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Conference Highlights
How PCMH Can Help Deliver Value-Based Care
07/09/2018
Amy Maciejowski, Program Manager of State Affairs at NCQA, provides updates on new initiatives and legislative changes that will allow practices to thrive in the growing value-based payment system.
Amy Maciejowski, Program Manager of State Affairs at NCQA, provides updates on new initiatives and legislative changes that will allow practices to thrive in the growing value-based payment system.
Amy Maciejowski, Program Manager...
07/09/2018
First Report Managed Care

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Formulary Frontlines®
Understanding Novel Therapies for Acute Migraine
07/05/2018
Richard G Wenzel, PharmD, pharmacologist at the Diamond Headache Inpatient Unit, discusses novel therapies for acute migraines that will soon be FDA-approved and will provide an opportunity to reassess migraine approaches for this...
Richard G Wenzel, PharmD, pharmacologist at the Diamond Headache Inpatient Unit, discusses novel therapies for acute migraines that will soon be FDA-approved and will provide an opportunity to reassess migraine approaches for this...
Richard G Wenzel, PharmD,...
07/05/2018
First Report Managed Care
Conference Insider
Cannabis Cost-Effective for Treatment of Painful Neuropathy
07/05/2018
A poster presented at the AAPM 2018 Annual Meeting found that smoked cannabis is a cost-effective treatment for pain related to diabetic neuropathy when added to second- and third-line treatments.
A poster presented at the AAPM 2018 Annual Meeting found that smoked cannabis is a cost-effective treatment for pain related to diabetic neuropathy when added to second- and third-line treatments.
A poster presented at the AAPM...
07/05/2018
First Report Managed Care
Managed Care Q&A
PBMs Need to Evolve as Specialty Pharmacy Grows
07/05/2018
An interview with Albert Thigpen, president and chief operating officer of CastiaRx.
An interview with Albert Thigpen, president and chief operating officer of CastiaRx.
An interview with Albert...
07/05/2018
First Report Managed Care

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Conference Insider
Understanding COPD Diagnosis and Management
07/05/2018
During the NAMCP 2018 Spring Managed Care Forum, Sanjay Sethi, MD, division chief of Pulmonary, Critical Care, and Sleep Medicine at the University of Buffalo, outlined the recent clinical advances in the diagnosis and treatment of COPD.
During the NAMCP 2018 Spring Managed Care Forum, Sanjay Sethi, MD, division chief of Pulmonary, Critical Care, and Sleep Medicine at the University of Buffalo, outlined the recent clinical advances in the diagnosis and treatment of COPD.
During the NAMCP 2018 Spring...
07/05/2018
First Report Managed Care
Conference Insider
Improving MS Outcomes Through Individualized Care
07/05/2018
A presentation at the NAMCP 2018 Spring Managed Care Forum outlined how individualized care can improve multiple sclerosis (MS) outcomes and highlighted how value-based strategies can mitigate costs among these patients.
A presentation at the NAMCP 2018 Spring Managed Care Forum outlined how individualized care can improve multiple sclerosis (MS) outcomes and highlighted how value-based strategies can mitigate costs among these patients.
A presentation at the NAMCP 2018...
07/05/2018
First Report Managed Care
Conference Insider
Improving Decision Making in Individualized HIV Treatment
07/05/2018
Mary Watson Montgomery, MD, of the Brigham and Women’s Hospital at Harvard Medical School, discussed emerging HIV therapies and how health care decision makers can help patients access high quality HIV care at the NAMCP Spring Managed Care...
Mary Watson Montgomery, MD, of the Brigham and Women’s Hospital at Harvard Medical School, discussed emerging HIV therapies and how health care decision makers can help patients access high quality HIV care at the NAMCP Spring Managed Care...
Mary Watson Montgomery, MD, of...
07/05/2018
First Report Managed Care

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Conference Insider
Increasing Access and Decreasing Costs With Biosimilars
07/05/2018
During the NAMCP Spring Managed Care Forum 2018, Robert M Rifkin, MD, FACP, medical director of biosimilars at McKesson Specialty Health, The US Oncology Network, explained how biosimilars can add value by increasing access and decreasing...
During the NAMCP Spring Managed Care Forum 2018, Robert M Rifkin, MD, FACP, medical director of biosimilars at McKesson Specialty Health, The US Oncology Network, explained how biosimilars can add value by increasing access and decreasing...
During the NAMCP Spring Managed...
07/05/2018
First Report Managed Care
Conference Insider
How Policy Changes in Washington Could Disrupt Health Care
07/05/2018
During Asembia’s 2018 Specialty Pharmacy Summit, Bruce Japsen, Health Care Contributing Writer at Forbes conducted a Q&A with Matt Brow, executive vice president and general manager at Avalere, digging into how forthcoming policy changes in...
During Asembia’s 2018 Specialty Pharmacy Summit, Bruce Japsen, Health Care Contributing Writer at Forbes conducted a Q&A with Matt Brow, executive vice president and general manager at Avalere, digging into how forthcoming policy changes in...
During Asembia’s 2018 Specialty...
07/05/2018
First Report Managed Care
Conference Insider
Value Continues to be the Hot Topic at Asembia Oncology Panel Discussion
07/05/2018
A panel discussion, titled “The Future of Oncology and Impact on the Pharmaceuticals Supply Chain,” at Asembia’s 2018 Specialty Pharmacy Summit focused heavily on value in the oncology drug space and who gets to determine what the definition...
A panel discussion, titled “The Future of Oncology and Impact on the Pharmaceuticals Supply Chain,” at Asembia’s 2018 Specialty Pharmacy Summit focused heavily on value in the oncology drug space and who gets to determine what the definition...
A panel discussion, titled “The...
07/05/2018
First Report Managed Care

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FRMC Volume 21, Issue 3

Current Issue

September 2024
Volume 21
Issue 3
Current Issue
Issue Archive

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Conference Insider
AMCP General Session: What is Value? And What is it Worth?
11/03/2017
Value is the cornerstone of managed care—but is value worth the cost? And are high priced treatments worth their value? A panel of experts discussed the many facets of this issue at AMCP Nexus 2017.
Value is the cornerstone of managed care—but is value worth the cost? And are high priced treatments worth their value? A panel of experts discussed the many facets of this issue at AMCP Nexus 2017.
Value is the cornerstone of...
11/03/2017
First Report Managed Care
News
Government Payments for Medicare Advantage Plans to Rise in 2016
04/07/2015
Payments to health insurers operating Medicare Advantage plans for the elderly and disabled will increase by 1.25 percent in 2016.
Payments to health insurers operating Medicare Advantage plans for the elderly and disabled will increase by 1.25 percent in 2016.
Payments to health insurers...
04/07/2015
First Report Managed Care
Conference Insider
High Rate of Opioid Prescribing to Children With Asthma
05/20/2019
“Although the utilization trend has decreased during the study period, the overall utilization rate remained high,” researchers wrote in a poster presented at ISPOR 2019, “and the long-term use was common.”
“Although the utilization trend has decreased during the study period, the overall utilization rate remained high,” researchers wrote in a poster presented at ISPOR 2019, “and the long-term use was common.”
“Although the utilization trend...
05/20/2019
First Report Managed Care
News
Health insurance options for those with preexisting condition
09/07/2010
09/07/2010
First Report Managed Care
Why Returning to a Pre-ACA Market Isn’t an Option
09/12/2017
In July, HHS Secretary Tom Price wondered why payers cannot or will not “dust off how they did business before Obamacare” if given the opportunity.
In July, HHS Secretary Tom Price wondered why payers cannot or will not “dust off how they did business before Obamacare” if given the opportunity.
In July, HHS Secretary Tom Price...
09/12/2017
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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