Department

Conference Insider

Transparent Cost Information Positively Impacts Prescribing Trends

11/28/2018

According to a recent study presented at AMCP Nexus 2018, providing transparent cost information to prescribers resulted in a positive impact on prescribing trends, and researchers found that prescribers were willing to make retroactive...

According to a recent study...

11/28/2018

First Report Managed Care

Conference Insider

CAR-T Cost-Effectiveness Similar to Other Regimens

11/28/2018

Despite their high price tag, CAR-T regimens were found to be cost-effective compared with other recently approved novel anticancer regimens, according to recent research presented at AMCP Nexus 2018.

Despite their high price tag,...

11/28/2018

First Report Managed Care

Conference Insider

State Legislative Measures: Payer Familiarity With Efforts to Control Drug Costs

11/28/2018

According to the findings, where were presented at AMCP Nexus 2018, generic substitution (GS) and step-therapy (ST) were top concerns for payers, while manufacturer-sponsored drug coupons or copay cards (CB) and pricing transparency (PT)...

According to the findings, where...

11/28/2018

First Report Managed Care

Conference Insider

Medication Therapy Management Program Cost-Effectiveness

11/28/2018

According to an analysis of pharmacy and medical claims among patients who received Medication Therapy Management (MTM)—a range of services provided to individual members to optimize therapeutic outcomes and to detect and prevent costly...

According to an analysis of...

11/28/2018

First Report Managed Care

Conference Insider

How a Payer-Provider Partnership Impacts Care

11/28/2018

According to recent research, a payer-provider collaboration allowed providers access to timely, actionable patient data related to Healthcare Effectiveness Data and Information Set (HEDIS) quality gaps.

According to recent research, a...

11/28/2018

First Report Managed Care

Conference Insider

How a Person-Centered Approach to Care Planning Improves Outcomes

11/28/2018

Katherine Tardiff, MSN, RN, GNP-BC, vice president of clinical operations at Seniorlink, discussed the impact that a person-centered care planning initiative had on satisfaction outcomes in complex populations, during a session at Health Care...

Katherine Tardiff, MSN, RN,...

11/28/2018

First Report Managed Care

Conference Insider

Care for Special Populations Requires Identifying Barriers, Solutions

11/28/2018

During a general session at Health Care Quality Congress, Pamela Riley, MD, MPH, medical director of the Department of Health Care Finance at the Government of the District of Columbia, discussed the health care needs of vulnerable...

During a general session at...

11/28/2018

First Report Managed Care

Conference Insider

How Improved Population Health Can Lead to Better Care

11/28/2018

During a session at Health Care Quality Congress 2018, David Nash, MD, MBA, dean of Jefferson College of Population Health at Thomas Jefferson University, discussed how managing population health can help improve health care quality.

During a session at Health Care...

11/28/2018

First Report Managed Care

Conference Insider

Improving Care Quality Through Clinical Integration

11/28/2018

Patrick J Brennan, MD, senior vice president and chief medical officer of the Perelman Center for Advanced Medicine at Penn Medicine, discussed approaches taken by Penn Medicine to integrate and collaborate with payers.

Patrick J Brennan, MD, senior...

11/28/2018

First Report Managed Care

Conference Insider

Understanding Current Providers, Health Plans, and the Government

11/28/2018

Nathan Bays, JD, managing director of Cain Brothers & Company, LLC, discussed the current policy environment and regulatory landscape during a session called, “Tightening the Beltway: Providers, Health Plans, the Government, and Making Sense...

Nathan Bays, JD, managing...

11/28/2018

First Report Managed Care

Current Issue

September 2024

Volume 21

Issue 3

Current Issue

Issue Archive

What's Trending?

News

Marketplace Consumers Likely to Find Substantial Premium Hikes This Time Around

11/20/2015

A recent report found that 231 policies were requesting double-digit hikes in premium prices. Of them, 26 policies were requesting a minimum premium hike of ≥40%.

A recent report found that 231...

11/20/2015

First Report Managed Care

News

Dairy, Gluten Show No Major Effect on MS Activity and Quality of Life

02/15/2024

Jolynn Tumolo ;

Dairy and gluten intake had no substantial effects on disease activity and quality of life in a retrospective study of 186 patients with multiple sclerosis (MS). Researchers published their findings online in Multiple Sclerosis Journal –...

Dairy and gluten intake had no...

02/15/2024

First Report Managed Care

News

No Winner for President Yet, Health Care Hangs in the Balance

11/04/2020

With the presidential election still undecided, it is also up in the air whether the federal government will play a stronger role in financing and setting the ground rules for health care coverage or cede more authority to states and the...

With the presidential election...

11/04/2020

First Report Managed Care

News

New regulation seeks to reward hospitals for quality of care

01/10/2011

First Report Managed Care

Conference Insider

Payer Decisions: Patient-Reported Outcomes, Clinical Outcome Assessments Seldom Used

05/17/2019

Within the health care decision-making process, the impact of patient-reported outcomes (PRO) and clinical outcome assessments (COAs) on payers is often low, despite efforts to include the patient voice, according to recent survey results...

Within the health care...

05/17/2019

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, 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.

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