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February 2018 - FRMC

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The Return of Association Health Plans
02/16/2018
Dean Celia
The Trump administration wants to pave the way for the creation of more association health plans, in order to increase choice and lower costs. Opponents worry it will undermine the ACA marketplace.
The Trump administration wants to pave the way for the creation of more association health plans, in order to increase choice and lower costs. Opponents worry it will undermine the ACA marketplace.
The Trump administration wants...
02/16/2018
First Report Managed Care
Managed Care Q&A
Improving Outcomes With Patient Support Services
02/16/2018
David Costill
Arpan Patel, RPh, MBA, from Asembia outlined how Asembia’s patient support services platform can help patients, drugmakers, and payers.
Arpan Patel, RPh, MBA, from Asembia outlined how Asembia’s patient support services platform can help patients, drugmakers, and payers.
Arpan Patel, RPh, MBA, from...
02/16/2018
First Report Managed Care
Managed Care Update: Hospitals Become Drugmakers in an Effort to Cut Prices—But Will it Work?
02/14/2018
David Costill
A group of hospitals have announced that they will form their own drug manufacturing company to produce generic drugs that are often priced too high or out of supply.
A group of hospitals have announced that they will form their own drug manufacturing company to produce generic drugs that are often priced too high or out of supply.
A group of hospitals have...
02/14/2018
First Report Managed Care
Managed Care Q&A
Decision Support on Your Phone: Apps That Promote Better Guideline Adherence
02/13/2018
David Costill
We spoke with Jeff Dunn, DO, MBA, CEO of Redivus Health, about how decision support apps can make a significant impact in guideline adherence.
We spoke with Jeff Dunn, DO, MBA, CEO of Redivus Health, about how decision support apps can make a significant impact in guideline adherence.
We spoke with Jeff Dunn, DO,...
02/13/2018
First Report Managed Care
Data Sharing: Navigating New FDA HCEI Rules
02/09/2018
Eileen Koutnik-Fotopoulos
Last year the FDA issued new draft guidance for communication between payers and pharmaceutical companies.
Last year the FDA issued new draft guidance for communication between payers and pharmaceutical companies.
Last year the FDA issued new...
02/09/2018
First Report Managed Care
Formulary Frontlines®
Psoriasis: Understanding the Burden and Drug Targets
02/05/2018
Julia Jarmoszko, PharmD, MBA
Significant progress has been made in understanding the burden of the psoriasis and how it is treated.
Significant progress has been made in understanding the burden of the psoriasis and how it is treated.
Significant progress has been...
02/05/2018
First Report Managed Care
Conference Insider
New Guidelines Could Increase Access to Crucial Treatments for Stroke
02/01/2018
According to research released at the ASA’s International Stroke Conference 2018, new guidelines for treating acute ischemic stroke significantly increase the window for mechanical clot removal, from 6 hours to 24 hours—likely increasing the...
According to research released at the ASA’s International Stroke Conference 2018, new guidelines for treating acute ischemic stroke significantly increase the window for mechanical clot removal, from 6 hours to 24 hours—likely increasing the...
According to research released...
02/01/2018
First Report Managed Care
Conference Insider
Blood Pressure and Cholesterol Drug Combinations Could Help Prevent Stroke
02/01/2018
Research presented during the ASA’s International Stroke Conference 2018 found that combining medication that lowers blood pressure with medication that lowers cholesterol significantly reduced the prevalence of first-time strokes. 
Research presented during the ASA’s International Stroke Conference 2018 found that combining medication that lowers blood pressure with medication that lowers cholesterol significantly reduced the prevalence of first-time strokes. 
Research presented during the...
02/01/2018
First Report Managed Care
Conference Insider
Radiation Therapy Cost-Effective in Patients With Early-Stage Breast Cancer
02/01/2018
According to the results of a study presented at the 2017 San Antonio Breast Cancer Symposium, overall costs of radiation therapy for early-stage breast cancer do not burden the health care system when analyzed in relation to survival...
According to the results of a study presented at the 2017 San Antonio Breast Cancer Symposium, overall costs of radiation therapy for early-stage breast cancer do not burden the health care system when analyzed in relation to survival...
According to the results of a...
02/01/2018
First Report Managed Care
Conference Insider
Guideline Concordant Treatments For Early-Stage Breast Cancer Associated with Lower Costs
02/01/2018
Nearly one in five women with early-stage breast cancer received guideline-discordant treatment, usually with regards to chemotherapy use, according to research presented at the 2017 San Antonio Breast Cancer Symposium.
Nearly one in five women with early-stage breast cancer received guideline-discordant treatment, usually with regards to chemotherapy use, according to research presented at the 2017 San Antonio Breast Cancer Symposium.
Nearly one in five women with...
02/01/2018
First Report Managed Care
Conference Insider
Breast Cancer Screening May Reduce More Than Mortality Rates
02/01/2018
Research presented at the 2017 San Antonio Breast Cancer Symposium found that breast cancer screening was associated with a reduction in a number of surgical and treatment procedures associated with breast cancer treatment.
Research presented at the 2017 San Antonio Breast Cancer Symposium found that breast cancer screening was associated with a reduction in a number of surgical and treatment procedures associated with breast cancer treatment.
Research presented at the 2017...
02/01/2018
First Report Managed Care
Conference Insider
Oncologists Significantly Underestimate Benefits of Estrogen Therapy
02/01/2018
According to a poster presented at the 2017 San Antonio Breast Cancer Symposium, surveyed oncologists significantly underestimate the benefits of various estrogen blockade therapies.
According to a poster presented at the 2017 San Antonio Breast Cancer Symposium, surveyed oncologists significantly underestimate the benefits of various estrogen blockade therapies.
According to a poster presented...
02/01/2018
First Report Managed Care
Conference Insider
Digital Breast Tomosynthesis Largely Cost-Effective Compared with Digital Mammography
02/01/2018
The use of digital breast tomosynthesis (DBT) decreased false-positive rates while increasing true-negative rates when compared with traditional digital mammography (DM), according to the results of a single-institution study presented at the...
The use of digital breast tomosynthesis (DBT) decreased false-positive rates while increasing true-negative rates when compared with traditional digital mammography (DM), according to the results of a single-institution study presented at the...
The use of digital breast...
02/01/2018
First Report Managed Care
Conference Insider
Preview of PBMI 2018 National Conference
02/01/2018
On March 5-7, 2018, the Pharmacy Benefit Management Institute’s (PBMI) 2018 National Conference in Palm Spring California will be the 23rd annual drug benefit conference that the institute has put on.
On March 5-7, 2018, the Pharmacy Benefit Management Institute’s (PBMI) 2018 National Conference in Palm Spring California will be the 23rd annual drug benefit conference that the institute has put on.
On March 5-7, 2018, the Pharmacy...
02/01/2018
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
First Report Managed Care

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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

February 2018 Volume 15 Issue 2

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