frmc Commentary

Commentary

Gina Kim is the Chief Product Officer at Cohere Health, a digital prior authorization company

Commentary

New Prior Authorization Regulations: Making Lemonade Out of Lemons

10/19/2021

Gina Kim, chief product officer, Cohere Health

Gina Kim, chief product officer, Cohe...

“Health plans still relying on manual or partially automated prior authorization processes will clearly need to invest in technology to comply with upcoming regulations,” says Gina Kim, chief product officer, Cohere Health. “Turning...

“Health plans still relying on...

10/19/2021

First Report Managed Care

Commentary

2022 CMS Star Ratings, Impact, and Implications

10/15/2021

Sara Ratner, Icario

In this commentary, Sara Ratner, senior vice president of Government Markets and Strategic Initiatives at Icario, discusses how star ratings have changed during the pandemic and emphasizes what health plans can do to improve member...

In this commentary, Sara Ratner,...

10/15/2021

First Report Managed Care

Commentary

HIV Guidelines: Quick Hitters From the Recent HHS Update

10/07/2021

Douglas L. Jennings, PharmD, FACC, FAHA, FCCP, FHFSA, BCPS

“As the number of HIV treatment options have burgeoned and patient management has democratized well beyond HIV specialists into fields such as primary and family care, clinicians are compelled to remain abreast of key practice updates,” says...

“As the number of HIV treatment...

10/07/2021

First Report Managed Care

Commentary

3 Health Care Innovation Insights From Icario’s Virtual Series, Rev Up 2021

10/07/2021

Icario Team

In this commentary, the Icario team highlights key takeaways from Rev Up 2021, a virtual event in which industry leaders discussed how to address member engagement, social determinants of health, and more.

In this commentary, the Icario...

10/07/2021

First Report Managed Care

Brad Ross, VP Payment Integrity at HMS, A Gainwell Technologies Company

Commentary

Lowering Health Care Costs Through the Intersection of Genetic Testing and Value-Based Care

09/20/2021

By Brad Ross, VP Payment Integrity at HMS

By Brad Ross, VP Payment Integrity at...

"With health care cost reduction and value-based payments top of mind for state Medicaid agencies, questions around genetic testing reimbursement remains at the forefront for many state plans and payer organizations as they simultaneously...

"With health care cost reduction...

09/20/2021

First Report Managed Care

Commentary

The Accelerated Approval Pathway: Serving Its Drug Review Purpose?

09/16/2021

Warren Smith, PharmD

In this commentary from Commonwealth Medicine, Warren Smith, PharmD, discusses the US Food and Drug Administration's accelerated approval pathway with regard to its history, recent controversies, and potential improvements.

In this commentary from...

09/16/2021

Pharmacy Learning Network

Commentary

Impactful Research Shows How Health Equity, Diabetes, and COVID-19 Are Linked

09/15/2021

Icario Team

In this commentary, the Icario team emphasizes the importance of addressing inequities in health care as research continues to indicate direct correlations between COVID-19 and diabetes.

In this commentary, the Icario...

09/15/2021

First Report Managed Care

Commentary

As Stress Levels for Family Caregivers Reach New Heights, Digital Supports Are Critical

09/07/2021

Claudia Fine, LCSW, MPH

Claudia Fine, LCSW, MPH, chief professional officer, eFamilyCare, reviews recent research that shows caregivers are not medically and socially supported, which ultimately impacts the quality of care they provide, and discusses four key...

Claudia Fine, LCSW, MPH, chief...

09/07/2021

Integrated Healthcare Executive

Commentary

New Research to Bridge Gaps in Care for Breast Cancer Amid COVID-19

09/01/2021

Icario Team

In this commentary, the Icario team showcases engagement strategies to bridge gaps in breast cancer care after the COVID-19 pandemic reduced number of screenings and exacerbated barriers to access.

In this commentary, the Icario...

09/01/2021

Population Health

Commentary

Examining a Therapy Option Proven Cost-Effective to Treat Wounds

08/27/2021

Ron Silverman, MD, FACAS, chief medical officer, 3M Medical Solutions Division

Ron Silverman, MD, FACAS, chief medic...

“[Wounds] sometimes require very simple dressings to heal, but sometimes require sophisticated technologies, and particularly troublesome wounds may never fully heal," explains Ron Silverman, MD, FACAS, chief medical officer, 3M Medical...

“[Wounds] sometimes require very...

08/27/2021

First Report Managed Care

Current Issue

September 2024

Volume 21

Issue 3

Current Issue

Issue Archive

What's Trending?

Literature Review

Comparing IL-6 Inhibitors and Glucocorticoids in Treating PMR: SAPHYR Trial Results

10/16/2023

Danielle Sposato

The SAPHYR trial has provided researchers with valuable insights into alternative treatment options for PMR due to its larger patient population. The effectiveness of sarilumab and the achieved rates of remission offer promise for enhancing...

The SAPHYR trial has provided...

10/16/2023

First Report Managed Care

News

Facing Black Market, Pfizer Sells Viagra on Web

05/07/2013

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

Biologics: Changing the Treatment Scope for Psoriasis and Psoriatic Arthritis

12/15/2014

Eileen Koutnik-Fotopoulos

Biologic agents have altered the treatment landscape in the management of moderate-to-severe psoriasis and psoriatic arthritis.

Biologic agents have altered the...

12/15/2014

First Report Managed Care

News

Use of Pregabalin and Pramipexole for Restless Leg Syndrome

03/17/2014

Restless leg syndrome, or Willis-Ekbom disease, is becoming a more prevalent ailment, affecting 2% to 3% of Europeans and Americans. The most common form of symptom relief for restless leg syndrome is short-acting dopamine agonists; however,...

Restless leg syndrome, or...

03/17/2014

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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