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June 2015 - FRMC

Demystifying Pharmaceutical Pricing Strategies
07/14/2015
Lisa A. Tomaszewski, PhD
When the challenges of healthcare management are being discussed, inevitably the topic of drug costs finds its way into the conversation. Although skyrocketing drug costs seem like a burden of modern times, Alex Bastian, MBA, GfK Custom...
When the challenges of healthcare management are being discussed, inevitably the topic of drug costs finds its way into the conversation. Although skyrocketing drug costs seem like a burden of modern times, Alex Bastian, MBA, GfK Custom...
When the challenges of...
07/14/2015
First Report Managed Care
Conference Insider
Population Health Program Shares Best Practices
07/14/2015
Jill Sederstorm
Electronic health records (EHR) platform, creating workflows with automation and standardization, and optimizing the role of each team member to best apply their unique skill sets are all suggestions of Vicki DeBaca, DNS, RN, vice president...
Electronic health records (EHR) platform, creating workflows with automation and standardization, and optimizing the role of each team member to best apply their unique skill sets are all suggestions of Vicki DeBaca, DNS, RN, vice president...
Electronic health records (EHR)...
07/14/2015
First Report Managed Care
Conference Insider
Increasing Adherence, Patient Engagement with Virtual Health Assistants
07/14/2015
Eileen Koutnik-Fotopoulos
Non-adherence has been estimated to cost the US healthcare system between $100 billion and $289 billion annually in direct costs. 
Non-adherence has been estimated to cost the US healthcare system between $100 billion and $289 billion annually in direct costs. 
Non-adherence has been estimated...
07/14/2015
First Report Managed Care
Hospice Prevents Hospital Readmissions in Patients with Advanced Illness
07/14/2015
Mary Beth Nierengarten
Characteristics of hospice care places it in the best position to prevent hospital readmission, according to Joseph W. Shega, MD, regional medical director, VITAS Healthcare, who presented at the NAMCP forum. 
Characteristics of hospice care places it in the best position to prevent hospital readmission, according to Joseph W. Shega, MD, regional medical director, VITAS Healthcare, who presented at the NAMCP forum. 
Characteristics of hospice care...
07/14/2015
First Report Managed Care
Conference Insider
Value of Noninvasive Prenatal Testing in Pregnant Women
07/14/2015
Eileen Koutnik-Fotopoulos
Approximately 70% of women receive conventional screening such a maternal serum biochemical tests and fetal ultrasound markers to detect possible genetic abnormalities. However, data showed that the majority of patients with a positive result...
Approximately 70% of women receive conventional screening such a maternal serum biochemical tests and fetal ultrasound markers to detect possible genetic abnormalities. However, data showed that the majority of patients with a positive result...
Approximately 70% of women...
07/14/2015
First Report Managed Care
Concerns of the Emerging Biosimilars Market
07/14/2015
Mary Beth Nierengarten
The anticipated arrival of the first biosimilar in the United States came on March 6, 2015, with the FDA’s approval of ZarxioTM (filgras- tim-sndz).
The anticipated arrival of the first biosimilar in the United States came on March 6, 2015, with the FDA’s approval of ZarxioTM (filgras- tim-sndz).
The anticipated arrival of the...
07/14/2015
First Report Managed Care
Who Is Responsible for Financial Toxicity in Oncology Patients?
07/13/2015
Lisa A. Tomaszewski, PhD
Breakthroughs in oncology often come with a hefty price tag. The moment the diagnosis of cancer is given, patients understandably rush to accept any treatment option, regardless of cost.
Breakthroughs in oncology often come with a hefty price tag. The moment the diagnosis of cancer is given, patients understandably rush to accept any treatment option, regardless of cost.
Breakthroughs in oncology often...
07/13/2015
First Report Managed Care
Conference Insider
Treatment Options for MS Continue to Evolve
07/13/2015
Eileen Koutnik-Fotopoulos
Multiple sclerosis (MS) is an autoimmune, chronic inflammatory neuro- degenerative disorder of the central nervous system (CNS).
Multiple sclerosis (MS) is an autoimmune, chronic inflammatory neuro- degenerative disorder of the central nervous system (CNS).
Multiple sclerosis (MS) is an...
07/13/2015
First Report Managed Care
Conference Insider
Report Identifies Top Health Issues for Industry
07/13/2015
Eileen Koutnik-Fotopoulos
The $2.8 trillion US healthcare industry is undergoing a dramatic transformation.
The $2.8 trillion US healthcare industry is undergoing a dramatic transformation.
The $2.8 trillion US...
07/13/2015
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

June 2015 Volume 12 Issue 6

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