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What’s In Store for Medicaid Enrollees as COVID-19 Subsides?
04/18/2022
Dean Celia
The official end to the public health emergency is a welcome sight for most, but for Medicaid enrollees, it could signal disruption as the coverage redetermination process is restored. How will states react, what measures can help the...
The official end to the public health emergency is a welcome sight for most, but for Medicaid enrollees, it could signal disruption as the coverage redetermination process is restored. How will states react, what measures can help the...
The official end to the public...
04/18/2022
First Report Managed Care
Cover Story
Can Cost-Plus Pricing Lower the Cost of Generic Drugs for Patients?
04/18/2022
Jeff Craven
With the ever-rising costs of medications, new business models and patient care initiatives are becoming increasingly common methods to disrupt the industry to instill lasting change. But how do these recent ventures, like Mark Cuban’s new...
With the ever-rising costs of medications, new business models and patient care initiatives are becoming increasingly common methods to disrupt the industry to instill lasting change. But how do these recent ventures, like Mark Cuban’s new...
With the ever-rising costs of...
04/18/2022
First Report Managed Care
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Series
Navigating Clinical Challenges, Improving Care for Patients With Overactive Bladder
03/08/2022
Edan Stanley
This 3-part interview series highlights efforts to reduce the burden and risks associated with overactive bladder, with insight from experts in long-term care, pharmacy, and managed care.
This 3-part interview series highlights efforts to reduce the burden and risks associated with overactive bladder, with insight from experts in long-term care, pharmacy, and managed care.
This 3-part interview series...
03/08/2022
First Report Managed Care

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Cover Story
Addressing Fair Access Barriers: Payers Must Improve Transparency
02/07/2022
Mary Beth Nierengarten
The Institute for Clinical and Economic Review (ICER) recently outlined key conclusions from the preliminary stages of its Fair Access initiative in an attempt to create new structures to combat barriers to fair and equal access to...
The Institute for Clinical and Economic Review (ICER) recently outlined key conclusions from the preliminary stages of its Fair Access initiative in an attempt to create new structures to combat barriers to fair and equal access to...
The Institute for Clinical and...
02/07/2022
First Report Managed Care
Feature Story
Long-term Effects of COVID-19 Pose Challenges for Patients, Providers, and Payers
02/02/2022
Paul Nicolaus
Issues like fatigue, muscle pain, and brain fog affect some COVID-19 survivors for lengthy periods. Experts suggest there is a growing need to better understand and respond to this phenomenon.
Issues like fatigue, muscle pain, and brain fog affect some COVID-19 survivors for lengthy periods. Experts suggest there is a growing need to better understand and respond to this phenomenon.
Issues like fatigue, muscle...
02/02/2022
First Report Managed Care

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Headshot of Vivian Shi, UAMS, on a blue background underneath the PopHealth Perspectives logo.
Podcast Series
Treating Atopic Dermatitis: Disease Burden, Therapy Options, Unmet Needs
02/01/2022
Vivian Shi, MD, FAAD, provides an overview of atopic dermatitis, including the symptom burden between mild and severe cases and efficacy of current therapy options.
Vivian Shi, MD, FAAD, provides an overview of atopic dermatitis, including the symptom burden between mild and severe cases and efficacy of current therapy options.
Vivian Shi, MD, FAAD, provides...
02/01/2022
First Report Managed Care
Feature Story
The No Surprises Act Becomes Law
01/31/2022
Dean Celia
Does this bipartisan effort demonstrate that lawmakers in Washington are more willing to work together than previously thought to improve health care? What are the implications for payers, providers, and patients? Our experts weigh in.
Does this bipartisan effort demonstrate that lawmakers in Washington are more willing to work together than previously thought to improve health care? What are the implications for payers, providers, and patients? Our experts weigh in.
Does this bipartisan effort...
01/31/2022
First Report Managed Care
Cover Story
Is Medicare Poised to Negotiate Drug Prices?
12/22/2021
Dean Celia
A provision allowing CMS to negotiate with pharmaceutical companies survived the House version of President Biden’s Build Back Better Act that passed in November. Now the Senate is taking it up. Even if the measure clears the Senate and is...
A provision allowing CMS to negotiate with pharmaceutical companies survived the House version of President Biden’s Build Back Better Act that passed in November. Now the Senate is taking it up. Even if the measure clears the Senate and is...
A provision allowing CMS to...
12/22/2021
First Report Managed Care

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Feature Story
Why Interoperability Rule Could Spur Payer Innovation
12/22/2021
Paul Nicolaus
The Interoperability and Patient Access rule presents an array of challenges for payers, but it may also pave the way toward new improvements.
The Interoperability and Patient Access rule presents an array of challenges for payers, but it may also pave the way toward new improvements.
The Interoperability and Patient...
12/22/2021
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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News
Identifying Large-Vessel Vasculitis in Polymyalgia Rheumatica: Key Clinical and Laboratory Red Flags
04/05/2024
Lisa Kuhns, PhD
Potential red flags for large-vessel vasculitis in isolated polymyalgia rheumatica (PMR) include inflammatory back pain, significant pelvic involvement, widespread lower extremity pain, marked inflammatory response indicated by specific lab...
Potential red flags for large-vessel vasculitis in isolated polymyalgia rheumatica (PMR) include inflammatory back pain, significant pelvic involvement, widespread lower extremity pain, marked inflammatory response indicated by specific lab...
Potential red flags for...
04/05/2024
First Report Managed Care
Sponsored
Kindred Hospitals’ Complex Wound Care Can Reduce Readmissions and Length of Stay
09/17/2024
Discover how Kindred Hospitals, a national network of long-term acute care hospitals (LTACHs), are improving patient outcomes and reducing health care costs for complex wound patients through their advanced wound care program.
Discover how Kindred Hospitals, a national network of long-term acute care hospitals (LTACHs), are improving patient outcomes and reducing health care costs for complex wound patients through their advanced wound care program.
Discover how Kindred Hospitals,...
09/17/2024
First Report Managed Care
Behind the Bill
September 18, 2024
09/18/2024
The aftermath of legal challenges and state legislation continues to reshape the landscape of copay accumulator programs, forcing payers and manufacturers to adapt their strategies.
The aftermath of legal challenges and state legislation continues to reshape the landscape of copay accumulator programs, forcing payers and manufacturers to adapt their strategies.
The aftermath of legal...
09/18/2024
First Report Managed Care
News
CDC Invests $400 Million to Accelerate HIV Prevention and Surveillance Efforts Nationwide
09/16/2024
The Centers for Disease Control and Prevention (CDC) has awarded $400 million in funding to boost HIV prevention and surveillance efforts across the United States, aiming to accelerate progress in reducing new infections and improving health...
The Centers for Disease Control and Prevention (CDC) has awarded $400 million in funding to boost HIV prevention and surveillance efforts across the United States, aiming to accelerate progress in reducing new infections and improving health...
The Centers for Disease Control...
09/16/2024
First Report Managed Care
More Generics, Biosimilars, and Orphan Drugs on the Horizon
11/14/2014

Jill Sederstrom

Jill Sederstrom
As patented products expire, >$13 billion in brand-name specialty medications are expected to face generic competition in the next 5 years, and it is projected that there is a $31.8 billion opportunity in the market for biosimilars through...
As patented products expire, >$13 billion in brand-name specialty medications are expected to face generic competition in the next 5 years, and it is projected that there is a $31.8 billion opportunity in the market for biosimilars through...
As patented products expire,...
11/14/2014
First Report Managed Care

Video Insights

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
Joe DePinto Headshot
Videos
Navigating Payment Models in the CGT Landscape: Insights and Innovations
05/21/2024
Joe DePinto, Head of Cell, Gene, and Advanced Therapies, McKesson
An expert discusses the evolution and challenges of payment models in the cell and gene therapy (CGT) space reviewed during his session at Asembia 2024.
An expert discusses the evolution and challenges of payment models in the cell and gene therapy (CGT) space reviewed during his session at Asembia 2024.
An expert discusses the...
05/21/2024
First Report Managed Care
Jennifer L. Mathieu Senior Vice President, Professional and Government Affairs at AMCP
Videos
Unlocking the Future of Managed Care Pharmacy: A Deep Dive into Federal Legislation and Regulations
05/15/2024
Jennifer L. Mathieu Senior Vice President, Professional and Government Affairs, AMCP
Learn about developments in federal legislation and regulations within the pharmacy landscape shaping the future of managed care in an interview with a session presenter from AMCP 2024.
Learn about developments in federal legislation and regulations within the pharmacy landscape shaping the future of managed care in an interview with a session presenter from AMCP 2024.
Learn about developments in...
05/15/2024
First Report Managed Care
Peter Martin, MD
Conference Coverage
Using Lenalidomide and Rituximab, Tazemetostat, or Bispecific Antibodies to Treat Patients With Follicular Lymphoma
04/06/2024

Featuring Peter Martin, MD

Featuring Peter Martin, MD
During the 2024 Great Debates & Updates in Hematologic Malignancies meeting in New York, Peter Martin, MD, argued in favor of alternative treatment regimens over CAR T-cell therapy for treating follicular lymphoma.
During the 2024 Great Debates & Updates in Hematologic Malignancies meeting in New York, Peter Martin, MD, argued in favor of alternative treatment regimens over CAR T-cell therapy for treating follicular lymphoma.
During the 2024 Great Debates &...
04/06/2024
Oncology
Tejaswi Kompala
Videos
Personalizing Weight Loss Management With GLP-1 Agonists
04/05/2024

Featuring Tejaswi Kompala, MD, head of cardiometabolic clinical strategy, Teladoc 

Featuring Tejaswi Kompala, MD, head o...
Delve into the rising demand for anti-obesity medications, the complexities of obesity management, and the importance of personalized approaches in improving cardiometabolic health in this insightful interview.
Delve into the rising demand for anti-obesity medications, the complexities of obesity management, and the importance of personalized approaches in improving cardiometabolic health in this insightful interview.
Delve into the rising demand for...
04/05/2024
First Report Managed Care

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