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August 2015 - FRMC

Improving Remission Rates in Patients With Major Depressive Disorder
09/24/2015
Jill Sederstorm
Certain factors have been shown to lead to better outcomes 
Certain factors have been shown to lead to better outcomes 
Certain factors have been...
09/24/2015
First Report Managed Care
Conference Insider
Strategies to Reduce Avoidable Hospitalization Among the Elderly
09/24/2015
Eileen Koutnik-Fotopoulos
Nursing home residents often experience avoidable inpatient hospitalizations.
Nursing home residents often experience avoidable inpatient hospitalizations.
Nursing home residents often...
09/24/2015
First Report Managed Care
Why It Takes a Village to Help Diabetes Patients Achieve Multiple Treatment Goals
09/24/2015
Jill Sederstorm
Fewer complications occur when patients with diabetes have simultaneous control of A1c values, blood pressure (BP), and low-density lipoprotein (LDL). According to a session at CRS, it is possible to achieve all 3 aims in a primary care...
Fewer complications occur when patients with diabetes have simultaneous control of A1c values, blood pressure (BP), and low-density lipoprotein (LDL). According to a session at CRS, it is possible to achieve all 3 aims in a primary care...
Fewer complications occur when...
09/24/2015
First Report Managed Care
Adopting Biosimilars in the US: Overcoming the Obstacles
09/24/2015
Mary Beth Nierengarten
Europe and other countries lead the US in bringing biosimilars to market, according to Steven Miller, MD, vice president, chief medical officer, Express Scripts.
Europe and other countries lead the US in bringing biosimilars to market, according to Steven Miller, MD, vice president, chief medical officer, Express Scripts.
Europe and other countries lead...
09/24/2015
First Report Managed Care
Conference Insider
Comorbidities of Psoriatic Disease
09/24/2015
Mary Mihalovic
Psoriatic disease is now understood to be a systemic condition with a link to cardiometabolic risk as well as other comorbidities, including some types of cancers.
Psoriatic disease is now understood to be a systemic condition with a link to cardiometabolic risk as well as other comorbidities, including some types of cancers.
Psoriatic disease is now...
09/24/2015
First Report Managed Care
Conference Insider
Translating Trial Results Into Real-World Practice in IMIDs
09/24/2015
Mary Mihalovic
How do findings from clinical trials differ from actual clinical practice in the treatment of immune-mediated inflammatory diseases (IMIDs)? And what are the implications? Three experts answered those questions during a presentation from IAS.
How do findings from clinical trials differ from actual clinical practice in the treatment of immune-mediated inflammatory diseases (IMIDs)? And what are the implications? Three experts answered those questions during a presentation from IAS.
How do findings from clinical...
09/24/2015
First Report Managed Care
Trials of Incretin Drugs Examine Cardiovascular Risk
09/24/2015
Eileen Koutnik-Fotopoulos
Outcomes from 2 major cardiovascular (CV) trials of the DPP-4 inhibitor sitagliptin and the glucagon- GLP-1 receptor agonist lixisenatide were presented at the ADA meeting.
Outcomes from 2 major cardiovascular (CV) trials of the DPP-4 inhibitor sitagliptin and the glucagon- GLP-1 receptor agonist lixisenatide were presented at the ADA meeting.
Outcomes from 2 major...
09/24/2015
First Report Managed Care
Emerging Trends in Insulin Therapy
09/24/2015
Eileen Koutnik-Fotopoulos
Many individuals with diabetes have suboptimal HbA1c control. Adding more than 2 to 3 oral medications may not achieve glycemic targets, and adherence is not always optimal.
Many individuals with diabetes have suboptimal HbA1c control. Adding more than 2 to 3 oral medications may not achieve glycemic targets, and adherence is not always optimal.
Many individuals with diabetes...
09/24/2015
First Report Managed Care
Viewpoint
Tips for Alleviating the Psychosocial Issues of Psoriasis
09/24/2015
Richard G. Fried, MD, PhD
Both clinicians and patients living with psoriasis know that this chronic and capricious disease can have deleterious effects on the psyche.
Both clinicians and patients living with psoriasis know that this chronic and capricious disease can have deleterious effects on the psyche.
Both clinicians and patients...
09/24/2015
First Report Managed Care
More Guidance Needed on Mental Health Aspects of Diabetes
09/08/2015
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Boston, MA—Individuals with diabetes are more than twice as likely to face depression or varying degrees of mental health issues as individuals without the disease. Data from the World Health Organization (WHO) shows that mental health...
Boston, MA—Individuals with diabetes are more than twice as likely to face depression or varying degrees of mental health issues as individuals without the disease. Data from the World Health Organization (WHO) shows that mental health...
Boston, MA—Individuals with...
09/08/2015
First Report Managed Care
Understanding the Challenges of Biosimilar Interchangeability
09/08/2015
Mary Beth Nierengarten
Managed care needs to capitalize on the opportunity to use interchangeables appropriately so they can incentivize and educate members and providers.    
Managed care needs to capitalize on the opportunity to use interchangeables appropriately so they can incentivize and educate members and providers.    
Managed care needs to...
09/08/2015
First Report Managed Care
Diabetes Self-Management Education Underused
09/08/2015
Eileen Koutnik-Fotopoulos
Evidence clearly demonstrates the benefits and cost-effectiveness of diabetes self-management education and support (DSME/S).
Evidence clearly demonstrates the benefits and cost-effectiveness of diabetes self-management education and support (DSME/S).
Evidence clearly demonstrates...
09/08/2015
First Report Managed Care

Pipeline Projections

PIPELINE PROJECTIONS
Emerging Therapies Reshaping Atopic Dermatitis Care
03/26/2026
Roy Moore
Roy Moore outlines how a rapidly expanding atopic dermatitis pipeline is intensifying competition, reshaping payer strategies, and raising the bar for new therapies.
Roy Moore outlines how a rapidly expanding atopic dermatitis pipeline is intensifying competition, reshaping payer strategies, and raising the bar for new therapies.
Roy Moore outlines how a rapidly...
03/26/2026
First Report Managed Care
Pipe
Pipeline Projections
Emerging Migraine Treatments Challenge a Mature Market
11/20/2025
Roy Moore
Roy Moore of Clarivate’s market access team discussed the evolving migraine treatment landscape, highlighting the maturation of the acute and prophylactic markets, the emergence of new therapies such as triptan-COX-2 combinations, gepants,...
Roy Moore of Clarivate’s market access team discussed the evolving migraine treatment landscape, highlighting the maturation of the acute and prophylactic markets, the emergence of new therapies such as triptan-COX-2 combinations, gepants,...
Roy Moore of Clarivate’s market...
11/20/2025
First Report Managed Care
Pipeline Projections
Pipeline Projections
Redefining Asthma Management With Emerging Anti-Inflammatories
10/01/2025
Roy Moore
Roy Moore, a market access expert, discusses the evolving asthma drug pipeline, highlighting upcoming therapies—including Breztri, depemokimab, and masitinib—their potential to improve adherence and outcomes, payer considerations around cost...
Roy Moore, a market access expert, discusses the evolving asthma drug pipeline, highlighting upcoming therapies—including Breztri, depemokimab, and masitinib—their potential to improve adherence and outcomes, payer considerations around cost...
Roy Moore, a market access...
10/01/2025
First Report Managed Care
Pipeline Projections
The Shift in MS Care as Biologics and BTK Inhibitors Advance
07/25/2025
Roy Moore
In this edition of Pipeline Projections, Roy Moore breaks down the rapidly evolving landscape of multiple sclerosis treatments—highlighting the shift from injectables to orals, the rise of monoclonal antibodies, and the promise of innovative...
In this edition of Pipeline Projections, Roy Moore breaks down the rapidly evolving landscape of multiple sclerosis treatments—highlighting the shift from injectables to orals, the rise of monoclonal antibodies, and the promise of innovative...
In this edition of Pipeline...
07/25/2025
First Report Managed Care
Pipeline Projections
How Biosimilars Are Shaping RA Treatment and Reimbursement Strategies
04/29/2025
Roy Moore
In this episode of Pipeline Projections, Roy Moore—Senior Healthcare Research & Data Analyst at Clarivate—discusses the expanding biosimilar pipeline for autoimmune diseases. He highlights recent FDA approvals, formulary and pricing...
In this episode of Pipeline Projections, Roy Moore—Senior Healthcare Research & Data Analyst at Clarivate—discusses the expanding biosimilar pipeline for autoimmune diseases. He highlights recent FDA approvals, formulary and pricing...
In this episode of Pipeline...
04/29/2025
First Report Managed Care

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Behind the Bill

Behind the Bill
HHS Hits Reset on 340B Rebate Model After Court Setbacks
02/11/2026
Juliet Gallagher
The US Department of Health and Human Services (HHS) has formally scrapped its 340B Rebate Model Pilot Program following a series of court rulings that blocked its implementation—signaling a significant pause in one of the most closely...
The US Department of Health and Human Services (HHS) has formally scrapped its 340B Rebate Model Pilot Program following a series of court rulings that blocked its implementation—signaling a significant pause in one of the most closely...
The US Department of Health and...
02/11/2026
First Report Managed Care
Behind the Bill
Funding Package Extends Medicare Telehealth, Enacts PBM Reforms, and Updates Hospital Oversight
02/05/2026
Juliet Gallagher
On February 3, 2026, President Donald Trump signed a broad government funding package that includes multi-year extensions for Medicare teleath and hospital-at-home programs, new oversight requirements for pharmacy benefit managers (PBMs), and...
On February 3, 2026, President Donald Trump signed a broad government funding package that includes multi-year extensions for Medicare teleath and hospital-at-home programs, new oversight requirements for pharmacy benefit managers (PBMs), and...
On February 3, 2026, President...
02/05/2026
First Report Managed Care
Behind the Bill
The Senate’s $3 Trillion Deal. Tax Relief Now, Medicaid Coverage Loss Later?
07/02/2025
Katie Hayes, MJ
The Senate has done it. After weeks of behind-the-scenes wrangling and last-minute amendments, lawmakers have passed a sprawling tax-and-spending megabill that makes good on a long-standing Republican goal: making the 2017 Trump tax cuts...
The Senate has done it. After weeks of behind-the-scenes wrangling and last-minute amendments, lawmakers have passed a sprawling tax-and-spending megabill that makes good on a long-standing Republican goal: making the 2017 Trump tax cuts...
The Senate has done it. After...
07/02/2025
First Report Managed Care
Behind the Bill
When a Cap Isn’t Just a Cap: How a Provider Tax Proposal Could Reshape Medicaid Financing
06/25/2025
Katie Hayes, MJ
In Washington, the most consequential policies are often buried in the fine print. One such detail in the Senate Finance Committee’s latest tax and spending proposal would gradually cap provider taxes—a core funding tool states use to pull in...
In Washington, the most consequential policies are often buried in the fine print. One such detail in the Senate Finance Committee’s latest tax and spending proposal would gradually cap provider taxes—a core funding tool states use to pull in...
In Washington, the most...
06/25/2025
First Report Managed Care
Behind the Bill
Rewriting the Safety Net? Inside the Senate’s Changes to Medicaid and the ACA
06/18/2025
Katie Hayes, MJ
Over the past few weeks, I’ve been following the progress of the One Big Beautiful Bill Act (OBBBA), which started in the House with sweeping tax reforms and some eye-catching health care proposals. Now, the Senate has released its (highly...
Over the past few weeks, I’ve been following the progress of the One Big Beautiful Bill Act (OBBBA), which started in the House with sweeping tax reforms and some eye-catching health care proposals. Now, the Senate has released its (highly...
Over the past few weeks, I’ve...
06/18/2025
First Report Managed Care
Behind the Bill
How States Might Respond to the One Big Beautiful Bill Act
06/11/2025
Katie Hayes, MJ
With the One Big Beautiful Bill Act (OBBBA) still in the hands of the Senate, much of the national conversation has centered on what this legislation would do to federal coverage programs. But regardless of how the federal process unfolds,...
With the One Big Beautiful Bill Act (OBBBA) still in the hands of the Senate, much of the national conversation has centered on what this legislation would do to federal coverage programs. But regardless of how the federal process unfolds,...
With the One Big Beautiful Bill...
06/11/2025
First Report Managed Care
Behind the Bill
Is the Affordable Care Act on the Chopping Block? What the One Big Beautiful Bill Act Tells Us.
06/04/2025
Katie Hayes, MJ
It’s been weeks of headline-grabbing debate over Medicaid work requirements, and the “One Big Beautiful Bill Act” remains in the Senate as they deliberate over several health care provisions. While the Medicaid provisions sparked most of the...
It’s been weeks of headline-grabbing debate over Medicaid work requirements, and the “One Big Beautiful Bill Act” remains in the Senate as they deliberate over several health care provisions. While the Medicaid provisions sparked most of the...
It’s been weeks of...
06/04/2025
First Report Managed Care
Behind the Bill
From House to Senate: The Journey of Cutting Medicaid
05/28/2025
Katie Hayes, MJ
Last week, the House of Representatives narrowly passed the One Big Beautiful Bill Act (HR 1, 119th Congress) by a single vote, sending the sweeping tax and spending reconciliation package, backed by President Trump, to the Senate. With its...
Last week, the House of Representatives narrowly passed the One Big Beautiful Bill Act (HR 1, 119th Congress) by a single vote, sending the sweeping tax and spending reconciliation package, backed by President Trump, to the Senate. With its...
Last week, the House of...
05/28/2025
First Report Managed Care
Behind the Bill
Eligibility, Paperwork, and Penalties: The Not-So-Hidden Costs of Medicaid ‘Reform’
05/21/2025
Katie Hayes, MJ
It’s been another eventful week in health policy—a phrase that’s quickly becoming routine. This time, House Republicans advanced a sweeping budget reconciliation bill, designed to implement elements of the March budget resolution, with a...
It’s been another eventful week in health policy—a phrase that’s quickly becoming routine. This time, House Republicans advanced a sweeping budget reconciliation bill, designed to implement elements of the March budget resolution, with a...
It’s been another eventful week...
05/21/2025
First Report Managed Care
Behind the Bill
A Busy Week in Drug Pricing Policy: Aligning US Drug Prices With Global Standards?
05/14/2025
Katie Hayes, MJ
It’s been a busy few days for drug pricing policy. While I’d love to dig into the details of both President Trump’s latest executive order and the newest Republican bill that would cut Medicaid spending, we don’t have the time—and this isn’t...
It’s been a busy few days for drug pricing policy. While I’d love to dig into the details of both President Trump’s latest executive order and the newest Republican bill that would cut Medicaid spending, we don’t have the time—and this isn’t...
It’s been a busy few days for...
05/14/2025
First Report Managed Care

August 2015 Volume 12 Issue 8

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