frmc Commentary

Commentary

5 Steps to Help Members Maintain Continuous Coverage During Medicaid Redetermination

01/11/2022

Icario Team

In this commentary, the Icario team offers strategies for health plans to encourage members to recertify their income status and avoid losing coverage under Medicaid when the public health emergency ends.

In this commentary, the Icario...

01/11/2022

First Report Managed Care

Commentary

2022 Predictions From Health IT Executives: Interoperability, AI, and More

01/06/2022

Nine health care executives reflect on lessons learned in 2021 and predict how organizations will continue adopting technology and pivoting to improve interoperability, costs, and patient outcomes in 2022.

Nine health care executives...

01/06/2022

Integrated Healthcare Executive

Commentary

5 Health Care Predictions From Icario for 2022

12/15/2021

Steve Wigginton, Icario

In this commentary, Steve Wigginton, chief executive officer at Icario, shares lessons learned in 2021 that will help health plans improve plan quality and patient outcomes in 2022.

In this commentary, Steve...

12/15/2021

First Report Managed Care

Commentary

Medicare Advantage: Informing Beneficiaries to Address SDoH, Reduce Food Insecurity

11/19/2021

Phil Wilkins, senior vice president of social determinants of health, Modivcare

Phil Wilkins, senior vice president o...

"The first step [to reduce food insecurity] is helping to ensure each person who’s eligible takes advantage of the benefits they’re entitled to receive," says Phil Wilkins about informing older adults of plan benefits.

"The first step [to reduce food...

11/19/2021

First Report Managed Care

Commentary

Diabetes Awareness Month: Nutrition Tips for Managing Type 2 Diabetes and ADPKD

11/18/2021

German Hernandez, MD, FASN contributor

German Hernandez, MD, FASN contributo...

German Hernandez, MD, provides nutrition tips for patients living with autosomal dominant polycystic kidney disease and stresses that “incorporating them into a patient’s routine as soon as diagnosis is confirmed may make a difference in...

German Hernandez, MD, provides...

11/18/2021

First Report Managed Care

Commentary

Advanced Analytics to Reduce Costs: Bridging the Behavioral Health Care Gap

11/11/2021

Sheila Talton, president and chief executive officer, Gray Matter Analytics

Sheila Talton, president and chief ex...

"Advanced analytics are essential for providers and payers to effectively manage behavioral health conditions as part of a value-based care strategy that rewards improved patient outcomes and lower health care costs," writes Sheila Talton,...

"Advanced analytics are...

11/11/2021

First Report Managed Care

Commentary

Course Helps Providers, Payers Measure Quality to Improve HIV Medication Use

11/09/2021

Amanda Ryan, PharmD, BCGP, CPHQ, director of education, PQA

Amanda Ryan, PharmD, BCGP, CPHQ, dire...

In this commentary, Amanda Ryan, PharmD, BCGP, CPHQ, describes how pharmacists, clinicians, and payers can enhance outcomes and lower costs with a new course by the Pharmacy Quality Alliance aimed at improving quality measurement in HIV care.

In this commentary, Amanda Ryan,...

11/09/2021

First Report Managed Care

Calum Yacoubian, MD, associate director of NLP health care strategy, Linguamatics, an IQVIA company

Commentary

How Payers Are Using AI to Address Big Data Challenges

11/05/2021

Calum Yacoubian, MD, associate director of NLP health care strategy, Linguamatics, an IQVIA company

Calum Yacoubian, MD, associate direct...

"To make the right decisions in risk adjustment, care gap closure, and patient outreach, payers need accurate, reliable data," writes Calum Yacoubian, MD. "With AI-powered technologies such as [natural language processing], payers can finally...

"To make the right decisions in...

11/05/2021

First Report Managed Care

Commentary

Success Story: Molina’s Groundbreaking SDoH Strategy Improves Health Outcomes With Personalization

11/04/2021

Icario Team

In this commentary, the Icario team reviews key takeaways from a webinar in which Lynette Hansen, associate vice president of Quality and Risk Adjustment at Molina Healthcare, shared insights about Molina's strategies to address social...

In this commentary, the Icario...

11/04/2021

First Report Managed Care

Commentary

The Future of Virtual Chronic Care Management

11/03/2021

Anthony Comfort, SVP of product management, VisiQuate

Anthony Comfort, SVP of product manag...

"The industry is now in a position where it must embrace new, more creative approaches to increasing health care access. One of the answers may lie in virtual chronic care management," says Anthony Comfort, SVP of product management,...

"The industry is now in a...

11/03/2021

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

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

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

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

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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