make it easier for the VA to share patient records via electronic health records (EHR) systems between the agency and private providers.
A new rule released by The Department of Veterans Affairs (VA) aims to make it easier for the VA to share patient records via electronic health records (EHR) systems between the agency and private providers.
A new rule released by The...
04/04/2018
First Report Managed Care
News Connection
Senate Significantly Changes VA Choice Bill Ahead of Vote
04/04/2018
Bipartisan legislation to reform and expand the VA Choice program was recently changed in order to take in to consideration proposals from the Trump Administration.
Bipartisan legislation to reform and expand the VA Choice program was recently changed in order to take in to consideration proposals from the Trump Administration.
Bipartisan legislation to reform...
04/04/2018
First Report Managed Care
News Connection
VA Announces New Steps to Improve Low-Performing Health Centers
04/04/2018
The Department of Veterans Affairs (VA) recently announced it will aggressively implement new strategies to improve the quality of care at low-performing medical centers throughout the country. 
The Department of Veterans Affairs (VA) recently announced it will aggressively implement new strategies to improve the quality of care at low-performing medical centers throughout the country. 
The Department of Veterans...
04/04/2018
First Report Managed Care
News Connection
Successful Diabetes Pill Trials Signal Big Change for Diabetes Treatment
04/04/2018
Novo Nordisk recently announced that clinical trials for its semaglutide pill found that the drug is more effective and better tolerated than expected.
Novo Nordisk recently announced that clinical trials for its semaglutide pill found that the drug is more effective and better tolerated than expected.
Novo Nordisk recently announced...
04/04/2018
First Report Managed Care
News Connection
Payers Spend Less for Chemotherapy in Physician Offices vs Hospitals
04/04/2018
A recent study in JAMA Oncology found that chemotherapy costs were lower when the treatments were administered at physician’s offices and higher in hospital outpatient facilities. 
A recent study in JAMA Oncology found that chemotherapy costs were lower when the treatments were administered at physician’s offices and higher in hospital outpatient facilities. 
A recent study in JAMA Oncology...
04/04/2018
First Report Managed Care
Department
Preview of AMCP Annual Meeting 2018
04/04/2018
Meeting Preview: Get ready to be a part of the largest gathering of managed care and specialty pharmacy experts at the AMCP 2018 Annual Meeting. This year’s AMCP spring meeting will take place April 23 to April 26 at the Boston Convention...
Meeting Preview: Get ready to be a part of the largest gathering of managed care and specialty pharmacy experts at the AMCP 2018 Annual Meeting. This year’s AMCP spring meeting will take place April 23 to April 26 at the Boston Convention...
Meeting Preview: Get ready to...
04/04/2018
First Report Managed Care

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FRMC Volume 21, Issue 3

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Starting Specific Biologics Linked With Greater Asthma Burden
05/23/2019
“Real-world data on the characteristics and burden of disease among patients with asthma before receiving asthma-specific biologics would improve the understanding of the use of these therapies in a clinical setting,” researchers wrote.
“Real-world data on the characteristics and burden of disease among patients with asthma before receiving asthma-specific biologics would improve the understanding of the use of these therapies in a clinical setting,” researchers wrote.
“Real-world data on the...
05/23/2019
First Report Managed Care
News
Dems launch $2M pro-reform blitz
09/07/2010
09/07/2010
First Report Managed Care
Oncology Care Model: Delivering Better Care
09/15/2017
The CMS Oncology Care Model turned 1 year old this July.
The CMS Oncology Care Model turned 1 year old this July.
The CMS Oncology Care Model...
09/15/2017
First Report Managed Care
News
Access to Widen on Medicare Data
01/29/2012
01/29/2012
First Report Managed Care
News
Real-World Examples of Benefit Integration Management
03/31/2015
San Diego—During a session at the AMCP meeting, Jennifer Schauer, PharmD, clinical pharmacist, University of Wisconsin Hospital & Clinics, Unity Health Insurance, Madison, Wisconsin, and Elizabeth Kelly, PharmD, clinical manager, pharmacy...
San Diego—During a session at the AMCP meeting, Jennifer Schauer, PharmD, clinical pharmacist, University of Wisconsin Hospital & Clinics, Unity Health Insurance, Madison, Wisconsin, and Elizabeth Kelly, PharmD, clinical manager, pharmacy...
San Diego—During a session at...
03/31/2015
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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