October 2016 - FRMC

Featured Article

House of Cards: How Much Longer Can the ACA Hold Up?

10/20/2016

With insurers pulling out, premiums on the rise, and the presidential election on the way, the fate of Obamacare hangs in the balance.

With insurers pulling out,...

10/20/2016

First Report Managed Care

Department

News Connection

Alternative Management Strategies Achieve Comparable Clinical Outcomes

11/20/2016

A recently published review suggests that alternatives to inpatient hospitalization do not jeopardize the treatment of several acute medical conditions.

A recently published review...

11/20/2016

First Report Managed Care

Managed Care Q&A

Implementing Value-Based Care Through Clinically Integrated Organizations

10/20/2016

David Costill ;

An interview with Chad Johnson, senior vice president and executive director, Phoenix Children’s Care Network.

An interview with Chad...

10/20/2016

First Report Managed Care

News Connection

Republican Lawmakers Warn of MACRA’s Impact on Small Practices

10/20/2016

A group of Republican lawmakers are urging the Centers for Medicare and Medicaid Services (CMS) to revise its proposed implementation of the Medicare Access and CHIP Reauthorization Act, or MACRA, of 2015, which they argue would complicate...

A group of Republican lawmakers...

10/20/2016

First Report Managed Care

News Connection

Investigation Reveals "Gross Mismanagement" to Blame for Denver VA Facility`s Exorbitant Cost

10/20/2016

An internal investigation by the US Department of Veterans’ Affairs (VA) found that the bloated budget and costly delays for construction of a new VA medical campus near Denver, Colorado were caused by gross mismanagement.

An internal investigation by the...

10/20/2016

First Report Managed Care

News Connection

Non-TNF-targeted Biologics Most Effective After RA Treatment Failure

10/20/2016

According to recent research, for rheumatoid arthritis patients who have failed initial anti-tumor necrosis factor therapy, care providers should consider a non–TNF-targeted biologic due to a an effictive clinical response.

According to recent research,...

10/20/2016

First Report Managed Care

News Connection

Malnutrition Contributes $15.5 Billion to Nationwide Medical Spending Annually

10/20/2016

Malnutrition associated with disease is responsible for more than $15.5 billion in direct medical costs each year, and is disproportionately driven by patients aged 65 years or older, according to an economic analysis recently published in...

Malnutrition associated with...

10/20/2016

First Report Managed Care

News Connection

MI Survival Rates Extended at High-Performing Hospitals

10/20/2016

A recent analysis suggests myocardial infarction patients who were treated in health care institutions that demonstrated favorable 30-day risk-standardized mortality rates, also had longer life expectancies when compared to patients who were...

A recent analysis suggests...

10/20/2016

First Report Managed Care

Orphan Drugs: Rare Disease Treatments Becoming Commonplace

10/20/2016

Mary Beth Nierengarten ;

As the popularity of rare-disease indicated orphan drugs increases, payers are becoming concerned about whether or not these prescriptions are entirely necessary.

As the popularity of...

10/20/2016

First Report Managed Care

Presidential Plans to Fix Drug Pricing: Would Either Work?

10/20/2016

Dean Celia ;

Recent controversy related to drug price gouging has pushed the issue onto the political stage in the midst of the 2016 Presidential election. Each candidate has taken a stance against allowing drug companies to unnecessarily raise prices to...

Recent controversy related to...

10/20/2016

First Report Managed Care

News

Untangling the Mylan EpiPen Controversy

10/20/2016

Dean Celia ;

After public backlash against exorbitant price increases for the EpiPen, industry leaders are weighing in on the practicality of the new price and the validity of possible solutions presented by its manufacturer.

After public backlash against...

10/20/2016

First Report Managed Care

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Projections of Hepatitis C and Advanced Liver Disease

10/22/2012

San Diego—Between 2008 and 2015, the number of patients with advanced liver disease is expected to increase from 195,000 to 601,000, with people born from 1945 to 1964 representing >75% of the cases, according to a study of adjudicated...

San Diego—Between 2008 and 2015,...

10/22/2012

First Report Managed Care

News

CMS to Investigate Improper Steering of Medicare, Medicaid Patients to ACA Plans

08/19/2016

The CMS told provider and provider-affliated organizations to stop steering Medicare eligible patients into insurance plans on the ACA Marketplace.

The CMS told provider and...

08/19/2016

First Report Managed Care

News

Categorizing Disease Activity in Ankylosing Spondylitis: SASDAS vs ASDAS

09/09/2022

Jolynn Tumolo ;

Researchers compared the Ankylosing Spondylitis Disease Activity Score to a simplified version of the tool to categorize patients’ disease.

Researchers compared the...

09/09/2022

First Report Managed Care

News Connection

Platelet Inhibition to Bridge Patients for CABG

03/16/2012

Mary Mihalovic ;

The use of cangrelor, an intravenous antagonist of the P2Y12 receptor, to bridge patients after they discontinue antiplatelet therapy in preparation for coronary artery bypass graft (CABG) surgery, was shown to effectively provide platelet...

The use of cangrelor, an...

03/16/2012

First Report Managed Care

News

The Basic Health Program Option under Federal Health Reform: Issues for Consumers and States

04/08/2011

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.

October 2016 - FRMC

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