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August 2014 - FRMC

Department
Specialty Pharmacy Trends Report: Multiple Sclerosis
08/19/2014
Multiple sclerosis (MS) is an autoimmune disease that affects the central nervous system.
Multiple sclerosis (MS) is an autoimmune disease that affects the central nervous system.
Multiple sclerosis (MS) is an...
08/19/2014
First Report Managed Care
Department
Specialty Pharmacy Trends Report: Infertility
08/19/2014
A variety of options exist to treat infertility.
A variety of options exist to treat infertility.
A variety of options exist to...
08/19/2014
First Report Managed Care
Department
Specialty Pharmacy Trends Report: HIV/AIDS
08/19/2014
HIV is a retrovirus that leads to AIDS, a disease that causes severe damage to the immune system.
HIV is a retrovirus that leads to AIDS, a disease that causes severe damage to the immune system.
HIV is a retrovirus that leads...
08/19/2014
First Report Managed Care
In the Wake of the Veterans Affairs Scandal, A New Leader Is Named
08/19/2014
Kerri Fitzgerald
Following approval from the House of Representatives, the Senate unanimously confirmed Robert McDonald, as the new VA secretary.
Following approval from the House of Representatives, the Senate unanimously confirmed Robert McDonald, as the new VA secretary.
Following approval from the...
08/19/2014
First Report Managed Care
Google Trends for Hypertension
08/19/2014
Tim Casey
New York—A 10-year analysis of data from Google found that there was a significant variation in people searching for “hypertension” and “high blood pressure (BP)” on the Web site search engine. The researchers indicated that people were more...
New York—A 10-year analysis of data from Google found that there was a significant variation in people searching for “hypertension” and “high blood pressure (BP)” on the Web site search engine. The researchers indicated that people were more...
New York—A 10-year analysis of...
08/19/2014
First Report Managed Care
Antihypertensive Pill Burden and Patient Adherence
08/19/2014
Kerri Fitzgerald
New York—Hypertension causes 7 million premature deaths each year. More than 40% of patients with hypertension remain untreated, while two-thirds of patients treated do not have adequately controlled blood pressure (BP). Previous studies...
New York—Hypertension causes 7 million premature deaths each year. More than 40% of patients with hypertension remain untreated, while two-thirds of patients treated do not have adequately controlled blood pressure (BP). Previous studies...
New York—Hypertension causes 7...
08/19/2014
First Report Managed Care
Highlighting the 2014 Hypertension Guidelines
08/19/2014
Kerri Fitzgerald
The updated hypertension guidelines were a hot button issue at the ASH meeting.
The updated hypertension guidelines were a hot button issue at the ASH meeting.
The updated hypertension...
08/19/2014
First Report Managed Care
News
Safety Profile of Teriflunomide to Treat MS
08/19/2014
Tim Casey
Philadelphia—An analysis of data from clinical trials that evaluated the use of teriflunomide to treat multiple sclerosis (MS) found the oral drug had a manageable safety profile. The authors noted that the safety outcomes were similar for...
Philadelphia—An analysis of data from clinical trials that evaluated the use of teriflunomide to treat multiple sclerosis (MS) found the oral drug had a manageable safety profile. The authors noted that the safety outcomes were similar for...
Philadelphia—An analysis of data...
08/19/2014
First Report Managed Care
Healthcare Costs Associated with Epilepsy
08/19/2014
Tim Casey
Philadelphia—A retrospective analysis of healthcare claims data found that uncontrolled epilepsy was associated with significantly higher costs than intermediately-controlled or well-controlled epilepsy. During the observation period of...
Philadelphia—A retrospective analysis of healthcare claims data found that uncontrolled epilepsy was associated with significantly higher costs than intermediately-controlled or well-controlled epilepsy. During the observation period of...
Philadelphia—A retrospective...
08/19/2014
First Report Managed Care
Diabetes Support Program with Peers versus Community Health Workers
08/18/2014
Tim Casey
San Francisco—Patients with type 2 diabetes who participated in a 6-month diabetes self-management education program followed by a 12-month peer-led or community health worker-led diabetes self-management support program maintained their...
San Francisco—Patients with type 2 diabetes who participated in a 6-month diabetes self-management education program followed by a 12-month peer-led or community health worker-led diabetes self-management support program maintained their...
San Francisco—Patients with type...
08/18/2014
First Report Managed Care
Evaluating Various Treatment Options for Type 2 Diabetes
08/18/2014
Tim Casey
The ADA and AACE guidelines recommend patients with type 2 diabetes begin treatment with metformin and lifestyle modifications.
The ADA and AACE guidelines recommend patients with type 2 diabetes begin treatment with metformin and lifestyle modifications.
The ADA and AACE guidelines...
08/18/2014
First Report Managed Care
Discrepancies in Hospital Readmissions Administrative Data
08/18/2014
Jordyn Greenblatt
The CMS created a readmission measure that uses a hospital’s administrative data to gauge readmission rates.
The CMS created a readmission measure that uses a hospital’s administrative data to gauge readmission rates.
The CMS created a readmission...
08/18/2014
First Report Managed Care
Using Social Media for Health Policy
08/18/2014
Kerri Fitzgerald
The National Research Council recently expressed concern regarding whether scientific evidence is adequately communicated into policymakers and subsequently adopted into public policy. Thus, the communication gap between researchers and...
The National Research Council recently expressed concern regarding whether scientific evidence is adequately communicated into policymakers and subsequently adopted into public policy. Thus, the communication gap between researchers and...
The National Research Council...
08/18/2014
First Report Managed Care
Screening for Abdominal Aortic Aneurysm Urged for Older Male Smokers
08/18/2014
Eileen Koutnik-Fotopoulos
Abdominal aortic aneurysm (AAA), a risk factor for smokers, affects an estimated 3.9% to 7.2% of men and 1% to 1.3% of women ≥50 years of age. In an update to the 2005 recommendation on AAA screening, the United States Preventive Services...
Abdominal aortic aneurysm (AAA), a risk factor for smokers, affects an estimated 3.9% to 7.2% of men and 1% to 1.3% of women ≥50 years of age. In an update to the 2005 recommendation on AAA screening, the United States Preventive Services...
Abdominal aortic aneurysm (AAA),...
08/18/2014
First Report Managed Care
Uncertainty for Screening At-Risk Patients for HCC
08/18/2014
Eileen Koutnik-Fotopoulos
Hepatocellular carcinoma (HCC) incidence and mortality continues to increase. The National Cancer Institute projected new cases and deaths from liver and intrahepatic bile duct cancer in the United States in 2014 at 33,190 and 23,000,...
Hepatocellular carcinoma (HCC) incidence and mortality continues to increase. The National Cancer Institute projected new cases and deaths from liver and intrahepatic bile duct cancer in the United States in 2014 at 33,190 and 23,000,...
Hepatocellular carcinoma (HCC)...
08/18/2014
First Report Managed Care
ACP Guideline Recommends against Pelvic Exam in Healthy Women
08/18/2014
Eileen Koutnik-Fotopoulos
Pelvic examination is often conducted in asymptomatic women to screen for pathology. Many women and clinicians believe that pelvic examinations should be part of annual wellness visits, but a review of current evidence from the American...
Pelvic examination is often conducted in asymptomatic women to screen for pathology. Many women and clinicians believe that pelvic examinations should be part of annual wellness visits, but a review of current evidence from the American...
Pelvic examination is often...
08/18/2014
First Report Managed Care
Treatment for Hepatitis C and HIV Coinfection
08/18/2014
Kerri Fitzgerald
Up to 7 million people worldwide are coinfected with HIV and hepatitis C virus (HCV), which is associated with high rates of liver fibrosis, cirrhosis, hepatocellular carcinoma, and overall mortality.
Up to 7 million people worldwide are coinfected with HIV and hepatitis C virus (HCV), which is associated with high rates of liver fibrosis, cirrhosis, hepatocellular carcinoma, and overall mortality.
Up to 7 million people worldwide...
08/18/2014
First Report Managed Care
Secukinumab Effective Treatment for Plaque Psoriasis
08/18/2014
Kerri Fitzgerald
Previous  research has found that interleukin (IL)-17A stimulates keratinocytes to secrete chemokines and other proinflammatory mediators that recruit additional inflammatory cells, thus making IL-17A a master cytokine in the pathogenesis of...
Previous  research has found that interleukin (IL)-17A stimulates keratinocytes to secrete chemokines and other proinflammatory mediators that recruit additional inflammatory cells, thus making IL-17A a master cytokine in the pathogenesis of...
Previous  research has found...
08/18/2014
First Report Managed Care
Physical Activity Program Can Reduce Major Mobility Disability in Older Adults
08/18/2014
Jill Sederstorm
Older adults at risk for disability who participated in a physical activity program were able to reduce the occurrence of major mobility disability and persistent mobility disability compared to individuals who only participated in a health...
Older adults at risk for disability who participated in a physical activity program were able to reduce the occurrence of major mobility disability and persistent mobility disability compared to individuals who only participated in a health...
Older adults at risk for...
08/18/2014
First Report Managed Care
Managed Care Q&A
Impact of the Patient Protection and Affordable Care Act on Employees and Small Businesses
08/18/2014
June Kirwin, BPharm Director of Pharmacy Harris Family Medical Center First Report Managed Care conducted an interview with June Kirwin, BPharm, one of our Editorial Advisory Board members, to discuss how the Patient Protection and...
June Kirwin, BPharm Director of Pharmacy Harris Family Medical Center First Report Managed Care conducted an interview with June Kirwin, BPharm, one of our Editorial Advisory Board members, to discuss how the Patient Protection and...
June Kirwin, BPharm Director of...
08/18/2014
First Report Managed Care
The Debate on Employer-Sponsored Wellness Programs
08/18/2014
Kerri Fitzgerald
As a provision of the Patient Protection and Affordable Care Act (ACA), employers are encouraged to offer wellness programs to employees and to expand any existing programs to promote healthy behaviors and lifestyles. In a recent survey...
As a provision of the Patient Protection and Affordable Care Act (ACA), employers are encouraged to offer wellness programs to employees and to expand any existing programs to promote healthy behaviors and lifestyles. In a recent survey...
As a provision of the Patient...
08/18/2014
First Report Managed Care
Payers Implementing Programs to Manage Specialty Medications
08/18/2014
Tim Casey
Philadelphia—Four years ago, OmedaRx implemented a prior authorization program for tyrosine kinase inhibitors to treat various types of cancer. The pharmacy benefit manager (PBM) noticed that drug costs were increasing and becoming too...
Philadelphia—Four years ago, OmedaRx implemented a prior authorization program for tyrosine kinase inhibitors to treat various types of cancer. The pharmacy benefit manager (PBM) noticed that drug costs were increasing and becoming too...
Philadelphia—Four years ago,...
08/18/2014
First Report Managed Care
Panelists Debate ACC/AHA Guidelines for Treating High Cholesterol
08/18/2014
Tim Casey
San Francisco—In November 2013, the American College of Cardiology (ACC) and the American Heart Association (AHA) released new guidelines for treatment with lipids and recommended the use of statins for millions of more adults, including most...
San Francisco—In November 2013, the American College of Cardiology (ACC) and the American Heart Association (AHA) released new guidelines for treatment with lipids and recommended the use of statins for millions of more adults, including most...
San Francisco—In November 2013,...
08/18/2014
First Report Managed Care

Behind the Bill

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
BEHIND THE BILL
When Agencies Lose Power: How 3 Seismic Shifts are Transforming Pharmaceutical Regulation
05/07/2025
Katie Hayes, MJ
In the span of just 9 months, the landscape of administrative law has undergone a transformation so profound that pharmaceutical executives, health care providers, and patients alike are struggling to navigate the new terrain. The Supreme...
In the span of just 9 months, the landscape of administrative law has undergone a transformation so profound that pharmaceutical executives, health care providers, and patients alike are struggling to navigate the new terrain. The Supreme...
In the span of just 9 months,...
05/07/2025
First Report Managed Care
Behind the Bill
The Medicare Paradox, Part 3: Strategic Trade Doesn’t Have to be a Zero-Sum Game
05/07/2025
Katie Hayes, MJ
Over the past 2 weeks, I’ve examined the growing friction between the Section 232 pharmaceutical tariff investigations and the Medicare drug pricing reforms authorized by the Inflation Reduction Act (IRA). These 2 policy agendas—industrial...
Over the past 2 weeks, I’ve examined the growing friction between the Section 232 pharmaceutical tariff investigations and the Medicare drug pricing reforms authorized by the Inflation Reduction Act (IRA). These 2 policy agendas—industrial...
Over the past 2 weeks, I’ve...
05/07/2025
First Report Managed Care

Trending Articles

Feature Story
A Better Way to Pay for Primary Care
05/31/2024
Mary Beth Nierengarten
A push for a hybrid payment model for primary care is gaining momentum, with advocates urging the CMS to implement changes to increase funding and improve outcomes for patients.
A push for a hybrid payment model for primary care is gaining momentum, with advocates urging the CMS to implement changes to increase funding and improve outcomes for patients.
A push for a hybrid payment...
05/31/2024
First Report Managed Care
Conference Coverage
Mepolizumab Treatment May Reduce Health Care Resource Utilization and OCS in Patients With CRSwNP
04/10/2024
Hannah Musick
Research that will be presented at AMCP 2024 suggests that mepolizumab treatment reduces health care costs and resource utilization in patients with chronic rhinosinusitis with nasal polyps.
Research that will be presented at AMCP 2024 suggests that mepolizumab treatment reduces health care costs and resource utilization in patients with chronic rhinosinusitis with nasal polyps.
Research that will be presented...
04/10/2024
First Report Managed Care
News
Keratoconus Appears to be Associated With Demodex Mites
05/16/2024
Jolynn Tumolo
Keratoconus, an eye disorder that leads to gradual curvature of the cornea, may be associated with Demodex infestation, suggests a small study published in the Oman Journal of Ophthalmology.
Keratoconus, an eye disorder that leads to gradual curvature of the cornea, may be associated with Demodex infestation, suggests a small study published in the Oman Journal of Ophthalmology.
Keratoconus, an eye disorder...
05/16/2024
First Report Managed Care
Alison Lum Headshot
Interview
Transforming Pharmacy Care and Drug Payment Models: Expert Insights From Asembia 2024
06/06/2024
Alison Lum, PharmD
In this interview, Alison Lum, PharmD, vice president of Pharmacy Services at Blue Shield, discussed the panel she moderated at Asembia 2024 and delved into drug payment options' challenges, including the limitations of copay cards and the...
In this interview, Alison Lum, PharmD, vice president of Pharmacy Services at Blue Shield, discussed the panel she moderated at Asembia 2024 and delved into drug payment options' challenges, including the limitations of copay cards and the...
In this interview, Alison Lum,...
06/06/2024
First Report Managed Care
Ashley Joseph
Conference Coverage
The Impact of AI on Infusion Patient Care and Operational Efficiency
07/22/2024
Ashley Joseph
NICA 2024 session speaker Ashley Joseph of LeanTaas shares insights on how AI technologies are revolutionizing infusion therapy operations, improving care coordination, and ultimately enhancing the patient experience in these critical care...
NICA 2024 session speaker Ashley Joseph of LeanTaas shares insights on how AI technologies are revolutionizing infusion therapy operations, improving care coordination, and ultimately enhancing the patient experience in these critical care...
NICA 2024 session speaker Ashley...
07/22/2024
First Report Managed Care

August 2014 Volume 11 Issue 8

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