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June 2011 - FRMC

Feature
Use of School-Based Health Centers May Prevent High School Dropout in Urban Teens
06/21/2011
Kristina Woodworth
Urban high school students with low-to-moderate use of school-based health centers may be at a decreased risk of dropout.
Urban high school students with low-to-moderate use of school-based health centers may be at a decreased risk of dropout.
Urban high school students with...
06/21/2011
First Report Managed Care
Feature
Study Finds Apixaban Reduces Stroke Risk in Atrial Fibrillation Patients
06/21/2011
Jill Sederstorm
When compared with aspirin, apixaban was found to reduce the risk of stroke or systemic embolism in patients with atrial fibrillation.
When compared with aspirin, apixaban was found to reduce the risk of stroke or systemic embolism in patients with atrial fibrillation.
When compared with aspirin,...
06/21/2011
First Report Managed Care
Feature
Maternal Influenza Vaccination Associated with Flu Protection in Infants
06/21/2011
Eileen Koutnik-Fotopoulos
Young infants born to mothers vaccinated against influenza while pregnant appear less likely to be infected with the flu or hospitalized for influenza-like illness.
Young infants born to mothers vaccinated against influenza while pregnant appear less likely to be infected with the flu or hospitalized for influenza-like illness.
Young infants born to mothers...
06/21/2011
First Report Managed Care
Feature
Type 2 Diabetes Mellitus and Variants of the HMGA1 Gene
06/21/2011
Kevin L. Carter
Type 2 diabetes mellitus is one of the most common metabolic disorders, affecting nearly 250 million people worldwide.
Type 2 diabetes mellitus is one of the most common metabolic disorders, affecting nearly 250 million people worldwide.
Type 2 diabetes mellitus is one...
06/21/2011
First Report Managed Care
Feature
Comparable Cost-Effectiveness with LAIV versus IIV Found in Young Children
06/21/2011
Eileen Koutnik-Fotopoulos
Despite findings from a recent randomized controlled trial among young children that intranasal live attenuated influenza vaccine (LAIV) might cause an increase in adverse events (AEs) compared with the inactivated influenza vaccine (IIV),...
Despite findings from a recent randomized controlled trial among young children that intranasal live attenuated influenza vaccine (LAIV) might cause an increase in adverse events (AEs) compared with the inactivated influenza vaccine (IIV),...
Despite findings from a recent...
06/21/2011
First Report Managed Care
Feature
Percutaneous Mitral Valve Repair for Mitral Regurgitation
06/21/2011
Tim Casey
New Orleans—Through 2 years of treatment, patients who underwent percutaneous mitral valve repair had reduced mitral regurgitation (MR) and experienced meaningful clinical benefits, according to a randomized controlled trial that compared...
New Orleans—Through 2 years of treatment, patients who underwent percutaneous mitral valve repair had reduced mitral regurgitation (MR) and experienced meaningful clinical benefits, according to a randomized controlled trial that compared...
New Orleans—Through 2 years of...
06/21/2011
First Report Managed Care
Feature
Transcatheter Aortic Valve Replacement Comparable with Surgery
06/21/2011
Tim Casey
New Orleans—A randomized study of patients with symptomatic aortic stenosis and at high risk for surgery found that those undergoing transcatheter aortic valve replacement (TAVR) had similar survival at 1 year compared with those undergoing...
New Orleans—A randomized study of patients with symptomatic aortic stenosis and at high risk for surgery found that those undergoing transcatheter aortic valve replacement (TAVR) had similar survival at 1 year compared with those undergoing...
New Orleans—A randomized study...
06/21/2011
First Report Managed Care
Conference Insider
Radial versus Femoral Access for Invasive Coronary Procedures
06/21/2011
Christin Melton
New Orleans—A large randomized study has concluded that radial access is no less effective than femoral access for patients with acute coronary syndromes (ACS) who are undergoing procedures requiring vascular access, such as coronary...
New Orleans—A large randomized study has concluded that radial access is no less effective than femoral access for patients with acute coronary syndromes (ACS) who are undergoing procedures requiring vascular access, such as coronary...
New Orleans—A large randomized...
06/21/2011
First Report Managed Care
Conference Insider
Treatments for Coronary Artery Disease and Left Ventricular Dysfunction
06/21/2011
Christin Melton
New Orleans—Combining coronary artery bypass grafting (CABG) with medical therapies for patients with coronary artery disease (CAD) and heart failure increased the overall risk of death for approximately 2 years after surgery compared with...
New Orleans—Combining coronary artery bypass grafting (CABG) with medical therapies for patients with coronary artery disease (CAD) and heart failure increased the overall risk of death for approximately 2 years after surgery compared with...
New Orleans—Combining coronary...
06/21/2011
First Report Managed Care
Feature
Quality of Life following PCI or CABG
06/21/2011
Tori Socha
Treatments for patients with multivessel coronary artery disease include percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG). At the 1-year followup, the SYNTAX (Synergy between PCI with Taxus and Cardiac...
Treatments for patients with multivessel coronary artery disease include percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG). At the 1-year followup, the SYNTAX (Synergy between PCI with Taxus and Cardiac...
Treatments for patients with...
06/21/2011
First Report Managed Care
Feature
Omalizumab Improves Asthma Control in Inner-City Youth
06/21/2011
Mary Beth Nierengarten
Results of a randomized, double-blind, placebo-controlled, multicenter trial [N Engl J Med. 2011;364(11):1005-1015] show that the addition of omalizumab to guidelines-based therapy improved asthma control, reduced the need for other...
Results of a randomized, double-blind, placebo-controlled, multicenter trial [N Engl J Med. 2011;364(11):1005-1015] show that the addition of omalizumab to guidelines-based therapy improved asthma control, reduced the need for other...
Results of a randomized,...
06/21/2011
First Report Managed Care
Feature
Survey Finds More Uninsured and Struggling to Pay Healthcare Costs in 2010
06/21/2011
Jill Sederstorm
For many Americans, the economic recession has also meant a loss of health insurance or higher health-related costs, according to a new report from The Commonwealth Fund; however, the Affordable Care Act (ACA) is expected to address some of...
For many Americans, the economic recession has also meant a loss of health insurance or higher health-related costs, according to a new report from The Commonwealth Fund; however, the Affordable Care Act (ACA) is expected to address some of...
For many Americans, the economic...
06/21/2011
First Report Managed Care
Feature
Hospital Spending and Patient Outcomes for Sepsis
06/21/2011
Tori Socha
Previous studies have found that regions of the United States with high rates of healthcare spending have poorer adherence to quality-of-care measures, worse clinical outcomes, and lower patient and physician satisfaction compared with...
Previous studies have found that regions of the United States with high rates of healthcare spending have poorer adherence to quality-of-care measures, worse clinical outcomes, and lower patient and physician satisfaction compared with...
Previous studies have found that...
06/21/2011
First Report Managed Care
Feature
Conflicts of Interest in Guideline Formation
06/21/2011
Tori Socha
Clinical practice guidelines (CPGs) are usually adopted as standard of care and taught as such in training programs for healthcare providers. CPGs are important in the development of initiatives to improve quality of care and are playing an...
Clinical practice guidelines (CPGs) are usually adopted as standard of care and taught as such in training programs for healthcare providers. CPGs are important in the development of initiatives to improve quality of care and are playing an...
Clinical practice guidelines...
06/21/2011
First Report Managed Care
Feature
Tele-ICU Monitoring and Patient Outcomes
06/21/2011
Tori Socha
The presence of intensivists—physicians specially trained to care for critically ill patients—in intensive care units (ICUs) has been shown to improve survival, and there are estimates that staffing ICUs with intensivists 24 hours a day would...
The presence of intensivists—physicians specially trained to care for critically ill patients—in intensive care units (ICUs) has been shown to improve survival, and there are estimates that staffing ICUs with intensivists 24 hours a day would...
The presence of...
06/21/2011
First Report Managed Care
Feature
Characteristics of Adopters and Nonadopters of Personal Health Records
06/21/2011
Tori Socha
The Markle Foundation defines personal health records (PHRs) as an “Internet set of tools that allows people to access and coordinate their lifelong health information.” PHRs can range from applications maintained by healthcare organizations...
The Markle Foundation defines personal health records (PHRs) as an “Internet set of tools that allows people to access and coordinate their lifelong health information.” PHRs can range from applications maintained by healthcare organizations...
The Markle Foundation defines...
06/21/2011
First Report Managed Care
Feature
Benefits and Harms of Older Persons’ Willingness to Take Medications
06/21/2011
Tori Socha
Pay-for-performance and quality-assurance initiatives stress adherence to evidence-based guidelines for the prevention or management of particular diseases. Patient preferences, however, may not agree with the guidelines.
Pay-for-performance and quality-assurance initiatives stress adherence to evidence-based guidelines for the prevention or management of particular diseases. Patient preferences, however, may not agree with the guidelines.
Pay-for-performance and...
06/21/2011
First Report Managed Care
News Connection
REACH VA: A Dementia Caregiver Support Program
06/21/2011
Tori Socha
It is estimated that the 11 million caregivers in the United States providing 12.5 billion hours of care to individuals with Alzheimer’s disease are providing care valued at, but unpaid, nearly $44 billion. This unpaid value is in addition to...
It is estimated that the 11 million caregivers in the United States providing 12.5 billion hours of care to individuals with Alzheimer’s disease are providing care valued at, but unpaid, nearly $44 billion. This unpaid value is in addition to...
It is estimated that the 11...
06/21/2011
First Report Managed Care
Feature
Standardized Dosing Could Help Patients Organize Medication Regimens
06/21/2011
Tori Socha
In the United States, physician prescriptions and labels on medications dispensed by pharmacies often include vague information outlining recommended medication schedules. The schedules are identified either in hourly intervals (every 4-6...
In the United States, physician prescriptions and labels on medications dispensed by pharmacies often include vague information outlining recommended medication schedules. The schedules are identified either in hourly intervals (every 4-6...
In the United States, physician...
06/21/2011
First Report Managed Care
Feature
Use of Services among Young Adults with Autism Spectrum Disorders
06/21/2011
Tori Socha
In the United States, the number of students 12 to 17 years of age enrolled in special education with a diagnosis of autism spectrum disorder (ASD) increased from 15,480 in 1998 to 99,803 in 2007. Whether the increase is due to changing...
In the United States, the number of students 12 to 17 years of age enrolled in special education with a diagnosis of autism spectrum disorder (ASD) increased from 15,480 in 1998 to 99,803 in 2007. Whether the increase is due to changing...
In the United States, the number...
06/21/2011
First Report Managed Care
Feature
Secondary Prevention of CVD Events among Persons without Hypertension
06/21/2011
Tori Socha
Cardiovascular disease (CVD) represents 30% of all deaths worldwide and is the leading cause of death in the United States. Studies have shown a strong, graded, and independent association between blood pressure levels and the risk of CVD,...
Cardiovascular disease (CVD) represents 30% of all deaths worldwide and is the leading cause of death in the United States. Studies have shown a strong, graded, and independent association between blood pressure levels and the risk of CVD,...
Cardiovascular disease (CVD)...
06/21/2011
First Report Managed Care
Feature
School-Based Asthma Intervention Significantly Improved Symptoms of Persistent Asthma in Urban Children
06/21/2011
Mary Beth Nierengarten
Results of a randomized trial [Arch Pediatr Adolesc Med. 2011;165(3):262-268] show that urban children with persistent asthma have significant improvement in symptoms when treated by a school-based asthma therapy intervention compared with...
Results of a randomized trial [Arch Pediatr Adolesc Med. 2011;165(3):262-268] show that urban children with persistent asthma have significant improvement in symptoms when treated by a school-based asthma therapy intervention compared with...
Results of a randomized trial...
06/21/2011
First Report Managed Care
News Connection
Inhaled Nitric Oxide in Episodes of Severe Pain in Patients with SCD
06/21/2011
Tori Socha
Sickle cell disease (SCD) is an autosomal-recessive disorder of the beta globin gene, in which mutant hemoglobin S polymerizes in erythrocytes, causing occlusion of the small blood vessels. The occlusion manifests clinically as episodes of...
Sickle cell disease (SCD) is an autosomal-recessive disorder of the beta globin gene, in which mutant hemoglobin S polymerizes in erythrocytes, causing occlusion of the small blood vessels. The occlusion manifests clinically as episodes of...
Sickle cell disease (SCD) is an...
06/21/2011
First Report Managed Care
Feature
Hip Fracture and Long-Term Home Exercise Programs
06/21/2011
Trisha Lee
There are >31,000 hip fracture cases per year in the United States, costing an estimated $14 million to $20 billion. The number of these cases is expected to rise to 700,000 in the United States and from 1.6 million currently worldwide to...
There are >31,000 hip fracture cases per year in the United States, costing an estimated $14 million to $20 billion. The number of these cases is expected to rise to 700,000 in the United States and from 1.6 million currently worldwide to...
There are >31,000 hip...
06/21/2011
First Report Managed Care
Feature
Diuretic Strategy and Renal Function in Acute Decompensated Heart Failure
06/21/2011
Kristina Woodworth
A prospective, double-blind, randomized controlled study published in the March 3, 2011, issue of the New England Journal of Medicine [2011;364(9):797-805] found no differences in patients’ global assessment of symptoms or renal function with...
A prospective, double-blind, randomized controlled study published in the March 3, 2011, issue of the New England Journal of Medicine [2011;364(9):797-805] found no differences in patients’ global assessment of symptoms or renal function with...
A prospective, double-blind,...
06/21/2011
First Report Managed Care
Feature
The ClincalTrials.gov Results Database—Update and Issues
06/21/2011
Sylvia Jenkins
In use for more than a decade, the Clinical Trials.gov registry was expanded in 2008 to include a database for reporting results. The Food and Drug Administration Amendments Act (FDAAA) mandates that summary results data for certain trials of...
In use for more than a decade, the Clinical Trials.gov registry was expanded in 2008 to include a database for reporting results. The Food and Drug Administration Amendments Act (FDAAA) mandates that summary results data for certain trials of...
In use for more than a decade,...
06/21/2011
First Report Managed Care
Feature
Guideline for Inpatient Cellulitis and Abscess Reduces Use of Healthcare Resources
06/21/2011
Mary Beth Nierengarten
Results of a retrospective study that evaluated treatment of patients hospitalized for cellulites and abscess before and after implementation of a guideline to standardize care [Arch Intern Med. doi:10.1001/archinternmed.2011.29] found that...
Results of a retrospective study that evaluated treatment of patients hospitalized for cellulites and abscess before and after implementation of a guideline to standardize care [Arch Intern Med. doi:10.1001/archinternmed.2011.29] found that...
Results of a retrospective study...
06/21/2011
First Report Managed Care
Feature
Lifestyle Intervention to Prevent Regain after Weight Loss
06/21/2011
Tori Socha
Overweight or obesity is a worldwide problem. An increased body mass index is associated with higher mortality, the development of coronary vascular disease, type 2 diabetes mellitus, certain types of cancer, gastrointestinal diseases, and...
Overweight or obesity is a worldwide problem. An increased body mass index is associated with higher mortality, the development of coronary vascular disease, type 2 diabetes mellitus, certain types of cancer, gastrointestinal diseases, and...
Overweight or obesity is a...
06/21/2011
First Report Managed Care
Feature
Medicaid Spending Trends over the Past Decade
06/21/2011
Kerri Fitzgerald
The recent recession has had an impact on Medicaid spending, increasing monthly enrollment by the largest amount since the program was implemented. The Henry J. Kaiser Family Foundation’s Kaiser Commission on Medicaid and the Uninsured...
The recent recession has had an impact on Medicaid spending, increasing monthly enrollment by the largest amount since the program was implemented. The Henry J. Kaiser Family Foundation’s Kaiser Commission on Medicaid and the Uninsured...
The recent recession has had an...
06/21/2011
First Report Managed Care
Feature
Study Finds Diabetes Associated with Premature Death from Cancer, Infectious Diseases
06/21/2011
Jill Sederstorm
Diabetes mellitus is known to increase the risk of vascular diseases, but a new study found that diabetes is also associated with premature death from several forms of cancer, infectious diseases, external causes, intentional self-harm, and...
Diabetes mellitus is known to increase the risk of vascular diseases, but a new study found that diabetes is also associated with premature death from several forms of cancer, infectious diseases, external causes, intentional self-harm, and...
Diabetes mellitus is known to...
06/21/2011
First Report Managed Care
Feature
Long-Term Bisphosphonate Use Associated with Greater Risk of Atypical Fractures
06/21/2011
Eileen Koutnik-Fotopoulos
A large cohort study of women found that use of oral bisphosphonates for >5 years increased the risk of subtrochanteric or femoral shaft fractures, although the absolute risk of these fractures is low [JAMA. 2011;305(8):783-789]. Whereas...
A large cohort study of women found that use of oral bisphosphonates for >5 years increased the risk of subtrochanteric or femoral shaft fractures, although the absolute risk of these fractures is low [JAMA. 2011;305(8):783-789]. Whereas...
A large cohort study of women...
06/21/2011
First Report Managed Care
Feature
Smoking in Midlife and the Long-Term Risk of Dementia
06/21/2011
Tori Socha
It is well known that smoking increases the risk of most diseases and death, but some studies suggest that smoking is also associated with a lower risk of certain neurodegenerative diseases, including Parkinson’s disease. Other studies have...
It is well known that smoking increases the risk of most diseases and death, but some studies suggest that smoking is also associated with a lower risk of certain neurodegenerative diseases, including Parkinson’s disease. Other studies have...
It is well known that smoking...
06/21/2011
First Report Managed Care
Feature
Nitroglycerin Ointment and Changes in Bone Mineral Density in Postmenopausal Women
06/21/2011
Tori Socha
As populations worldwide age, the number of osteoporotic fractures is increasing.
As populations worldwide age, the number of osteoporotic fractures is increasing.
As populations worldwide age,...
06/21/2011
First Report Managed Care
Feature
Motivational Intervention with Parental Participation in Adolescent Alcohol Use
06/21/2011
Trisha Lee
There have been various efforts to improve awareness and to reduce substance abuse among adolescents. Studies have shown that for 18- to 19-year-old adolescents, an individual motivational interview (IMI) effectively reduces alcohol-related...
There have been various efforts to improve awareness and to reduce substance abuse among adolescents. Studies have shown that for 18- to 19-year-old adolescents, an individual motivational interview (IMI) effectively reduces alcohol-related...
There have been various efforts...
06/21/2011
First Report Managed Care
Feature
Behavioral Health Screening Rate after Court-Mandated Program
06/21/2011
Tori Socha
The Task Force on Mental Health of the American Academy of Pediatrics has recently endorsed mental health screening in primary care as a way to help the effort to prevent mental health disorders for children and adolescents. Studies have...
The Task Force on Mental Health of the American Academy of Pediatrics has recently endorsed mental health screening in primary care as a way to help the effort to prevent mental health disorders for children and adolescents. Studies have...
The Task Force on Mental Health...
06/21/2011
First Report Managed Care
Feature
Prescription Drug Spending in 2008
06/21/2011
Kerri Fitzgerald
The Agency for Healthcare Research and Quality (AHRQ) recently issued Statistical Brief #313 identifying the top 5 therapeutic classes of outpatient prescription drugs in 2008 for adults age ≥18 in terms of expenditures. AHRQ ranked metabolic...
The Agency for Healthcare Research and Quality (AHRQ) recently issued Statistical Brief #313 identifying the top 5 therapeutic classes of outpatient prescription drugs in 2008 for adults age ≥18 in terms of expenditures. AHRQ ranked metabolic...
The Agency for Healthcare...
06/21/2011
First Report Managed Care
Feature
Intermediate versus High Dose of Cytarabine for Acute Myeloid Leukemia
06/21/2011
Tori Socha
For >30 years, acute myeloid leukemia (AML) has been treated with cytarabine. Initially, the drug was used in remission-induction therapy at a dose of 100 to 200 mg per square meter of body surface area. High-dose therapy was evaluated...
For >30 years, acute myeloid leukemia (AML) has been treated with cytarabine. Initially, the drug was used in remission-induction therapy at a dose of 100 to 200 mg per square meter of body surface area. High-dose therapy was evaluated...
For >30 years, acute myeloid...
06/21/2011
First Report Managed Care
Feature
Emphysema and Lung Volume in Smokers with Interstitial Lung Abnormalities
06/17/2011
Tori Socha
Chronic obstructive pulmonary disease (COPD) may be manifested by emphysematous destruction of the lung parenchyma and elevated measures of total lung capacity, conditions often associated with exposure to tobacco smoke. is increased...
Chronic obstructive pulmonary disease (COPD) may be manifested by emphysematous destruction of the lung parenchyma and elevated measures of total lung capacity, conditions often associated with exposure to tobacco smoke. is increased...
Chronic obstructive pulmonary...
06/17/2011
First Report Managed Care
Feature
Treatment of Non–Small-Cell Lung Cancer with Erlotinib and Gefitinib
06/17/2011
Jill Sederstorm
Non–small-cell lung cancer (NSCLC) is a common and often a challenging form of cancer to treat, but erlotinib and gefitinib could be effective treatment options—especially for patients who have tumors with gene mutations that activate the...
Non–small-cell lung cancer (NSCLC) is a common and often a challenging form of cancer to treat, but erlotinib and gefitinib could be effective treatment options—especially for patients who have tumors with gene mutations that activate the...
Non–small-cell lung cancer...
06/17/2011
First Report Managed Care
Feature
Latest Tracking Poll Shows Little Support for Changing Medicaid
06/17/2011
The latest tracking poll (May 2011) conducted by the Henry J. Kaiser Family Foundation found that overall there is little public support for cutting Medicaid spending or changing the program to a block grant to reduce the federal deficit....
The latest tracking poll (May 2011) conducted by the Henry J. Kaiser Family Foundation found that overall there is little public support for cutting Medicaid spending or changing the program to a block grant to reduce the federal deficit....
The latest tracking poll (May...
06/17/2011
First Report Managed Care
Feature
Early Diagnosis and Treatment in Patients with RA
06/17/2011
Tim Casey
Orlando—With the incidence of patients with rheumatoid arthritis (RA) increasing and the disease currently the leading cause of chronic disability per capita in the United States, healthcare professionals are seeking ways to achieve better...
Orlando—With the incidence of patients with rheumatoid arthritis (RA) increasing and the disease currently the leading cause of chronic disability per capita in the United States, healthcare professionals are seeking ways to achieve better...
Orlando—With the incidence of...
06/17/2011
First Report Managed Care
Feature
Improved Care and Reduced Costs Associated with Patient-Centered Medical Homes
06/17/2011
Tim Casey
Orlando—In recent years, 18 states have implemented a total of 27 large multistakeholder pilot programs examining patient-centered medical homes (PCMHs). The District of Columbia and 44 states have passed >330 laws related to PCMHs.
Orlando—In recent years, 18 states have implemented a total of 27 large multistakeholder pilot programs examining patient-centered medical homes (PCMHs). The District of Columbia and 44 states have passed >330 laws related to PCMHs.
Orlando—In recent years, 18...
06/17/2011
First Report Managed Care
Feature
Understanding, Assessing, and Treating Pain
06/17/2011
Tim Casey
Patients experiencing chronic pain are a burden on the healthcare system from an economic perspective and in terms of high utilization of medicine.
Patients experiencing chronic pain are a burden on the healthcare system from an economic perspective and in terms of high utilization of medicine.
Patients experiencing chronic...
06/17/2011
First Report Managed Care
Feature
Reducing Costs and Improving Outcomes in Diabetes
06/17/2011
Tim Casey
Orlando—With fewer physicians, rising healthcare costs, and an increasing population, treating patients is becoming more difficult. For instance, >24 million people in the United States ≥20 years of age have diabetes, and the total costs...
Orlando—With fewer physicians, rising healthcare costs, and an increasing population, treating patients is becoming more difficult. For instance, >24 million people in the United States ≥20 years of age have diabetes, and the total costs...
Orlando—With fewer physicians,...
06/17/2011
First Report Managed Care
Feature
ACO Regulations Announced
06/17/2011
Tim Casey
Orlando—After several months of anticipation, healthcare professionals received some guidance regarding accountable care organizations (ACOs) on March 31 when the Centers for Medicare & Medicaid Services (CMS) announced proposed federal rules...
Orlando—After several months of anticipation, healthcare professionals received some guidance regarding accountable care organizations (ACOs) on March 31 when the Centers for Medicare & Medicaid Services (CMS) announced proposed federal rules...
Orlando—After several months of...
06/17/2011
First Report Managed Care
Feature
Partnerships between Physicians and Hospitals
06/17/2011
Tim Casey
President Barack Obama enacted the Patient Protection and Affordable Care Act (ACA) to improve the value of healthcare.
President Barack Obama enacted the Patient Protection and Affordable Care Act (ACA) to improve the value of healthcare.
President Barack Obama enacted...
06/17/2011
First Report Managed Care
Feature
New Demands and Initiatives for Providers under Healthcare Reform
06/17/2011
Tim Casey
If healthcare costs rise as rapidly as projected, the US will experience major financial ramifications, according to Gary Scott Davis, PA.
If healthcare costs rise as rapidly as projected, the US will experience major financial ramifications, according to Gary Scott Davis, PA.
If healthcare costs rise as...
06/17/2011
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
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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

June 2011 Volume 8 Issue 6

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