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Volume 16, Issue 9, September 2019 - First Report Managed Care

Featured Article

Managed Care Innovator: Jake Frenz
09/18/2019

Dean Celia

Dean Celia
Jake Frenz, CEO and founder of SmithRx, outlines his health care vision through the prism of his growing start-up, breaking down what is wrong with the traditional way of managing the pharmacy benefit, and explains how he and his company are...
Jake Frenz, CEO and founder of SmithRx, outlines his health care vision through the prism of his growing start-up, breaking down what is wrong with the traditional way of managing the pharmacy benefit, and explains how he and his company are...
Jake Frenz, CEO and founder of...
09/18/2019
First Report Managed Care
Benefits of Interprofessional Collaborative Practice
09/18/2019

Mary Beth Nierengarten

Mary Beth Nierengarten
As health care costs in the United States continue to climb, strategies to shift the direction of health care delivery to ensure better quality at lower cost remain front and center of the health care debate.
As health care costs in the United States continue to climb, strategies to shift the direction of health care delivery to ensure better quality at lower cost remain front and center of the health care debate.
As health care costs in the...
09/18/2019
First Report Managed Care
Physician Fatigue in the EHR Era
09/18/2019

Paul Nicolaus

Paul Nicolaus
Electronic health records have been blamed as a significant source of physician frustration and even burnout. Is it possible for managed care leaders to turn this technology from a burden to a boon?
Electronic health records have been blamed as a significant source of physician frustration and even burnout. Is it possible for managed care leaders to turn this technology from a burden to a boon?
Electronic health records have...
09/18/2019
First Report Managed Care

Department

Formulary Frontlines®
Costly Burden of Managing Multiple Sclerosis
09/18/2019

Eileen Koutnik-Fotopoulos

Eileen Koutnik-Fotopoulos
In addition to physical and emotional impact of MS, the economic burden is considerable, ranking second among all chronic conditions in direct costs behind congestive heart failure.
In addition to physical and emotional impact of MS, the economic burden is considerable, ranking second among all chronic conditions in direct costs behind congestive heart failure.
In addition to physical and...
09/18/2019
First Report Managed Care
Managed Care Q&A
Using Real-World Data the Right Way
09/18/2019

Edan Stanley

Edan Stanley
Pramod John, PhD, CEO of VIVIO Health, discusses a recent presentation where he spoke about using real-world data to drive better outcomes and lower costs, as well as weighs the benefits of value-based care.
Pramod John, PhD, CEO of VIVIO Health, discusses a recent presentation where he spoke about using real-world data to drive better outcomes and lower costs, as well as weighs the benefits of value-based care.
Pramod John, PhD, CEO of VIVIO...
09/18/2019
First Report Managed Care
Conference Insider
What to Expect at Health Care Quality Congress 2019, An Official Conference by NCQA
09/18/2019
Returning this October 2-4 in Dallas, TX is Health Care Quality Congress (HQC) 2019, an official conference by NCQA. This meeting was formerly offered as two regional meetings focused on health plan accreditation and HEDIS and was merged...
Returning this October 2-4 in Dallas, TX is Health Care Quality Congress (HQC) 2019, an official conference by NCQA. This meeting was formerly offered as two regional meetings focused on health plan accreditation and HEDIS and was merged...
Returning this October 2-4 in...
09/18/2019
First Report Managed Care
Conference Insider
Use of a PCMH Model in an Employer-Based Worksite Clinic Lowers Costs, Improves Care
09/18/2019
During a recent session at PCMH Congress 2019, Kathryn E Gibson, MD, FAAFP, medical director of health and wellness at ARUP Laboratories, identified rationale for the alignment of workplace health needs and PCMH principles, described the...
During a recent session at PCMH Congress 2019, Kathryn E Gibson, MD, FAAFP, medical director of health and wellness at ARUP Laboratories, identified rationale for the alignment of workplace health needs and PCMH principles, described the...
During a recent session at PCMH...
09/18/2019
First Report Managed Care
Conference Insider
How Telehealth Polices Help Shape Care, Improve Access to Quality
09/18/2019
Mei Wa Kwong, JD, executive director at Center for Connected Health Policy (CCHP), discusses how CCHP, an organization working to advance telehealth policies, improves health outcomes as well as access to quality services, during a session at...
Mei Wa Kwong, JD, executive director at Center for Connected Health Policy (CCHP), discusses how CCHP, an organization working to advance telehealth policies, improves health outcomes as well as access to quality services, during a session at...
Mei Wa Kwong, JD, executive...
09/18/2019
First Report Managed Care
Conference Insider
Why Investment in Primary Care Through PCMH Utilization is Important
09/18/2019
Ann Greiner, MCP, president and CEO of Patient Centered Primary Care Collaborative, Washington, DC, kicked off the first session of PCMH Congress 2019. Ms Greiner first explained that primary care is being reinvented with PCMH. She said that...
Ann Greiner, MCP, president and CEO of Patient Centered Primary Care Collaborative, Washington, DC, kicked off the first session of PCMH Congress 2019. Ms Greiner first explained that primary care is being reinvented with PCMH. She said that...
Ann Greiner, MCP, president and...
09/18/2019
First Report Managed Care
News Connection
Random Plasma Glucose Tests Predict Diabetes Diagnosis
09/18/2019
Random blood tests could be used to predict the development of diabetes and lead to earlier treatment and better outcomes, suggests a study published online in PLoS One.
Random blood tests could be used to predict the development of diabetes and lead to earlier treatment and better outcomes, suggests a study published online in PLoS One.
Random blood tests could be used...
09/18/2019
First Report Managed Care

Insights

Interview
The Benefits of Leveraging and Integrating Cloud-Based Technology
09/18/2019

Julie Gould

Julie Gould
In a recent podcast, Jim Adams, CIO of AllianceRx Walgreens Prime and Sean Creehan, president of pharmacy business of Inovalon, break down the different uses of technology in the health care sector and highlight how patients can benefit from...
In a recent podcast, Jim Adams, CIO of AllianceRx Walgreens Prime and Sean Creehan, president of pharmacy business of Inovalon, break down the different uses of technology in the health care sector and highlight how patients can benefit from...
In a recent podcast, Jim Adams,...
09/18/2019
First Report Managed Care

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What's Trending?

News
CMS Issues Rules on Loss Ratios for Medicare Plans
02/19/2013
02/19/2013
First Report Managed Care
News
Why Are Some Patients Still Paying for HIV Preventive Care?
03/04/2022

Sarah Varney, Kaiser Health News 

Sarah Varney, Kaiser Health News  ...
As of January 2021, HIV preventive care was supposed to be free in the United States, but there are patients still paying for treatment.
As of January 2021, HIV preventive care was supposed to be free in the United States, but there are patients still paying for treatment.
As of January 2021, HIV...
03/04/2022
First Report Managed Care
News
Doctors limit new Medicare patients
06/21/2010
06/21/2010
First Report Managed Care
News
Patients Plagued by High, Unexpected Bills From Emergency Room Visits
11/16/2016
Two Yale economists are calling for states to end a practice that allows some doctors to surprise patients with large medical bills after visits to a hospital emergency room.
Two Yale economists are calling for states to end a practice that allows some doctors to surprise patients with large medical bills after visits to a hospital emergency room.
Two Yale economists are calling...
11/16/2016
First Report Managed Care
News
Baseline MRI and CRP on Treatment Efficacy in NrxSpA
09/27/2023

Danielle Sposato

Danielle Sposato
Over the past decade, biologics have made remarkable advancements in treating axial spondyloarthritis (axSpA). Despite these advances, many patients fail to attain full remission or inactive disease, with only approximately 60% achieving...
Over the past decade, biologics have made remarkable advancements in treating axial spondyloarthritis (axSpA). Despite these advances, many patients fail to attain full remission or inactive disease, with only approximately 60% achieving...
Over the past decade, biologics...
09/27/2023
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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September 2019 Volume 16 Issue 9

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