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April 2013 - FRMC

Department
04/22/2013
The FDA approved Qsymia® (phentermine and topiramate extended-release) capsules in July 2012 as an adjunct to a reduced calorie diet and increased physical activity for chronic weight management in people with a body mass index ≥30 kg/m2...
The FDA approved Qsymia® (phentermine and topiramate extended-release) capsules in July 2012 as an adjunct to a reduced calorie diet and increased physical activity for chronic weight management in people with a body mass index ≥30 kg/m2...
The FDA approved Qsymia®...
04/22/2013
First Report Managed Care
Department
04/22/2013
Kevin L. Carter
About one third of depressed patients fail to respond to conventional antidepressant medication. It is believed that inflammation is a possible mechanism that contributes to this treatment resistance. A number of inflammatory biomarkers...
About one third of depressed patients fail to respond to conventional antidepressant medication. It is believed that inflammation is a possible mechanism that contributes to this treatment resistance. A number of inflammatory biomarkers...
About one third of depressed...
04/22/2013
First Report Managed Care
04/22/2013
Kevin L. Carter
Polycythemia vera is a rare hematologic neoplasm characterized by clonal proliferation of multipotent bone marrow progenitors, leading to abnormal production of erythroid cells and an increased red-cell mass. Acquired mutations in JAK2 (JAK2...
Polycythemia vera is a rare hematologic neoplasm characterized by clonal proliferation of multipotent bone marrow progenitors, leading to abnormal production of erythroid cells and an increased red-cell mass. Acquired mutations in JAK2 (JAK2...
Polycythemia vera is a rare...
04/22/2013
First Report Managed Care
04/22/2013
Tim Casey
Miami Beach—During a 10-year period, the average direct costs per patient with moderate-to-severe psoriasis who took biologics were nearly $200,000 regardless of the drug they were prescribed, while productivity losses averaged around...
Miami Beach—During a 10-year period, the average direct costs per patient with moderate-to-severe psoriasis who took biologics were nearly $200,000 regardless of the drug they were prescribed, while productivity losses averaged around...
Miami Beach—During a 10-year...
04/22/2013
First Report Managed Care
04/22/2013
Tim Casey
Miami Beach—An analysis of national survey data found that patients with psoriasis typically use acitretin in combination with other agents. However, women of childbearing potential are typically not prescribed the drug due to serious side...
Miami Beach—An analysis of national survey data found that patients with psoriasis typically use acitretin in combination with other agents. However, women of childbearing potential are typically not prescribed the drug due to serious side...
Miami Beach—An analysis of...
04/22/2013
First Report Managed Care
04/22/2013
Tim Casey
San Francisco—Patients with transthyretin (TTR) amyloidosis who had pacemakers were more likely to be older and male, and have greater beta-blocker use, greater left ventricular septal thickness, and higher brain natriuretic peptide levels...
San Francisco—Patients with transthyretin (TTR) amyloidosis who had pacemakers were more likely to be older and male, and have greater beta-blocker use, greater left ventricular septal thickness, and higher brain natriuretic peptide levels...
San Francisco—Patients with...
04/22/2013
First Report Managed Care
04/22/2013
Tim Casey
San Francisco—Patients with ST-elevation myocardial infarction (STEMI) treated at community hospitals or in ambulances had similar results whether they underwent percutaneous coronary intervention (PCI) or received a pharmaco-invasive...
San Francisco—Patients with ST-elevation myocardial infarction (STEMI) treated at community hospitals or in ambulances had similar results whether they underwent percutaneous coronary intervention (PCI) or received a pharmaco-invasive...
San Francisco—Patients with...
04/22/2013
First Report Managed Care
04/22/2013
Tim Casey
San Francisco—A retrospective cohort study found that for patients with atrial fibrillation and atrial flutter, a closed system healthcare model was associated with significantly lower costs compared with an open system model over a 12-month...
San Francisco—A retrospective cohort study found that for patients with atrial fibrillation and atrial flutter, a closed system healthcare model was associated with significantly lower costs compared with an open system model over a 12-month...
San Francisco—A retrospective...
04/22/2013
First Report Managed Care
04/22/2013
Tim Casey
San Francisco—Patients with type 2 diabetes, coronary artery disease, and chronic stable angina who took ranolazine had fewer angina episodes and fewer sublingual nitroglycerin dosages compared with a group receiving placebo, according to a...
San Francisco—Patients with type 2 diabetes, coronary artery disease, and chronic stable angina who took ranolazine had fewer angina episodes and fewer sublingual nitroglycerin dosages compared with a group receiving placebo, according to a...
San Francisco—Patients with type...
04/22/2013
First Report Managed Care
04/22/2013
Tim Casey
San Francisco—After a mean follow-up of 10.5 months, patients with acute ST-segment elevation myocardial infarction (STEMI) who, having no diagnosis of heart failure, took eplerenone in addition to standard treatment had a significant...
San Francisco—After a mean follow-up of 10.5 months, patients with acute ST-segment elevation myocardial infarction (STEMI) who, having no diagnosis of heart failure, took eplerenone in addition to standard treatment had a significant...
San Francisco—After a mean...
04/22/2013
First Report Managed Care
04/22/2013
Tim Casey
San Francisco—Patients undergoing coronary stent procedures who received cangrelor had a significant, 22% odds reduction in the primary end point of death, myocardial infarction, ischemia-driven revascularization, or stent thrombosis compared...
San Francisco—Patients undergoing coronary stent procedures who received cangrelor had a significant, 22% odds reduction in the primary end point of death, myocardial infarction, ischemia-driven revascularization, or stent thrombosis compared...
San Francisco—Patients...
04/22/2013
First Report Managed Care
04/22/2013
Tim Casey
San Francisco—A retrospective analysis of healthcare claims for commercially insured and Medicare Advantage enrollees found that patients with nonvalvular atrial fibrillation who had major bleeding had substantially higher healthcare costs...
San Francisco—A retrospective analysis of healthcare claims for commercially insured and Medicare Advantage enrollees found that patients with nonvalvular atrial fibrillation who had major bleeding had substantially higher healthcare costs...
San Francisco—A retrospective...
04/22/2013
First Report Managed Care
04/22/2013
Tim Casey
San Francisco—A randomized, controlled trial found that patients with symptomatic, severe aortic stenosis who are not candidates for surgery had similar rates of death and stroke and reduced vascular complications at 30 days if they used the...
San Francisco—A randomized, controlled trial found that patients with symptomatic, severe aortic stenosis who are not candidates for surgery had similar rates of death and stroke and reduced vascular complications at 30 days if they used the...
San Francisco—A randomized,...
04/22/2013
First Report Managed Care
04/22/2013
Mary Beth Nierengarten
Results of a study show that individual measures of quality provide only a modest association with overall quality of neonatal intensive care units (NICUs).
Results of a study show that individual measures of quality provide only a modest association with overall quality of neonatal intensive care units (NICUs).
Results of a study show that...
04/22/2013
First Report Managed Care
News Connection
04/22/2013
Tori Socha
The Patient Protection and Affordable Care Act (ACA) includes changes to the rules that govern private health insurance. The rules were changed in an effort to promote broader pooling of risk, ban discrimination on the basis of health status...
The Patient Protection and Affordable Care Act (ACA) includes changes to the rules that govern private health insurance. The rules were changed in an effort to promote broader pooling of risk, ban discrimination on the basis of health status...
The Patient Protection and...
04/22/2013
First Report Managed Care
04/22/2013
Tori Socha
Medicare beneficiaries often receive healthcare services from multiple clinicians in various healthcare settings, making improvements in the quality of transitions in care particularly important in this population. Previous models for...
Medicare beneficiaries often receive healthcare services from multiple clinicians in various healthcare settings, making improvements in the quality of transitions in care particularly important in this population. Previous models for...
Medicare beneficiaries often...
04/22/2013
First Report Managed Care
04/22/2013
Tori Socha
Breast cancer is the most common malignant tumor in the United States among adolescent and young adult women 15 to 39 years of age and accounts for 14% of all cancer among men and women in that age group. In 2008, the individual average risk...
Breast cancer is the most common malignant tumor in the United States among adolescent and young adult women 15 to 39 years of age and accounts for 14% of all cancer among men and women in that age group. In 2008, the individual average risk...
Breast cancer is the most common...
04/22/2013
First Report Managed Care
04/22/2013
Tori Socha
The complete understanding of the cost of breast cancer should include the cost of screening as well as that of treatment, according to researchers. There is a large body of evidence related to Medicare expenditures for the treatment of...
The complete understanding of the cost of breast cancer should include the cost of screening as well as that of treatment, according to researchers. There is a large body of evidence related to Medicare expenditures for the treatment of...
The complete understanding of...
04/22/2013
First Report Managed Care
04/22/2013
Tori Socha
Regardless of choice of treatment, patients with clinically localized prostate cancer have a favorable long-term and cancer-specific rate of survival. Because there are no completed, long-term trials designed to compare survival outcomes with...
Regardless of choice of treatment, patients with clinically localized prostate cancer have a favorable long-term and cancer-specific rate of survival. Because there are no completed, long-term trials designed to compare survival outcomes with...
Regardless of choice of...
04/22/2013
First Report Managed Care
04/22/2013
Tori Socha
In order for screening to reduce the cancer mortality rate, the screening must advance the time of diagnosis of cancers that are destined to cause death, and early treatment of those cancers must create some advantage over treatment at...
In order for screening to reduce the cancer mortality rate, the screening must advance the time of diagnosis of cancers that are destined to cause death, and early treatment of those cancers must create some advantage over treatment at...
In order for screening to reduce...
04/22/2013
First Report Managed Care
04/22/2013
Tori Socha
Researchers assessed the association between antihypertensive drugs and the increase in risk of hip fracture in community-dwelling elderly persons.
Researchers assessed the association between antihypertensive drugs and the increase in risk of hip fracture in community-dwelling elderly persons.
Researchers assessed the...
04/22/2013
First Report Managed Care
04/22/2013
Tori Socha
In 2012, the Henry J. Kaiser Family Foundation and Health Research & Educational Trust (HRET) conducted a survey of employers to identify trends in employer-sponsored health coverage, including premiums, employee contributions, cost-sharing...
In 2012, the Henry J. Kaiser Family Foundation and Health Research & Educational Trust (HRET) conducted a survey of employers to identify trends in employer-sponsored health coverage, including premiums, employee contributions, cost-sharing...
In 2012, the Henry J. Kaiser...
04/22/2013
First Report Managed Care
04/22/2013
Eileen Koutnik-Fotopoulos
Results from a large cohort study using multivariate models showed that unemployment status, multiple job losses, and short-term periods without work are all significant risk factors for acute myocardial infarction (AMI) during the nearly...
Results from a large cohort study using multivariate models showed that unemployment status, multiple job losses, and short-term periods without work are all significant risk factors for acute myocardial infarction (AMI) during the nearly...
Results from a large cohort...
04/22/2013
First Report Managed Care
Technology Pulse
04/22/2013
Tori Socha
The use of a robotic system such as the da Vinci® Surgical System (Intuitive Surgical, Inc.) has grown in the years since its creation. Surgical fields utilizing a robotic system include urology, gynecology, cardiac surgery, and general...
The use of a robotic system such as the da Vinci® Surgical System (Intuitive Surgical, Inc.) has grown in the years since its creation. Surgical fields utilizing a robotic system include urology, gynecology, cardiac surgery, and general...
The use of a robotic system such...
04/22/2013
First Report Managed Care
04/22/2013
Tori Socha
Reducing preventable hospital readmissions is part of a federal strategy to create incentives to improve quality of care. In an effort to lower hospital readmission rates, the Centers for Medicare & Medicaid Services publicly reports...
Reducing preventable hospital readmissions is part of a federal strategy to create incentives to improve quality of care. In an effort to lower hospital readmission rates, the Centers for Medicare & Medicaid Services publicly reports...
Reducing preventable hospital...
04/22/2013
First Report Managed Care
04/22/2013
Eileen Koutnik-Fotopoulos
For women presenting to their primary care providers with menorrhagia, the levonorgestrel-releasing intrauterine system (IUS) leads to greater improvement in alleviating the adverse effects on daily life of heavy menstrual bleeding compared...
For women presenting to their primary care providers with menorrhagia, the levonorgestrel-releasing intrauterine system (IUS) leads to greater improvement in alleviating the adverse effects on daily life of heavy menstrual bleeding compared...
For women presenting to their...
04/22/2013
First Report Managed Care
04/22/2013
Tori Socha
Up to 95% of lesions seen on ultrasonography (USS) are benign. Certain polyps, in particular adenomas of the gallbladder, may carry neoplastic potential, according to researchers. Although these represent the minority of gallbladder polyps,...
Up to 95% of lesions seen on ultrasonography (USS) are benign. Certain polyps, in particular adenomas of the gallbladder, may carry neoplastic potential, according to researchers. Although these represent the minority of gallbladder polyps,...
Up to 95% of lesions seen on...
04/22/2013
First Report Managed Care
04/22/2013
Eileen Koutnik-Fotopoulos
Acetaminophen is one of the most commonly used medications for relieving pain and reducing fever, but it is also the leading cause of acute liver failure. The results of a retrospective study found that at least 4% of all hospitalized...
Acetaminophen is one of the most commonly used medications for relieving pain and reducing fever, but it is also the leading cause of acute liver failure. The results of a retrospective study found that at least 4% of all hospitalized...
Acetaminophen is one of the most...
04/22/2013
First Report Managed Care
04/22/2013
Tori Socha
One factor increasingly being used as a marker of the quality of care provided by hospitals to inpatients is the facility’s rate of readmission. The quality of the discharge process during the transition of care from an inpatient to an...
One factor increasingly being used as a marker of the quality of care provided by hospitals to inpatients is the facility’s rate of readmission. The quality of the discharge process during the transition of care from an inpatient to an...
One factor increasingly being...
04/22/2013
First Report Managed Care
04/22/2013
Tori Socha
It is estimated that the cost of obesity and obesity-related comorbid conditions in the United States is $168 billion, 16.5% of US health expenditures. Bariatric surgery is a recognized treatment for obesity that leads to considerable weight...
It is estimated that the cost of obesity and obesity-related comorbid conditions in the United States is $168 billion, 16.5% of US health expenditures. Bariatric surgery is a recognized treatment for obesity that leads to considerable weight...
It is estimated that the cost of...
04/22/2013
First Report Managed Care
04/22/2013
Tori Socha
There are 3 goals in healthcare: (1) improved care, (2) improved outcomes, and (3) lower costs. Maternity care, which impacts approximately 85% of women during 1 or more episodes of care, provides opportunity for improvements in healthcare...
There are 3 goals in healthcare: (1) improved care, (2) improved outcomes, and (3) lower costs. Maternity care, which impacts approximately 85% of women during 1 or more episodes of care, provides opportunity for improvements in healthcare...
There are 3 goals in healthcare:...
04/22/2013
First Report Managed Care
News Connection
04/22/2013
Tori Socha
Antipsychotic medications are being used increasingly to treat adults and children in the United States and are among the most commonly prescribed and costly classes of medications. The FDA has approved the use of antipsychotic medications as...
Antipsychotic medications are being used increasingly to treat adults and children in the United States and are among the most commonly prescribed and costly classes of medications. The FDA has approved the use of antipsychotic medications as...
Antipsychotic medications are...
04/22/2013
First Report Managed Care
04/22/2013
In March 2012, the Society of General Internal Medicine convened the National Commission on Physician Payment Reform to recommend forms of payment that would maximize good clinical outcomes, enhance patient and physician satisfaction and...
In March 2012, the Society of General Internal Medicine convened the National Commission on Physician Payment Reform to recommend forms of payment that would maximize good clinical outcomes, enhance patient and physician satisfaction and...
In March 2012, the Society of...
04/22/2013
First Report Managed Care
04/22/2013
Tori Socha
The second leading cause of cancer death in the United States is colorectal cancer (CRC). According to researchers, <60% of the average-risk population for colorectal cancer (CRC) follows current CRC screening recommendations, indicating a...
The second leading cause of cancer death in the United States is colorectal cancer (CRC). According to researchers, <60% of the average-risk population for colorectal cancer (CRC) follows current CRC screening recommendations, indicating a...
The second leading cause of...
04/22/2013
First Report Managed Care
04/22/2013
Tim Casey
Many large employers offer a familiar health insurance model, which consists of 1 to 3 national carriers as well as a regional or local HMO for employees to choose from. The plans are typically self-insured, meaning companies pay for claims...
Many large employers offer a familiar health insurance model, which consists of 1 to 3 national carriers as well as a regional or local HMO for employees to choose from. The plans are typically self-insured, meaning companies pay for claims...
Many large employers offer a...
04/22/2013
First Report Managed Care
Pharmacy Insight
04/22/2013
Barney S. Spivack, MD, FACP, AGSF, CMD
The Group Practice Without Walls is an interesting concept, and one that logically flows from the recognition that instead of pay for service, the focus has been shifting to paying for quality and value.
The Group Practice Without Walls is an interesting concept, and one that logically flows from the recognition that instead of pay for service, the focus has been shifting to paying for quality and value.
The Group Practice Without Walls...
04/22/2013
First Report Managed Care
04/22/2013
Tori Socha
James Matera, DO, a nephrologist in central New Jersey, has a vision of the future of medicine in this country. He believes that the nuances of the Patient Protection and Affordable Care Act have created a need for physicians to become...
James Matera, DO, a nephrologist in central New Jersey, has a vision of the future of medicine in this country. He believes that the nuances of the Patient Protection and Affordable Care Act have created a need for physicians to become...
James Matera, DO, a nephrologist...
04/22/2013
First Report Managed Care