frmc Commentary

Commentary

How the Updated CMS Health Equity Framework Will Improve Member Experience in Light of SDoH

02/02/2023

Icario Team

The Icario team breaks down the latest CMS framework on health equity and offers insight on how health plans can make effective change in their latest blog.

The Icario team breaks down the...

02/02/2023

First Report Managed Care

Commentary

Five Winning Strategies to Boost Member Experience, Improve CAHPS Scores

01/18/2023

Icario Team

The Icario team reviews 5 strategies for boosting CAHPS scores and Star Ratings, with an emphasis on personalized member experiences, appropriate language, and outreach methods.

The Icario team reviews 5...

01/18/2023

First Report Managed Care

Commentary

Kansas Attorney General Files Insulin Lawsuit Against Manufacturers, PBMs

01/17/2023

Ann W Latner, JD

Ann Latner shares details from a complaint which alleged several drug manufacturers and pharmacy benefit managers raised the prices of insulin in violation of Kansas's Consumer Protection Act.

Ann Latner shares details from a...

01/17/2023

Pharmacy Learning Network

Commentary

2023 Predictions From Health Executives: Consumer Experience, Economic Considerations

01/10/2023

Maria Asimopoulos

After a year of inflation, staffing struggles, and challenges related to addressing social determinants of health, 14 executives from health care organizations predict where the industry is headed in 2023.

After a year of inflation,...

01/10/2023

Integrated Healthcare Executive

Commentary

2024 CMS Proposed Rule: 5 Key Takeaways and Next Steps

01/03/2023

Troy Jelinek, chief commercial officer, Icario

Troy Jelinek, chief commercial office...

In this commentary, Troy Jelinek shares key points from the Centers for Medicare & Medicaid Services' 2024 proposed rule, including measure changes that will impact Star Ratings and member engagement in the years to come.

In this commentary, Troy Jelinek...

01/03/2023

First Report Managed Care

Commentary

Three Health Care Predictions for 2023: New Realities and Priorities for Health Plans

11/30/2022

Steve Wigginton, CEO, Icario

In this commentary, Steve Wigginton, CEO, Icario, predicts what 2023 may have in store for health plans, with a focus on the end of the public health emergency, member satisfaction, and social determinants of health.

In this commentary, Steve...

11/30/2022

First Report Managed Care

Commentary

Only the Beginning: Crackdown on Health Care Fraud to Accelerate in Wake of COVID-19

11/17/2022

Ketan Patel, MD, chief medical officer, SyTrue

Ketan Patel, MD, chief medical office...

Ketan Patel, MD, details actions being taken by the US Department of Justice and the Centers for Medicare & Medicaid Services to combat health care fraud, as well as how health plans can use technology to improve the detection and management...

Ketan Patel, MD, details actions...

11/17/2022

Integrated Healthcare Executive

Commentary

Three Innovative Ways to Close Gaps in Care, Break SDoH Barriers

11/07/2022

Icario Team

In this commentary, the Icario team advises how health plans can use technology and incentives to better understand member needs and close gaps in care.

In this commentary, the Icario...

11/07/2022

First Report Managed Care

Commentary

Migrating to a Successful Value-Based Model

10/26/2022

Steven McNeilly, COO, population health, and VP, managed care, Northeast Georgia Health System

Steven McNeilly, COO, population heal...

In this commentary, Steven McNeilly offers insight into a health system's approach to value-based care, including advice for improving metrics and relationships with payers and providers.

In this commentary, Steven...

10/26/2022

First Report Managed Care

Commentary

Three Ways to Improve Member Experience Using Language

10/07/2022

Icario Team

The Icario team shares 3 strategies for improving communication with members, which has the potential to reduce churn and raise Star Ratings.

The Icario team shares 3...

10/07/2022

First Report Managed Care

Current Issue

September 2024

Volume 21

Issue 3

Current Issue

Issue Archive

What's Trending?

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

CDC Invests $400 Million to Accelerate HIV Prevention and Surveillance Efforts Nationwide

09/16/2024

Lisa Kuhns , PhD, MD;

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

News

Challenges and Emerging Strategies in Overcoming Resistance in EGFR-Mutant NSCLC

09/10/2024

Lisa Kuhns , PhD, MD;

Despite promising early results, adding immunotherapy to standard chemotherapy does not significantly improve outcomes for patients with EGFR-mutant non-small cell lung cancer (NSCLC) who have progressed after initial targeted therapy,...

Despite promising early results,...

09/10/2024

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

Podcasts

Frontline Treatment Landscape Advancements for Non-Small Cell Lung Cancer

08/28/2024

Tune in as we speak with a guest oncology expert about the progress in treating non-small cell lung cancer, targeted therapies and immunotherapy, and the challenges of early detection and screening options covered by health plans.

Tune in as we speak with a guest...

08/28/2024

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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