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December 2014 - FRMC

Department
Literature Review: Saxagliptin
12/15/2014
Eileen Koutnik-Fotopoulos
Treatment of type 2 diabetes is directed at lowering glycated hemoglobin, while looking at the patient’s profile and risk of adverse events and complications.
Treatment of type 2 diabetes is directed at lowering glycated hemoglobin, while looking at the patient’s profile and risk of adverse events and complications.
Treatment of type 2 diabetes is...
12/15/2014
First Report Managed Care
Conference Insider
Programs for Chronic Pain Management
12/15/2014
Tim Casey
Approximately 100 million adults in the United States have chronic pain, more than the total amount of people with heart disease, cancer, and diabetes combined.
Approximately 100 million adults in the United States have chronic pain, more than the total amount of people with heart disease, cancer, and diabetes combined.
Approximately 100 million adults...
12/15/2014
First Report Managed Care
Extended-Release Hydrocodone with Abuse-Deterrent Properties
12/15/2014
Tim Casey
Healthy people who are not physically dependent on opioids are less likely to abuse hydrocodone extended-release if the tablets contain abuse-deterrent properties, according to a randomized, double-blind, triple-dummy, placebo-controlled,...
Healthy people who are not physically dependent on opioids are less likely to abuse hydrocodone extended-release if the tablets contain abuse-deterrent properties, according to a randomized, double-blind, triple-dummy, placebo-controlled,...
Healthy people who are not...
12/15/2014
First Report Managed Care
Diabetic Peripheral Neuropathy Leads to High Costs and Healthcare Resource Utilization
12/15/2014
Tim Casey
Patients with diabetic peripheral neuropathy (DPN), painful DPN, and severe painful DPN have more comorbidities and higher all-cause direct costs.
Patients with diabetic peripheral neuropathy (DPN), painful DPN, and severe painful DPN have more comorbidities and higher all-cause direct costs.
Patients with diabetic...
12/15/2014
First Report Managed Care
Conference Insider
Rational Polypharmacy for Patients with Chronic Pain
12/15/2014
Tim Casey
Patients with chronic pain have numerous treatment options, including several analgesic prescription drugs. Combining medications is also a popular strategy, although clinicians should be mindful of pharmacokinetic risks.
Patients with chronic pain have numerous treatment options, including several analgesic prescription drugs. Combining medications is also a popular strategy, although clinicians should be mindful of pharmacokinetic risks.
Patients with chronic pain have...
12/15/2014
First Report Managed Care
Hospital Readmissions Following Cardiovascular Events
12/15/2014
Kerri Fitzgerald
Reducing hospital readmissions has become a top priority for health policy due to high costs to the healthcare system. Hospital readmissions are especially noted in the older population, with 1 in 5 Medicare beneficiaries being readmitted...
Reducing hospital readmissions has become a top priority for health policy due to high costs to the healthcare system. Hospital readmissions are especially noted in the older population, with 1 in 5 Medicare beneficiaries being readmitted...
Reducing hospital readmissions...
12/15/2014
First Report Managed Care
Review of Prehospital Administration of Ticagrelor
12/15/2014
Mary Mihalovic
Among patients with ST-segment elevation myocardial infarction about to undergo percutaneous coronary intervention (PCI), early, in-ambulance administration of the oral antiplatelet agent ticagrelor was safe but did not show evidence of...
Among patients with ST-segment elevation myocardial infarction about to undergo percutaneous coronary intervention (PCI), early, in-ambulance administration of the oral antiplatelet agent ticagrelor was safe but did not show evidence of...
Among patients with ST-segment...
12/15/2014
First Report Managed Care
News Connection
Serial, Multimodality Imaging Plays Important Role for Ischemic Stroke
12/15/2014
Mary Mihalovic
The ability to properly image the hemodynamics of stroke across the continuum from acute stroke to more chronic conditions such as intracranial atherosclerosis now exists and has demonstrated the importance of blood flow.
The ability to properly image the hemodynamics of stroke across the continuum from acute stroke to more chronic conditions such as intracranial atherosclerosis now exists and has demonstrated the importance of blood flow.
The ability to properly image...
12/15/2014
First Report Managed Care
Requests for Prehospital Emergency Medical Services Increases
12/15/2014
Mary Mihalovic
A 40% increase in requests for prehospital emergency medical services was observed over a 10-year period, according to a recent study.
A 40% increase in requests for prehospital emergency medical services was observed over a 10-year period, according to a recent study.
A 40% increase in requests for...
12/15/2014
First Report Managed Care
Hospitalizations Related to Opioid Use in Older Adults
12/15/2014
Kerri Fitzgerald
Earlier this year, the Agency for Healthcare Research and Quality released a report on trends in hospitalizations of adults related to use of prescription opioid painkillers between 1993 to 2012. 
Earlier this year, the Agency for Healthcare Research and Quality released a report on trends in hospitalizations of adults related to use of prescription opioid painkillers between 1993 to 2012. 
Earlier this year, the Agency...
12/15/2014
First Report Managed Care
Risks of In-Hospital Worsening Heart Failure
12/15/2014
Mary Mihalovic
The results of a recent study found that in-hospital worsening heart failure was common and associated with higher rates of mortality, all-cause readmission, and Medicare payments.
The results of a recent study found that in-hospital worsening heart failure was common and associated with higher rates of mortality, all-cause readmission, and Medicare payments.
The results of a recent study...
12/15/2014
First Report Managed Care
News Connection
Nurse Managed Protocols Improve Health Outcomes
12/15/2014
Mary Mihalovic
According to a recent study, the use of nurse managed protocols in caring for patients with chronic conditions, such as diabetes, hypertension, and hyperlipidemia, showed a benefit in performance measures for all 3 conditions.
According to a recent study, the use of nurse managed protocols in caring for patients with chronic conditions, such as diabetes, hypertension, and hyperlipidemia, showed a benefit in performance measures for all 3 conditions.
According to a recent study, the...
12/15/2014
First Report Managed Care
News Connection
Telecare Intervention Effective for Improving Chronic Pain
12/15/2014
Eileen Koutnik-Fotopoulos
Chronic pain in the back, neck, and other joints due to arthritis and other musculoskeletal disorders is extremely common but difficult to treat. Few clinical trials have examined interventions to improve chronic pain in primary care.
Chronic pain in the back, neck, and other joints due to arthritis and other musculoskeletal disorders is extremely common but difficult to treat. Few clinical trials have examined interventions to improve chronic pain in primary care.
Chronic pain in the back, neck,...
12/15/2014
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 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
Poor Adherence Rates among Patients with Mental Illness
12/15/2014
Tim Casey
Although patients with mental illness are typically prescribed medications, adherence is a major issue.
Although patients with mental illness are typically prescribed medications, adherence is a major issue.
Although patients with mental...
12/15/2014
First Report Managed Care
Minimizing the Risks Associated with Opioids
12/15/2014
Tim Casey
In the past 22 years, the number of opioid prescriptions dispensed by retail pharmacies has nearly tripled, according to data from the Department of Health & Human Services. There were 207 million opioid prescriptions in 2013, down from a...
In the past 22 years, the number of opioid prescriptions dispensed by retail pharmacies has nearly tripled, according to data from the Department of Health & Human Services. There were 207 million opioid prescriptions in 2013, down from a...
In the past 22 years, the number...
12/15/2014
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

December 2014 Volume 11 Issue 12

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