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Volume 17, Issue 11, December 2020 - First Report Managed Care

Featured Article

Last Minute Legislation: Most Favored Nation Drug Pricing Rule
12/18/2020
In what seems like an eleventh-hour maneuver, the Trump administration moves forward implementing its latest drug pricing model. However, experts say it is fraught with complications and may get tied up in the courts. Our panel sorts through...
In what seems like an eleventh-hour maneuver, the Trump administration moves forward implementing its latest drug pricing model. However, experts say it is fraught with complications and may get tied up in the courts. Our panel sorts through...
In what seems like an...
12/18/2020
First Report Managed Care
New FDA Drug Approvals in 2020 by Indication: Part 1
12/18/2020
This special section of First Report Managed Care includes data on the new molecular entities and new therapeutic biological products approved by the US Food & Drug Administration’s Center for Drug Evaluation and Research in 2020. This part 1...
This special section of First Report Managed Care includes data on the new molecular entities and new therapeutic biological products approved by the US Food & Drug Administration’s Center for Drug Evaluation and Research in 2020. This part 1...
This special section of First...
12/18/2020
First Report Managed Care
New FDA Drug Approvals in 2020 by Indication: Part 2
12/18/2020
This special section of First Report Managed Care includes data on the new molecular entities and new therapeutic biological products approved by the US Food & Drug Administration’s Center for Drug Evaluation and Research in 2020. This part 2...
This special section of First Report Managed Care includes data on the new molecular entities and new therapeutic biological products approved by the US Food & Drug Administration’s Center for Drug Evaluation and Research in 2020. This part 2...
This special section of First...
12/18/2020
First Report Managed Care
A Look at the COVID-19 Vaccinations
12/10/2020
The end of the year is fast-approaching and with it comes several strides in the development of vaccinations for COVID-19, but there are still many hurdles to overcome.
The end of the year is fast-approaching and with it comes several strides in the development of vaccinations for COVID-19, but there are still many hurdles to overcome.
The end of the year is...
12/10/2020
First Report Managed Care

Insights

Commentary
Health Care Forecasts Look Hopeful for 2021 After Unpredictable Year
12/18/2020
Eric Zerneke, chief commercial officer, andros, reflects on the uncertainty of 2020 and COVID-19.
Eric Zerneke, chief commercial officer, andros, reflects on the uncertainty of 2020 and COVID-19.
Eric Zerneke, chief commercial...
12/18/2020
First Report Managed Care
Commentary
It’s Time for Medicare Advantage and Part D Plans to Elevate Consumer Experience and Medication Adherence
12/18/2020
Jason Rose, CEO, AdhereHealth, discusses CMS' new Medicare Advantage Star Ratings formula for 2021, ways to improve consumer experience and perception, and how to leverage technology to boost medication adherence among members.
Jason Rose, CEO, AdhereHealth, discusses CMS' new Medicare Advantage Star Ratings formula for 2021, ways to improve consumer experience and perception, and how to leverage technology to boost medication adherence among members.
Jason Rose, CEO, AdhereHealth,...
12/18/2020
First Report Managed Care

Department

News Connection
High Drug Costs Could Lead to Increased Medicare Beneficiary Deaths
12/18/2020
Increased costs of medications could result in reduced adherence, and in turn, cause more than 1.1 million deaths of Medicare beneficiaries in the next 10 years, according to a report published by West Health.
Increased costs of medications could result in reduced adherence, and in turn, cause more than 1.1 million deaths of Medicare beneficiaries in the next 10 years, according to a report published by West Health.
Increased costs of medications...
12/18/2020
First Report Managed Care
News Connection
Physician Membership in Health Systems Linked With Higher Patient Costs
12/18/2020
Commercially insured patients had higher average costs from primary care physicians who were members of health systems compared with primary care physicians not in health systems, according to findings published online in Health Services...
Commercially insured patients had higher average costs from primary care physicians who were members of health systems compared with primary care physicians not in health systems, according to findings published online in Health Services...
Commercially insured patients...
12/18/2020
First Report Managed Care
News Connection
Association Between the ACA, Hospital Episode Spending
12/18/2020
According to recently published data, the policy reforms introduced under the US Patient Protection and Affordable Care Act (ACA) are associated with significant reductions in US hospital episode spending for acute inpatient hospitalizations.
According to recently published data, the policy reforms introduced under the US Patient Protection and Affordable Care Act (ACA) are associated with significant reductions in US hospital episode spending for acute inpatient hospitalizations.
According to recently published...
12/18/2020
First Report Managed Care

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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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December 2020 Volume 17 Issue 11

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