frmc Commentary

Commentary

2025–2026 Star Ratings: The Path to Success

01/09/2024

Ashley McNairy, senior product director, Cotiviti

Ashley McNairy, senior product direct...

Even though many Medicare Advantage (MA) health plan executives braced for another year of declining performance on their Star Ratings, seeing their 2024 ratings drop for the second consecutive year has been a tough pill to swallow. Ashley...

Even though many Medicare...

01/09/2024

First Report Managed Care

Commentary

The Hidden Threat: Heart Failure in Elderly Diabetic Populations

01/04/2024

Sean Brady, chief operating officer and co-founder, Ventric Health

Sean Brady, chief operating officer a...

The correlation between diabetes and heart failure poses a significant risk, as almost one-third of elderly individuals with diabetes encounter heart failure. Sean Brady provides insights into upcoming innovative solutions aimed at addressing...

The correlation between diabetes...

01/04/2024

First Report Managed Care

Commentary

Simple Outreach Tactics Plug Medicaid Redetermination Gaps

12/21/2023

Anup Panthaloor, Firstsource executive vice president, Health Plans & Healthcare Services

Anup Panthaloor, Firstsource executiv...

The unwinding of Medicaid’s continuous enrollment and resulting redetermination activities were supposed to be nearly complete by spring 2024. According to Anup Panthaloor, Firstsource EVP, now, the initiative may be pushed into the summer of...

The unwinding of Medicaid’s...

12/21/2023

First Report Managed Care

Commentary

Study Explores the Psychological Effect of Living With Vitiligo and its Impact on Patient Quality of Life

12/20/2023

Yvette C Terrie, BS Pharm, RPh, consultant pharmacist

Clinicians should consider both the physical and psychological aspects of living with vitiligo and implement measures to identify and efficaciously address them, which can improve patient adherence, clinical outcomes, patient well-being, and...

Clinicians should consider both...

12/20/2023

First Report Managed Care

Commentary

Perspectives of Pharmacists and Patients Regarding GoodRx's Latest App for Streamlining Prescription Management

12/20/2023

Yvette C Terrie, BS Pharm, RPh, consultant pharmacist

In July 2023, GoodRx announced the launch of a new app known as Medicine Cabinet. In the press release, the company described the novel app as “a comprehensive solution designed to help consumers seamlessly manage their medications. Medicine...

In July 2023, GoodRx announced...

12/20/2023

First Report Managed Care

Commentary

The Overlooked Responsibility: The Administrative Side of Family Caregiving

12/19/2023

By David Zawrotny, Chief Service Officer at RetireeFirst

By David Zawrotny, Chief Service Offi...

David Zawrotny, Chief Service Officer at RetireeFirst, the premier Retiree Benefits Management provider, offers insights into enhancing the experience and outcomes for group plan sponsors and their retirees via industry-leading strategy,...

David Zawrotny, Chief Service...

12/19/2023

First Report Managed Care

Commentary

The Role of JAK Inhibitors in the Treatment of Autoimmune and Autoinflammatory Diseases

12/14/2023

Yvette C Terrie, BS Pharm, RPh, consultant pharmacist

While the majority of Janus kinase inhibitors (JAKs) are available in oral formulations, in July 2022, the FDA approved ruxolitinib cream 1.5% as the only topical formulation of a selective JAK (JAK1/JAK2) inhibitor approved in the US,...

While the majority of Janus...

12/14/2023

First Report Managed Care

Commentary

Recent Study Reveals More Data Needed to Expand Use of Prescription Digital Therapeutics

12/14/2023

Yvette C Terrie, BS Pharm, RPh, consultant pharmacist

Prescription digital therapeutics (PDTs) allow patients and prescribers to work collaboratively and to use ongoing technological advances to diagnose, treat, and manage various conditions effectively. Unfortunately, it appears that a lack of...

Prescription digital...

12/14/2023

First Report Managed Care

Commentary

Will the Growing Number of Prescription Digital Therapeutics Expand Usage and Coverage?

11/28/2023

Yvette C Terrie, BS Pharm, RPh, consultant pharmacist

Prescription digital therapeutics offer the potential to improve adherence and clinical outcomes while decreasing direct and indirect costs, addressing gaps in care, and enabling patients to take an active role in their care.

Prescription digital...

11/28/2023

First Report Managed Care

Commentary

Real-World Study Highlights a Need to Improve Treatment Initiation in Patients With Vitiligo

11/20/2023

Yvette C Terrie, BS Pharm, RPh, consultant pharmacist

Since nonsegmental vitiligo is the most common type of vitiligo, the availability of the targeted therapy, Opzelura (topical ruxolitinib) cream, has the potential to help many patients living with vitiligo when appropriate. Improving access...

Since nonsegmental vitiligo is...

11/20/2023

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

Conference Coverage

Federal Trade Commission’s Report Highlights PBMs’ Influence Over Drug Costs and Access in the US

09/17/2024

Grace Taylor , MS, MA;

In July 2024, the Federal Trade Commission (FTC) published an interim report discussing the impact that pharmacy benefit managers (PBMs) have on the accessibility and affordability of drugs in the US. The report was issued as part of an...

In July 2024, the Federal Trade...

09/17/2024

First Report Managed Care

Behind the Bill

September 18, 2024

09/18/2024

Katie Hayes , MJ;

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

Conference Coverage

Overcoming Challenges in Non-Cystic Fibrosis Bronchiectasis Research

08/29/2024

Hannah Musick ;

Research in non-cystic fibrosis bronchiectasis (NCFBE) is expanding, but collaboration is crucial to address challenges such as heterogeneity and limitations of single-center studies to advance understanding and treatment strategies for...

Research in non-cystic fibrosis...

08/29/2024

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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