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January 2015 - FRMC

Department
Product Spotlight: Invokana® (canagliflozin)
01/20/2015
Eileen Koutnik-Fotopoulos
Janssen Pharmaceuticals, Inc.’s Invokana® (canagliflozin) was approved by the FDA .
Janssen Pharmaceuticals, Inc.’s Invokana® (canagliflozin) was approved by the FDA .
Janssen Pharmaceuticals, Inc.’s...
01/20/2015
First Report Managed Care
Department
Literature Review: Ulcerative Colitis
01/20/2015
Eileen Koutnik-Fotopoulos
Ulcerative colitis (UC) is a chronic inflammatory disease of unknown etiology and pathogenesis.
Ulcerative colitis (UC) is a chronic inflammatory disease of unknown etiology and pathogenesis.
Ulcerative colitis (UC) is a...
01/20/2015
First Report Managed Care
Exploring Drug Interactions in Older Adult Patients
01/20/2015
Eileen Koutnik-Fotopoulos
Drug interactions in older adults is a significant topic of concern for those managing medications in this vulnerable patient population.
Drug interactions in older adults is a significant topic of concern for those managing medications in this vulnerable patient population.
Drug interactions in older...
01/20/2015
First Report Managed Care
Conference Insider
Progress Continues for Dementia Initiative to Reduce Antipsychotics
01/20/2015
Eileen Koutnik-Fotopoulos
Many of the diagnoses in nursing homes do not merit antipsychotics, but they are still prescribed.
Many of the diagnoses in nursing homes do not merit antipsychotics, but they are still prescribed.
Many of the diagnoses in nursing...
01/20/2015
First Report Managed Care
Conference Insider
New Links in the Risk for Alzheimer’s Disease
01/20/2015
Eileen Koutnik-Fotopoulos
The search for an effective treatment for Alzheimer’s disease (AD) has been elusive. While beta-amyloid and phosphorylated tau protein have been research targets, the positive results of early trials have not been validated.
The search for an effective treatment for Alzheimer’s disease (AD) has been elusive. While beta-amyloid and phosphorylated tau protein have been research targets, the positive results of early trials have not been validated.
The search for an effective...
01/20/2015
First Report Managed Care
Implications of the ACA, New Care Models for Pharmacists
01/20/2015
Eileen Koutnik-Fotopoulos
Conversations related to accountable care organizations and other emerging models of care rarely address pharmacists or medication management.
Conversations related to accountable care organizations and other emerging models of care rarely address pharmacists or medication management.
Conversations related to...
01/20/2015
First Report Managed Care
Conference Insider
Using Data to Improve Clinical and Financial Outcomes
01/20/2015
Kerri Fitzgerald
With the growing implementation of electronic health records, patient data collection and integration has come to the forefront of healthcare management.
With the growing implementation of electronic health records, patient data collection and integration has come to the forefront of healthcare management.
With the growing implementation...
01/20/2015
First Report Managed Care
Conference Insider
The Importance of Post-Acute Care
01/20/2015
Kerri Fitzgerald
Studies have shown that patients who receive post-acute care following a major medical event have improved clinical outcomes compared with patients who are discharged without follow-up care. Post-acute care can take place in settings such as...
Studies have shown that patients who receive post-acute care following a major medical event have improved clinical outcomes compared with patients who are discharged without follow-up care. Post-acute care can take place in settings such as...
Studies have shown that patients...
01/20/2015
First Report Managed Care
Conference Insider
Diagnostic Challenges and Treatment Considerations for IBD
01/20/2015
Kerri Fitzgerald
Irritable bowel disease is a chronic intestinal inflammation, typically labeled under 2 umbrella terms: Crohn’s disease and ulcerative colitis.
Irritable bowel disease is a chronic intestinal inflammation, typically labeled under 2 umbrella terms: Crohn’s disease and ulcerative colitis.
Irritable bowel disease is a...
01/20/2015
First Report Managed Care
Improving Cancer Care and Tackling Mounting Costs
01/20/2015
Kerri Fitzgerald
Cancer is the most costly area of care, with costs increasing at 2 to 3 times the rate of other medical conditions. And while the mortality rates associated with cancer are decreasing, the decline is slower than other conditions, such as...
Cancer is the most costly area of care, with costs increasing at 2 to 3 times the rate of other medical conditions. And while the mortality rates associated with cancer are decreasing, the decline is slower than other conditions, such as...
Cancer is the most costly area...
01/20/2015
First Report Managed Care
Conference Insider
Is Sitting Just As Dangerous As Smoking?
01/20/2015
Kerri Fitzgerald
Emerging research has indicated that it is possible to meet current daily physical activity guidelines while still being too sedentary, which increases the risk of death and disease despite physical activity that is taking place.
Emerging research has indicated that it is possible to meet current daily physical activity guidelines while still being too sedentary, which increases the risk of death and disease despite physical activity that is taking place.
Emerging research has indicated...
01/20/2015
First Report Managed Care
Conference Insider
Risks Associated with Statin Therapy
01/20/2015
Melissa D. Cooper
While statins have been successful in lowering low-density lipoprotein cholesterol, there are also overlooked risks.
While statins have been successful in lowering low-density lipoprotein cholesterol, there are also overlooked risks.
While statins have been...
01/20/2015
First Report Managed Care
Weight Management in Diabetes Patients
01/20/2015
Melissa D. Cooper
Weight management is crucial to successfully managing diabetes. 
Weight management is crucial to successfully managing diabetes. 
Weight management is crucial to...
01/20/2015
First Report Managed Care
Weight Gain in Menopausal Women
01/20/2015
Melissa D. Cooper
Menopausal and postmenopausal women struggle with weight management, as 65% of women 40 to 59 years of age and 73.8% of women ≥60 years of age are considered obese.
Menopausal and postmenopausal women struggle with weight management, as 65% of women 40 to 59 years of age and 73.8% of women ≥60 years of age are considered obese.
Menopausal and postmenopausal...
01/20/2015
First Report Managed Care
Conference Insider
Best Practices for Prescribing Combination Therapy for Glycemic Control
01/20/2015
Eileen Koutnik-Fotopoulos
Metformin is the recommended initial treatment for patients with type 2 diabetes who are unable to reach glycemic control via lifestyle modifications; however, identifying best practices for prescribing second- and third-line diabetes agents...
Metformin is the recommended initial treatment for patients with type 2 diabetes who are unable to reach glycemic control via lifestyle modifications; however, identifying best practices for prescribing second- and third-line diabetes agents...
Metformin is the recommended...
01/20/2015
First Report Managed Care
Initiating Insulin Therapy
01/20/2015
Eileen Koutnik-Fotopoulos
It can be challenging for both the patient and provider when diabetes treatment is escalated to include insulin.
It can be challenging for both the patient and provider when diabetes treatment is escalated to include insulin.
It can be challenging for both...
01/20/2015
First Report Managed Care
Addressing the Obesity Paradox in CVD
01/20/2015
Eileen Koutnik-Fotopoulos
Obesity is increasing in epidemic proportions, as 70% of adults in the United States are overweight or obese. Obesity is associated with numerous comorbidities, including major cardiovascular diseases.
Obesity is increasing in epidemic proportions, as 70% of adults in the United States are overweight or obese. Obesity is associated with numerous comorbidities, including major cardiovascular diseases.
Obesity is increasing in...
01/20/2015
First Report Managed Care
Conference Insider
Treating Resistant Hypertension
01/20/2015
Eileen Koutnik-Fotopoulos
Poor blood pressure control is one of the most common risk factors for death worldwide, as it is responsible for 62% of cases of cerebral vascular disease and 49% of cases of ischemic heart disease.
Poor blood pressure control is one of the most common risk factors for death worldwide, as it is responsible for 62% of cases of cerebral vascular disease and 49% of cases of ischemic heart disease.
Poor blood pressure control is...
01/20/2015
First Report Managed Care
Conference Insider
Managing Cardiometabolic Risk in the Younger Population
01/20/2015
Eileen Koutnik-Fotopoulos
Recent evidence indicates that cardiometabolic risk begins in childhood. Early identification, prevention, and treatment are key to slowing the epidemic of cardiometabolic syndrome in adults.
Recent evidence indicates that cardiometabolic risk begins in childhood. Early identification, prevention, and treatment are key to slowing the epidemic of cardiometabolic syndrome in adults.
Recent evidence indicates that...
01/20/2015
First Report Managed Care
News Connection
Recurrent Acute MI Hospitalizations among Medicare Beneficiaries
01/20/2015
Kerri Fitzgerald
In a national sample of Medicare beneficiaries, a study found that the rate of recurrent hospitalizations for acute myocardial infarction has decreased in recent years, according to a recent study.
In a national sample of Medicare beneficiaries, a study found that the rate of recurrent hospitalizations for acute myocardial infarction has decreased in recent years, according to a recent study.
In a national sample of Medicare...
01/20/2015
First Report Managed Care
Drug Reimbursement Policy Impacts Testosterone Therapy Prescribing
01/20/2015
Eileen Koutnik-Fotopoulos
Prescribing of testosterone to older men has increased with the availability of topical formulations; however, the magnitude of this increase and the impact of formulary restrictions on testosterone prescribing are poorly characterized.
Prescribing of testosterone to older men has increased with the availability of topical formulations; however, the magnitude of this increase and the impact of formulary restrictions on testosterone prescribing are poorly characterized.
Prescribing of testosterone to...
01/20/2015
First Report Managed Care
News Connection
USPSTF Evidence Review on Screening and Treatment of Thyroid Dysfunction
01/20/2015
Mary Beth Nierengarten
Results of an updated United States Preventive Services Task Force evidence review of the literature concluded that more research is needed to determine the clinical benefits associated with thyroid screening.
Results of an updated United States Preventive Services Task Force evidence review of the literature concluded that more research is needed to determine the clinical benefits associated with thyroid screening.
Results of an updated United...
01/20/2015
First Report Managed Care
News Connection
ACP Recommendations for Recurrent Nephrolithiasis
01/20/2015
Mary Beth Nierengarten
A systematic literature review was conducted to develop a clinical practice guideline for the dietary and pharmacologic management to prevent nephrolithiasis.
A systematic literature review was conducted to develop a clinical practice guideline for the dietary and pharmacologic management to prevent nephrolithiasis.
A systematic literature review...
01/20/2015
First Report Managed Care
News Connection
ACP Recommendations for Recurrent Nephrolithiasis
01/20/2015
Mary Beth Nierengarten
A systematic literature review was conducted to develop a clinical practice guideline for the dietary and pharmacologic management to prevent nephrolithiasis.
A systematic literature review was conducted to develop a clinical practice guideline for the dietary and pharmacologic management to prevent nephrolithiasis.
A systematic literature review...
01/20/2015
First Report Managed Care
News Connection
Survey: Majority of Uninsured Individuals were Unaware of When Open Enrollment Began
01/20/2015
Kerri Fitzgerald
A poll, which took place 1 week prior to when 2015 open enrollment began, found that 89% of uninsured individuals were unsure of when open enrollment started. Another 10% of respondents said they thought open enrollment began sometime in...
A poll, which took place 1 week prior to when 2015 open enrollment began, found that 89% of uninsured individuals were unsure of when open enrollment started. Another 10% of respondents said they thought open enrollment began sometime in...
A poll, which took place 1 week...
01/20/2015
First Report Managed Care
10 Years Since ACOs were Implemented: How Far Have They Come?
01/20/2015
Kerri Fitzgerald
The first accountable care organizations were implemented in 2005, beginning with just 10 large multispecialty groups of approximately 5000 physicians.
The first accountable care organizations were implemented in 2005, beginning with just 10 large multispecialty groups of approximately 5000 physicians.
The first accountable care...
01/20/2015
First Report Managed Care
Employee Wellness Programs Gaining Popularity
01/20/2015
Eileen Koutnik-Fotopoulos
Implementation of employee-based wellness programs is gaining momentum, particularly due to the passage of the Patient Protection and Affordable Care Act.
Implementation of employee-based wellness programs is gaining momentum, particularly due to the passage of the Patient Protection and Affordable Care Act.
Implementation of employee-based...
01/20/2015
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

Advancements and Challenges in Diabetes Management
02/29/2024
02/29/2024
First Report Managed Care
News
LGBT Adults Face Higher Rates of Discrimination and Unfair Treatment in Health Care
04/05/2024
Hannah Musick
A Kaiser Family Foundation (KFF) report reveals the significant discrimination and unfair treatment faced by LGBT adults in the US, impacting mental health and access to health care, particularly for younger, lower-income, and women within...
A Kaiser Family Foundation (KFF) report reveals the significant discrimination and unfair treatment faced by LGBT adults in the US, impacting mental health and access to health care, particularly for younger, lower-income, and women within...
A Kaiser Family Foundation (KFF)...
04/05/2024
First Report Managed Care
News
Demodex Infestation Found in 9 of 10 Eye Clinic Patients Using 2-Minute Technique
05/09/2024
Jolynn Tumolo
Demodex mites were found in the eyelashes of 94% of patients examined with a simple diagnostic technique at a standard ophthalmic practice, according to a study published online in the journal Clinical Ophthalmology.
Demodex mites were found in the eyelashes of 94% of patients examined with a simple diagnostic technique at a standard ophthalmic practice, according to a study published online in the journal Clinical Ophthalmology.
Demodex mites were found in the...
05/09/2024
First Report Managed Care
Conference Coverage
Administrative Health Claims Data Study Highlights Demographics of Patients With Multiple Sclerosis in the US
05/31/2024
Grace Taylor, MS, MA
A new study highlights demographic data on subpopulations of people with multiple sclerosis (MS) in the US based on findings from administrative health claims (AHC) data sets.
A new study highlights demographic data on subpopulations of people with multiple sclerosis (MS) in the US based on findings from administrative health claims (AHC) data sets.
A new study highlights...
05/31/2024
First Report Managed Care
Blog
Why We’re Already Thinking Ahead to 2028 Part B Drug Price Negotiations
07/18/2024
Katie Hayes, MJ
Learn why industry stakeholders should prepare for 2028 negotiations now to ensure long-term financial stability and regulatory compliance.
Learn why industry stakeholders should prepare for 2028 negotiations now to ensure long-term financial stability and regulatory compliance.
Learn why industry stakeholders...
07/18/2024
First Report Managed Care

January 2015 Volume 12 Issue 1

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