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Maryland Law Will Criminalize Unethical Price Gouging
08/30/2017
In an editorial published in the New England Journal of Medicine, Jeremy A Greene, MD, PhD, professor of medicine at the Johns Hopkins University School of Medicine, and William V Padula, PhD, assistant professor at the Johns Hopkins...
In an editorial published in the New England Journal of Medicine, Jeremy A Greene, MD, PhD, professor of medicine at the Johns Hopkins University School of Medicine, and William V Padula, PhD, assistant professor at the Johns Hopkins...
In an editorial published in the...
08/30/2017
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News Connection
Louisiana to Request Federal Intervention to Bring Down HCV Treatment Costs
08/30/2017
Louisiana’s Secretary of the Department of Health, Rebekah Gee, MD, MPH, recently suggested that she will ask the federal government to intervene to reduce the cost of hepatitis C treatment in the state, according to a recent Washington Post...
Louisiana’s Secretary of the Department of Health, Rebekah Gee, MD, MPH, recently suggested that she will ask the federal government to intervene to reduce the cost of hepatitis C treatment in the state, according to a recent Washington Post...
Louisiana’s Secretary of the...
08/30/2017
First Report Managed Care
News Connection
CMS Proposed Rule Cuts 340B Payments
08/30/2017
The Centers for Medicare & Medicaid Services (CMS) announced a proposed rule to cut Agency payments to hospitals under the program. 
The Centers for Medicare & Medicaid Services (CMS) announced a proposed rule to cut Agency payments to hospitals under the program. 
The Centers for Medicare &...
08/30/2017
First Report Managed Care
News Connection
CMS to Start $43 Billion in Disproportionate Share Hospital Payment Cuts
08/30/2017
The CMS recently proposed a rule that would cut $43 billion in Disproportionate Share Hospital (DSH) payments to hospitals between 2018 and 2025, according to a recent Federal Register notice.
The CMS recently proposed a rule that would cut $43 billion in Disproportionate Share Hospital (DSH) payments to hospitals between 2018 and 2025, according to a recent Federal Register notice.
The CMS recently proposed a rule...
08/30/2017
First Report Managed Care

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News Connection
Ohio Works With Insurers to Fill 2018 ACA Marketplace Gaps
08/30/2017
The Ohio Department of Insurance announced today that it restored coverage in the 19 state counties that had no ACA marketplace insurers for 2018.
The Ohio Department of Insurance announced today that it restored coverage in the 19 state counties that had no ACA marketplace insurers for 2018.
The Ohio Department of Insurance...
08/30/2017
First Report Managed Care
News Connection
Medicare Shared Savings Program Fails to Improve Diabetes Adherence
08/30/2017
The Medicare Shared Savings Program failed to improve medication use or increase adherence among patients with cardiovascular disease or diabetes, according to a recent study in JAMA Cardiology. 
The Medicare Shared Savings Program failed to improve medication use or increase adherence among patients with cardiovascular disease or diabetes, according to a recent study in JAMA Cardiology. 
The Medicare Shared Savings...
08/30/2017
First Report Managed Care
News Connection
TAVR Prices Increase as SAVR gets Cheaper
08/30/2017
Recent research in JAMA Surgery showed that the adjusted-upfront costs of transcatheter aortic valve replacement (TAVR) are increasing, while the costs of surgical aortic valve replacement (SAVR) are decreasing. 
Recent research in JAMA Surgery showed that the adjusted-upfront costs of transcatheter aortic valve replacement (TAVR) are increasing, while the costs of surgical aortic valve replacement (SAVR) are decreasing. 
Recent research in JAMA Surgery...
08/30/2017
First Report Managed Care

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Express Scripts Formulary Excludes 64 New Drugs
08/30/2017
Express Scripts recently announced the 2018 National Preferred Formulary, which excludes 64 new medications in order to improve value-based outcomes.  
Express Scripts recently announced the 2018 National Preferred Formulary, which excludes 64 new medications in order to improve value-based outcomes.  
Express Scripts recently...
08/30/2017
First Report Managed Care
Managed Care Q&A
Improving Population Health Management to Achieve the Triple Aim
08/30/2017
Virginia Gurley, MD, chief medical officer at AxisPoint Health, discusses population health strategies that payers can employ to achieve the Triple Aim of improving health outcomes while reducing costs.
Virginia Gurley, MD, chief medical officer at AxisPoint Health, discusses population health strategies that payers can employ to achieve the Triple Aim of improving health outcomes while reducing costs.
Virginia Gurley, MD, chief...
08/30/2017
First Report Managed Care
Conference Insider
Underutilization of PET Scans Increases Alzheimers Care Costs
08/25/2017
Two recent studies showed that utilization of amyloid-beta PET scans allows for more accurate diagnosis of Alzheimer’s disease, avoiding wasted costs associated with misdiagnosis or delayed diagnosis. 
Two recent studies showed that utilization of amyloid-beta PET scans allows for more accurate diagnosis of Alzheimer’s disease, avoiding wasted costs associated with misdiagnosis or delayed diagnosis. 
Two recent studies showed that...
08/25/2017
First Report Managed Care

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FRMC Volume 21, Issue 3

Current Issue

September 2024
Volume 21
Issue 3
Current Issue
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Universal Health Plan May Not Increase Hospital Care
07/24/2019
Although medicare-for-all and other universal health plan concepts are often scrutinized, a recent study found that one concern—that such a plan would cause a surge in patients seeking hospital care—might not be accurate.
Although medicare-for-all and other universal health plan concepts are often scrutinized, a recent study found that one concern—that such a plan would cause a surge in patients seeking hospital care—might not be accurate.
Although medicare-for-all and...
07/24/2019
First Report Managed Care
News
Punishing Dems who voted `no` on health care
09/14/2010
09/14/2010
First Report Managed Care
Conference Insider
Switching From Reference Biologic to Biosimilar Maintains High Utilization
12/21/2017
Experts worry that switching biosimilars may have unintended adherence consequences.
Experts worry that switching biosimilars may have unintended adherence consequences.
Experts worry that switching...
12/21/2017
First Report Managed Care
News
Avastin can stabilize tumors in ovarian cancer, studies find
01/29/2012
01/29/2012
First Report Managed Care
News
Number of ER Visits Contradict Affordable Care Act Prediction
05/07/2015
ER volume may be increasing, despite predictions of traffic reduction following the Affordable Care Act.
ER volume may be increasing, despite predictions of traffic reduction following the Affordable Care Act.
ER volume may be increasing,...
05/07/2015
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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