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November 2011 - FRMC

Department

News Connection
Patients with Gout Treated with Febuxostat Compared with Those Treated with Allopurinol
02/09/2012
Patients with gout treated with febuxostat have more comorbidities and higher mean baseline serum uric acid levels compared with patients treated with allopurinol.
Patients with gout treated with febuxostat have more comorbidities and higher mean baseline serum uric acid levels compared with patients treated with allopurinol.
Patients with gout treated with...
02/09/2012
First Report Managed Care
Healthcare Reform and Changes in Medicaid
11/29/2011
Medicaid is a low-income family health insurance program funded jointly by federal and state governments.
Medicaid is a low-income family health insurance program funded jointly by federal and state governments.
Medicaid is a low-income family...
11/29/2011
First Report Managed Care
Prostate Cancer Treatments Pose Challenges for Managed Care
11/29/2011
Atlanta—With the introduction of several new therapies, the treatment for castration-resistant prostate cancer (CRPC) has gone through a dramatic shift in recent years. By the end of the decade, the market for prostate cancer is expected to...
Atlanta—With the introduction of several new therapies, the treatment for castration-resistant prostate cancer (CRPC) has gone through a dramatic shift in recent years. By the end of the decade, the market for prostate cancer is expected to...
Atlanta—With the introduction of...
11/29/2011
First Report Managed Care
Guideline for Pharmacy Claims Audits Could Add Consistency to the Process
11/29/2011
A guideline for pharmacy claims audits could help improve collaboration and minimize friction between managed care organizations and community pharmacists.
A guideline for pharmacy claims audits could help improve collaboration and minimize friction between managed care organizations and community pharmacists.
A guideline for pharmacy claims...
11/29/2011
First Report Managed Care
Specialty Medications Becoming More Popular
11/29/2011
Atlanta—Although <1% of patients use specialty medications, they account for 15% of drug spending. The trend is expected to continue, as numerous expensive specialty drugs have recently been approved by the US Food and Drug Administration...
Atlanta—Although <1% of patients use specialty medications, they account for 15% of drug spending. The trend is expected to continue, as numerous expensive specialty drugs have recently been approved by the US Food and Drug Administration...
Atlanta—Although <1% of...
11/29/2011
First Report Managed Care
Pharmacy and the Medicare Star Rating System
11/29/2011
Atlanta—The Star Rating System created by the Centers for Medicare & Medicaid Services was added to Medicare programs to help educate beneficiaries about quality of care and increase the transparency of quality data available to consumers....
Atlanta—The Star Rating System created by the Centers for Medicare & Medicaid Services was added to Medicare programs to help educate beneficiaries about quality of care and increase the transparency of quality data available to consumers....
Atlanta—The Star Rating System...
11/29/2011
First Report Managed Care
Pharmacy Benefit Management Supported by Employer Case Study
11/29/2011
Atlanta—During a Managed Care Essentials session at the AMCP meeting, Kathleen Thompson, manager of total rewards, Matthews International, and Mara Pawlis, senior analytic consultant, CVS Caremark, presented Results of a PBM/Employer...
Atlanta—During a Managed Care Essentials session at the AMCP meeting, Kathleen Thompson, manager of total rewards, Matthews International, and Mara Pawlis, senior analytic consultant, CVS Caremark, presented Results of a PBM/Employer...
Atlanta—During a Managed Care...
11/29/2011
First Report Managed Care
Performance Measures to Enhance Care and Reduce Costs
11/29/2011
Atlanta—The Patient Protection and Affordable Care Act of 2010 was designed to achieve 3 goals: better health, better care, and lower costs. The National Quality Forum (NQF) has convened the National Priorities Partnership (NPP), a...
Atlanta—The Patient Protection and Affordable Care Act of 2010 was designed to achieve 3 goals: better health, better care, and lower costs. The National Quality Forum (NQF) has convened the National Priorities Partnership (NPP), a...
Atlanta—The Patient Protection...
11/29/2011
First Report Managed Care
Partnership for Patients and Transitions of Care
11/29/2011
Atlanta—The Partnership for Patients, a public–private initiative to improve hospital care and transitions of care, was launched in April 2011 by Kathleen Sebelius, secretary of the US Department of Health and Human Services, and Donald...
Atlanta—The Partnership for Patients, a public–private initiative to improve hospital care and transitions of care, was launched in April 2011 by Kathleen Sebelius, secretary of the US Department of Health and Human Services, and Donald...
Atlanta—The Partnership for...
11/29/2011
First Report Managed Care
Fraud, Waste, and Abuse Impact Costs, Care, and Safety
11/29/2011
Atlanta—Each year, billions of dollars are lost to Medicare fraud. In addition to the financial burden, instances of waste and abuse jeopardize both quality of care and patient safety. Raising awareness of the problem is as important a tool...
Atlanta—Each year, billions of dollars are lost to Medicare fraud. In addition to the financial burden, instances of waste and abuse jeopardize both quality of care and patient safety. Raising awareness of the problem is as important a tool...
Atlanta—Each year, billions of...
11/29/2011
First Report Managed Care

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FRMC Volume 21, Issue 3

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Report: Amazon Likely to Partner With Large PBM
08/15/2017
After early rumors surfaced that Amazon was looking to move into the pharmacy distribution business, a recent report from Goldman Sachs suggests that the giant retailer will likely partner with a large pharmacy benefit manager.
After early rumors surfaced that Amazon was looking to move into the pharmacy distribution business, a recent report from Goldman Sachs suggests that the giant retailer will likely partner with a large pharmacy benefit manager.
After early rumors surfaced that...
08/15/2017
First Report Managed Care
News
Comparing Radiation Treatments for Managing Localized, Intermediate-Risk Prostate Cancer
04/01/2021
A recent study comparing brachytherapy, dose-escalated external beam radiotherapy, and stereotactic body radiation therapy for intermediate-risk localized prostate cancer, suggests that brachytherapy is the most appropriate management...
A recent study comparing brachytherapy, dose-escalated external beam radiotherapy, and stereotactic body radiation therapy for intermediate-risk localized prostate cancer, suggests that brachytherapy is the most appropriate management...
A recent study comparing...
04/01/2021
Journal of Clinical Pathways
Dabigatran to Treat Patients with Acute Venous Thromboembolism
02/19/2014
New Orleans—A prespecified subgroup analysis of 2 randomized, phase 3 trials that included patients with acute venous thromboembolism (VTE) found that there was no difference in recurrent VTE or VTE-related mortality if they received...
New Orleans—A prespecified subgroup analysis of 2 randomized, phase 3 trials that included patients with acute venous thromboembolism (VTE) found that there was no difference in recurrent VTE or VTE-related mortality if they received...
New Orleans—A prespecified...
02/19/2014
First Report Managed Care
News
Found: Doctors Who Take Medicare
07/08/2011
07/08/2011
First Report Managed Care
News
Medicaid Expansion Causing “Red” States to Rethink ACA?
09/26/2014
According to a recent report, up to a dozen states, including several led by Republicans, could move forward with plans to expand coverage under Medicaid after the November elections. This follows Pennsylvania and other states that have won...
According to a recent report, up to a dozen states, including several led by Republicans, could move forward with plans to expand coverage under Medicaid after the November elections. This follows Pennsylvania and other states that have won...
According to a recent report, up...
09/26/2014
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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