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Volume 16, Issue 5, May 2019 - First Report Managed Care

Featured Article

Congress’ Spotlight Shines on PBMs
05/17/2019

Dean Celia

Dean Celia
The Senate Finance Committee recently examined the complicated role pharmacy benefit managers play in the pricing of pharmaceuticals. Six prominent themes emerged. First Report Managed Care consulted with a panel of experts to assess the...
The Senate Finance Committee recently examined the complicated role pharmacy benefit managers play in the pricing of pharmaceuticals. Six prominent themes emerged. First Report Managed Care consulted with a panel of experts to assess the...
The Senate Finance Committee...
05/17/2019
First Report Managed Care

Department

News Connection
US Pharmaceutical Spending Growth Increased 30% in 4 Years
05/17/2019
According to a report from the Pew Charitable Trusts, it is estimated that US retail pharmaceutical drug spending increased 26.8% between 2012 and 2016, an increase of over $90 billion.
According to a report from the Pew Charitable Trusts, it is estimated that US retail pharmaceutical drug spending increased 26.8% between 2012 and 2016, an increase of over $90 billion.
According to a report from the...
05/17/2019
First Report Managed Care
News Connection
Medicare Hospital Insurance Trust Running Out of Funds
05/17/2019
The Medicare Board of Trustees released the annual report measuring the stability and success of the program, as well as the current state of the Hospital Insurance Trust Fund and the Supplementary Medical Insurance (SMI) Trust Fund, the two...
The Medicare Board of Trustees released the annual report measuring the stability and success of the program, as well as the current state of the Hospital Insurance Trust Fund and the Supplementary Medical Insurance (SMI) Trust Fund, the two...
The Medicare Board of Trustees...
05/17/2019
First Report Managed Care
News Connection
Medicare Rules for Hospital Readmission Rates Lessen Financial Burden
05/17/2019
According to a research published in JAMA Internal Medicine, Medicare reimbursement rules that went into effect in January are shifting the financial burden of readmission rate penalties to hospitals that serve wealthier populations.
According to a research published in JAMA Internal Medicine, Medicare reimbursement rules that went into effect in January are shifting the financial burden of readmission rate penalties to hospitals that serve wealthier populations.
According to a research...
05/17/2019
First Report Managed Care
News Connection
Economic, Health Outcomes Minimally Impacted by Workplace Wellness Programs
05/17/2019
Research published by JAMA showed that while workplace wellness programs may improve employees’ health behaviors, there is little to no significant effects on clinical measures of health, health care spending and utilization, absenteeism,...
Research published by JAMA showed that while workplace wellness programs may improve employees’ health behaviors, there is little to no significant effects on clinical measures of health, health care spending and utilization, absenteeism,...
Research published by JAMA...
05/17/2019
First Report Managed Care
News Connection
EHR With Decision Support Reduced Unnecessary GIPP Testing, Saved Money
05/17/2019
Researchers found that hardwiring a hospital’s electronic health record (EHR) system to provide data on the appropriate times to order Gastrointestinal Pathogen Panel (GIPP) nearly halved the amount of inappropriate testing.
Researchers found that hardwiring a hospital’s electronic health record (EHR) system to provide data on the appropriate times to order Gastrointestinal Pathogen Panel (GIPP) nearly halved the amount of inappropriate testing.
Researchers found that...
05/17/2019
First Report Managed Care
Conference Insider
General Session: James Kenney and a New Look for AMCP
05/17/2019
James Kenney, RPH, MBA, new president of AMCP addressed attendees of the AMCP Managed Care & Specialty Pharmacy summit, where he discussed the importance of focusing on patient outcomes and innovating technology.
James Kenney, RPH, MBA, new president of AMCP addressed attendees of the AMCP Managed Care & Specialty Pharmacy summit, where he discussed the importance of focusing on patient outcomes and innovating technology.
James Kenney, RPH, MBA, new...
05/17/2019
First Report Managed Care
Conference Insider
Research Updates in Medication Therapy Management
05/17/2019
In a session at the AMCP Managed Care & Specialty Pharmacy Annual Meeting 2019, Nicole Brandt, PharmD, MBA, BCGP, BCPP, FASCP, executive director, The Peter Lamy Center on Drug Therapy and Aging Professor, Pharmacy Practice and Science...
In a session at the AMCP Managed Care & Specialty Pharmacy Annual Meeting 2019, Nicole Brandt, PharmD, MBA, BCGP, BCPP, FASCP, executive director, The Peter Lamy Center on Drug Therapy and Aging Professor, Pharmacy Practice and Science...
In a session at the AMCP Managed...
05/17/2019
First Report Managed Care
Conference Insider
The Future of Health Care: Payers Identify Key Trends
05/17/2019
To better understand payer insights in health care trends and also identify the most promising solutions to foster wider implementation of innovative strategies, a 33-item web-based survey was distributed to US pharmacy, contracting, and...
To better understand payer insights in health care trends and also identify the most promising solutions to foster wider implementation of innovative strategies, a 33-item web-based survey was distributed to US pharmacy, contracting, and...
To better understand payer...
05/17/2019
First Report Managed Care
Conference Insider
Pharmacy Savings Linked With Exclusion Formulary
05/17/2019
In an effort to address escalating drug expenditures, formulary exclusions have arisen, and according to a recent study, the exclusion formulary has resulted in significant pharmacy savings but was not associated with increased medical cost...
In an effort to address escalating drug expenditures, formulary exclusions have arisen, and according to a recent study, the exclusion formulary has resulted in significant pharmacy savings but was not associated with increased medical cost...
In an effort to address...
05/17/2019
First Report Managed Care
Conference Insider
Patient-Reported Outcomes Similarly Impacted By Migraine Treatments
05/17/2019
Researchers recently found that patient-reported outcomes (PROs) were no different among patients treated with calcitonin gene-related peptide (CGRP) antagonists or onabotulinumtoxinA (ONA) for the indication of chronic migraine prophylaxis. 
Researchers recently found that patient-reported outcomes (PROs) were no different among patients treated with calcitonin gene-related peptide (CGRP) antagonists or onabotulinumtoxinA (ONA) for the indication of chronic migraine prophylaxis. 
Researchers recently found that...
05/17/2019
First Report Managed Care

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Cover Story
Navigating Work With PBMs: Negotiations, Misalignments, and Drug Costs
12/07/2023
Mary Beth Nierengarten
Ignoring the appropriate use of drugs is equally harmful when negotiating with PBMs, as it can and does result in the wrong drugs getting on a formulary with the obvious downstream effect on patient care, costs, and outcomes.
Ignoring the appropriate use of drugs is equally harmful when negotiating with PBMs, as it can and does result in the wrong drugs getting on a formulary with the obvious downstream effect on patient care, costs, and outcomes.
Ignoring the appropriate use of...
12/07/2023
First Report Managed Care
News
CMS Issues Rules on Loss Ratios for Medicare Plans
02/19/2013
02/19/2013
First Report Managed Care
New Approaches to Treating Diverticular Disease
09/14/2012

Tim Casey

Tim Casey
San Diego—Recent research has indicated healthcare professionals should consider new approaches when treating diverticular disease, which affects the colon and has no known cause. Primarily, the disease affects older adults, however, the...
San Diego—Recent research has indicated healthcare professionals should consider new approaches when treating diverticular disease, which affects the colon and has no known cause. Primarily, the disease affects older adults, however, the...
San Diego—Recent research has...
09/14/2012
First Report Managed Care
Jennifer L. Mathieu Senior Vice President, Professional and Government Affairs at AMCP
Interview
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 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
Icario logo.
Commentary
7 Digital Strategies to Level Up Member Engagement With Rewards and Incentives
04/06/2022
Icario Team
The Icario team reviews strategies health plans can use to communicate effectively with members and close gaps in care.
The Icario team reviews strategies health plans can use to communicate effectively with members and close gaps in care.
The Icario team reviews...
04/06/2022
First Report Managed Care

Video Insights

Tejaswi Kompala
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.
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.
Delve into the rising demand for...
04/05/2024
First Report Managed Care
Zaubler Headshot
Videos
Integrating Behavioral Health Services to Reduce ED Visits: Substance Use Disorder and Social Determinants of Health
03/27/2024

Featuring Tom Zaubler, MD, MPH, CMO at NeuroFlow

Featuring Tom Zaubler, MD, MPH, CMO a...
Join us for the continuation of an engaging two-part series showcasing an expert dedicated to reducing emergency department visits through the integration of behavioral health practices. Dr Zaubler will share invaluable insights into...
Join us for the continuation of an engaging two-part series showcasing an expert dedicated to reducing emergency department visits through the integration of behavioral health practices. Dr Zaubler will share invaluable insights into...
Join us for the continuation of...
03/27/2024
First Report Managed Care
Zaubler Headshot
Videos
Integrating Behavioral Health Services to Reduce ED Visits: Suicide Prevention and Preemptive Primary Care
03/25/2024

Featuring Tom Zaubler, MD, MPH, CMO at NeuroFlow

Featuring Tom Zaubler, MD, MPH, CMO a...
Come join us for the first installment of a captivating two-part series featuring an expert committed to minimizing emergency department visits through the implementation of behavioral health integrations. Dr Zaubler will offer valuable...
Come join us for the first installment of a captivating two-part series featuring an expert committed to minimizing emergency department visits through the implementation of behavioral health integrations. Dr Zaubler will offer valuable...
Come join us for the first...
03/25/2024
First Report Managed Care
Yash Prajapati
Videos
Navigating the Evolution of Digital Solutions in Health Care
02/27/2024

Featuring Yash Prajapati, consultant at ZS Associates 

Featuring Yash Prajapati, consultant ...
Join us in exploring the challenges and opportunities in the development, approval, and integration of digital therapeutic solutions with ZS Associates consultant Yash Prajapati.
Join us in exploring the challenges and opportunities in the development, approval, and integration of digital therapeutic solutions with ZS Associates consultant Yash Prajapati.
Join us in exploring the...
02/27/2024
First Report Managed Care
Mansur Shomali
Videos
Advancements and Challenges in Diabetes Management
02/27/2024

Featuring Mansur Shomali, MD, chief medical officer at Welldoc, endocrinologist at MedStar Health 

Featuring Mansur Shomali, MD, chief m...
Learn about the state of digital therapeutics for disease management such as diabetes care in terms of cost, outcomes, integration, and more with Dr Mansur Shomali, CMO at Welldoc.
Learn about the state of digital therapeutics for disease management such as diabetes care in terms of cost, outcomes, integration, and more with Dr Mansur Shomali, CMO at Welldoc.
Learn about the state of digital...
02/27/2024
First Report Managed Care
kevin cowart md
Videos
Costs and Benefits: How a New Cholesterol-Lowering Drug Compares to Others
10/24/2023

Featuring Kevin Cowart, PharmD, MPH, BCACP, CDCES

Featuring Kevin Cowart, PharmD, MPH, ...
Dr Kevin Cowart, assistant professor at the University of South Florida College of Pharmacy, discusses inclisiran, a new non-statin treatment for high cholesterol.
Dr Kevin Cowart, assistant professor at the University of South Florida College of Pharmacy, discusses inclisiran, a new non-statin treatment for high cholesterol.
Dr Kevin Cowart, assistant...
10/24/2023
First Report Managed Care
John Hennessy Headshot
Videos
Biosimilars, Explained
10/24/2023

Featuring John Hennessey, MBA

Featuring John Hennessey, MBA
In this video, John Hennessey, MBA, Valuate Health Consultancy, explains biosimilars in relation to cancer care: what they are, why they matter, and how they have and haven’t lived up to their promise.
In this video, John Hennessey, MBA, Valuate Health Consultancy, explains biosimilars in relation to cancer care: what they are, why they matter, and how they have and haven’t lived up to their promise.
In this video, John Hennessey,...
10/24/2023
First Report Managed Care
Videos
AVAHO 2023: Andrew Brunner, MD, Discusses Updates in MDS
10/20/2023

Featuring Andrew Brunner, MD

Featuring Andrew Brunner, MD
In this video, Dr Brunner reviews his recent discussion he held at the 2023 AVAHO Annual Meeting, and provides treatment updates in the treatment of MDS.
In this video, Dr Brunner reviews his recent discussion he held at the 2023 AVAHO Annual Meeting, and provides treatment updates in the treatment of MDS.
In this video, Dr Brunner...
10/20/2023
First Report Managed Care
Dr Kesty Headshot
Videos
A Dermatologist's Perspective on Demodex Blepharitis: Causes, Symptoms, and Treatment Options
10/19/2023

Featuring Katarina Kesty, MD, MBA, FAAD, Dermatologist and Medical Director at St. Petersburg Skin and Laser

Featuring Katarina Kesty, MD, MBA, FA...
Katarina Kesty, MD, MBA, FAAD, Dermatologist and Medical Director at St. Petersburg Skin and Laser, weighs in on Demodex blepharitis, a condition characterized by inflammation of the eyelid margin caused by an overpopulation of Demodex mites,...
Katarina Kesty, MD, MBA, FAAD, Dermatologist and Medical Director at St. Petersburg Skin and Laser, weighs in on Demodex blepharitis, a condition characterized by inflammation of the eyelid margin caused by an overpopulation of Demodex mites,...
Katarina Kesty, MD, MBA, FAAD,...
10/19/2023
First Report Managed Care

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May 2019 Volume 16 Issue 5

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