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Increased Scrutiny of Prior Authorization: Are Payers Fully to Blame, and Can AI Improve the Process?
04/05/2024
Dean Celia
The increased scrutiny of prior authorization, highlighted by media reports and government actions, prompts debate over payer responsibility while exploring the potential for AI to enhance the process.
The increased scrutiny of prior authorization, highlighted by media reports and government actions, prompts debate over payer responsibility while exploring the potential for AI to enhance the process.
The increased scrutiny of prior...
04/05/2024
First Report Managed Care
News
PhRMA Maps Provide State-by-State Look at 340B Drug Program
04/05/2024
Paul Nicolaus
An interactive map made available by the Pharmaceutical Research and Manufacturers of America (PhRMA), a drugmaker advocacy group, shares state-specific data on the 340B Drug Pricing Program. The federal program, initially created over 30...
An interactive map made available by the Pharmaceutical Research and Manufacturers of America (PhRMA), a drugmaker advocacy group, shares state-specific data on the 340B Drug Pricing Program. The federal program, initially created over 30...
An interactive map made...
04/05/2024
First Report Managed Care
News
FTC and HHS Launch Joint Inquiry into Generic Drug Shortages: Seeking Public Input on GPOs and Wholesalers
02/16/2024

Danielle Sposato

Danielle Sposato
In a news release published on February 14, 2024, the US Department of Health and Human Services (HHS) issued a "Request for Information" in collaboration with the Federal Trade Commission (FTC). This request aims to gain insight into how...
In a news release published on February 14, 2024, the US Department of Health and Human Services (HHS) issued a "Request for Information" in collaboration with the Federal Trade Commission (FTC). This request aims to gain insight into how...
In a news release published on...
02/16/2024
First Report Managed Care

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Medicare Drug Price Negotiations and Anticipated Ripple Effects
02/15/2024
Paul Nicolaus
The arrival of the Inflation Reduction Act has ushered in a new era of drug price regulation, giving the Centers for Medicare & Medicaid Services (CMS) the ability to negotiate directly with companies that make some of the costliest drugs...
The arrival of the Inflation Reduction Act has ushered in a new era of drug price regulation, giving the Centers for Medicare & Medicaid Services (CMS) the ability to negotiate directly with companies that make some of the costliest drugs...
The arrival of the Inflation...
02/15/2024
First Report Managed Care
News
Injectable PrEP Overall Acceptable, Preferred for HIV Prevention
07/15/2023
Maria Asimopoulos
“Given overall acceptability, injectable PrEP should be included as part of a menu of prevention options, allowing end-users to select the modality that suits their preferences, needs and lifestyle,” researchers advised.
“Given overall acceptability, injectable PrEP should be included as part of a menu of prevention options, allowing end-users to select the modality that suits their preferences, needs and lifestyle,” researchers advised.
“Given overall acceptability,...
07/15/2023
First Report Managed Care
News
First Gene Therapy for Severe Hemophilia A Is Approved
06/29/2023

Amanda Balbi

Amanda Balbi
This approval comes after a safety and effectiveness trial showed that the treatment improved participants’ annualized bleeding rate after 3 years.
This approval comes after a safety and effectiveness trial showed that the treatment improved participants’ annualized bleeding rate after 3 years.
This approval comes after a...
06/29/2023
Population Health

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Low Rate of Social Determinants of Health Z Codes in Adults With Hypertension
06/26/2023
Jolynn Tumolo
Researchers examined the presence and use of ICD-10-CM social determinants of health (SDOH)-related Z codes among adults with hypertension and found differences in documentation and medical expenditures.
Researchers examined the presence and use of ICD-10-CM social determinants of health (SDOH)-related Z codes among adults with hypertension and found differences in documentation and medical expenditures.
Researchers examined the...
06/26/2023
First Report Managed Care
News
CDC Data Shows Link Between High Costs and Prescription Nonadherence in Adults
06/21/2023
Julie Gould
In 2021, medication nonadherence among adults was associated with costs, gender, disability status, insurance coverage, and other characteristics.
In 2021, medication nonadherence among adults was associated with costs, gender, disability status, insurance coverage, and other characteristics.
In 2021, medication nonadherence...
06/21/2023
First Report Managed Care
News
Blood Pressure Injections Recalled
05/26/2023
Jolynn Tumolo
Several thousand products containing phenylephrine and norepinephrine were recalled due to a lack of sterility assurance.
Several thousand products containing phenylephrine and norepinephrine were recalled due to a lack of sterility assurance.
Several thousand products...
05/26/2023
Pharmacy Learning Network

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Astral SteriTech Recalls 5 Injections Manufactured for 4 US Clients
05/26/2023
Jolynn Tumolo
The recalls, designated Class II by the US Food and Drug Administration, impact a variety of antibiotic injections.
The recalls, designated Class II by the US Food and Drug Administration, impact a variety of antibiotic injections.
The recalls, designated Class II...
05/26/2023
Pharmacy Learning Network

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Review
End-of-Life Nutrition: Is Tube Feeding the Solution?
10/17/2013

Liz Friedrich, MPH, RD, CSG, LDN

Series Editor: Liz Friedrich, MPH, RD, CSG, LDN

Liz Friedrich, MPH, RD, CSG, LDN Ser...
One decision regarding nutrition care is whether to use percutaneous endoscopic gastrostomy (PEG) tube feeding in elderly or terminally ill residents.
One decision regarding nutrition care is whether to use percutaneous endoscopic gastrostomy (PEG) tube feeding in elderly or terminally ill residents.
One decision regarding nutrition...
10/17/2013
Annals of Long-Term Care
Feature
Management of Feeding Tube Complications in the Long-Term Care Resident
09/05/2008

Shai Gavi, DO, MPH, Jennifer Hensley, MD, Frank Cervo, MD, Catherine Nicastri, MD, and Suzanne Fields, MD

Shai Gavi, DO, MPH, Jennifer Hensley,...
LTC residents with impaired caloric or fluid intake and a functional gastrointestinal tract may need to receive enteral nutrition through the use of a feeding tube.
LTC residents with impaired caloric or fluid intake and a functional gastrointestinal tract may need to receive enteral nutrition through the use of a feeding tube.
LTC residents with impaired...
09/05/2008
Annals of Long-Term Care
Review
Management of Vulvovaginal Disorders in Older Women
04/13/2020
Rohani Manda, MD
Nader Tavakoli, MD, CMD, FAAFP
Richard Stefanacci, DO, MGH, MBA, AGSF, CMD
Nkenna Odom, MD
Stacy Ross, MD
Tiffany Mapp, MD
The objective of this paper is to emphasize the common vulvovaginal problems, other than infections, in older women and their management.
The objective of this paper is to emphasize the common vulvovaginal problems, other than infections, in older women and their management.
The objective of this paper is...
04/13/2020
Annals of Long-Term Care
Feature
Lower Gastrointestinal Bleeding in the Elderly
09/05/2008

Maxwell Chait, MD, FACP, FACG, AGAF

Maxwell Chait, MD, FACP, FACG, AGAF ...
Maxwell Chait, MD, FACP, FACG, AGAF, reviews lower gastrointestinal (GI) bleeding in older adults, a significant cause of increased morbidity and mortality in this population. 
Maxwell Chait, MD, FACP, FACG, AGAF, reviews lower gastrointestinal (GI) bleeding in older adults, a significant cause of increased morbidity and mortality in this population. 
Maxwell Chait, MD, FACP, FACG,...
09/05/2008
Annals of Long-Term Care
News
Metformin Impact on Statin-Associated Muscle Pain
04/20/2018
Researchers examined the impact metformin had on non-severe muscle pain associated with statin use.
Researchers examined the impact metformin had on non-severe muscle pain associated with statin use.
Researchers examined the impact...
04/20/2018
Pharmacy Learning Network

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