frmc Commentary

Commentary

Four Health Care Predictions for 2021

02/12/2021

Steve Wigginton, CEO, Icario

What should we expect in health care in 2021? Get a jump on the new year with these informed predictions for health plans and members based on what we learned in 2020. As we reflect on an eventful year nobody was expecting, and as we look...

What should we expect in health...

02/12/2021

First Report Managed Care

Commentary

The Impact of the Supreme Court’s Pending ACA Decision on Health Plans

02/12/2021

Robin Figueroa, consultant, Freed Associates

Robin Figueroa, consultant, Freed Ass...

On November 10, 2020, the Supreme Court of the United States heard arguments from both sides on California v Texas, which deals with the constitutionality of the 2010 Affordable Care Act (ACA) following the passage of the Tax Cuts and Jobs...

On November 10, 2020, the...

02/12/2021

First Report Managed Care

Commentary

What Does It Take to Succeed in the Next Gen ACO Program?

02/12/2021

Andrew Ziskind, MD, Senior Executive Officer at Southwestern Health Resources offers five proven principles to move from volume to value and succeed in the Next Gen ACO program.

Andrew Ziskind, MD, Senior...

02/12/2021

First Report Managed Care

Commentary

Utilizing Medicaid Advisory Councils to Drive Change

01/21/2021

Sara Ratner, senior vice president, government markets & strategic initiatives, Icario, explains the benefits of implementing a Medicaid advisory council to guide strategy for new markets, and for informing future policy to improve care.

Sara Ratner, senior vice...

01/21/2021

First Report Managed Care

Commentary

The Impact of the Supreme Court’s Pending ACA Decision on Health Plans

01/19/2021

Robin Figueroa, consultant, Freed Associates, outlines what providers of ACA-qualified health plans should know about the California v Texas case, how its outcome could impact plans, and what should be done while we wait for a ruling.

Robin Figueroa, consultant,...

01/19/2021

First Report Managed Care

Commentary

Four Health Care Predictions from Icario for 2021

01/13/2021

Steve Wigginton, CEO, Icario, reflects on how 2020 affected health care, and sheds light on how many of the changes stemming from the pandemic will translate to 2021 health plans.

Steve Wigginton, CEO, Icario,...

01/13/2021

First Report Managed Care

Commentary

Preventive HIV Care to Be Covered by Health Plans, But Implementation Remains Confusing

01/11/2021

Russell Spjut, PharmD, owner of Formulary Intel Consulting, discusses the US Preventive Services Task Force’s measures to improve access to HIV preventive treatment, explains why the timing of health plan’s implementation has been scattered,...

Russell Spjut, PharmD, owner of...

01/11/2021

First Report Managed Care

Commentary

Health Care Forecasts Look Hopeful for 2021 After Unpredictable Year

12/18/2020

Eric Zerneke, chief commercial officer, andros

Eric Zerneke, chief commercial office...

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

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

Commentary

Continued Agility and Expansion Will Look to Define Health Care in 2021

12/17/2020

Eric Zerneke, CCO, andros, discusses the many challenges faced by the health care industry in 2020, points out weaknesses exposed by the pandemic, and offers insight into how health care organizations can move forward in 2021.

Eric Zerneke, CCO, andros,...

12/17/2020

First Report Managed Care

Current Issue

September 2024

Volume 21

Issue 3

Current Issue

Issue Archive

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Conference Coverage

SOHO 2024 Insights: Examining the Use and Cost of Interferon Therapy for MPNs

09/13/2024

Amber Denham ;

In this interview, a leading expert discusses myeloproliferative neoplasms, as presented at the SOHO annual conference. Explore the interview to gain key insights into interferon therapies and important considerations for payers regarding...

In this interview, a leading...

09/13/2024

First Report Managed Care

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...

04/05/2024

First Report Managed Care

News

COVID-19 Vaccination Does Not Increase Relapse Risk in Patients With Multiple Sclerosis

09/19/2024

Lisa Kuhns , PhD, MD;

COVID-19 vaccination does not increase the risk of severe relapse for most patients with multiple sclerosis (MS), according to study results published in the American Journal of Neurology.

COVID-19 vaccination does not...

09/19/2024

First Report Managed Care

Commentary

Enhancing Provider Experience Through Electronic Prior Authorization

08/13/2024

Each year the American Medical Association (AMA) surveys its membership to ascertain their feedback concerning prior authorizations (PAs) and the impact of this service on their practice. Reliably, AMA members say that PAs are disruptive to...

Each year the American Medical...

08/13/2024

First Report Managed Care

On-Demand Webinar

New Frontiers in Idiopathic Pulmonary Fibrosis (IPF) Treatment

06/06/2024

In this video, Dr. Elizabeth Volkmann shares her extensive knowledge of idiopathic pulmonary fibrosis (IPF), including epidemiology, pathogenesis, current treatment approaches, and therapies in development.

In this video, Dr. Elizabeth...

06/06/2024

First Report Managed Care

Video Insights

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.

Learn about the impacts of the...

05/24/2024

First Report Managed Care

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...

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...

05/15/2024

First Report Managed Care

Conference Coverage

Using Lenalidomide and Rituximab, Tazemetostat, or Bispecific Antibodies to Treat Patients With Follicular Lymphoma

04/06/2024

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 &...

04/06/2024

Oncology

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.

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