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March 2015 - FRMC

Department
Product Spotlight: Otezla® (apremilast)
03/16/2015
First Report Managed Care highlighted the clinical trials that evaluated the safety and effectivenss of apremilast for plaque psoriasis.
First Report Managed Care highlighted the clinical trials that evaluated the safety and effectivenss of apremilast for plaque psoriasis.
First Report Managed Care...
03/16/2015
First Report Managed Care
Literature Review: Opioid-Induced Constipation
03/16/2015
These studies focus on the causes, consequences, and management of opioid-induced constipation.
These studies focus on the causes, consequences, and management of opioid-induced constipation.
These studies focus on the...
03/16/2015
First Report Managed Care
Health Economic and Outcomes Research: Canagliflozin for Type 2 Diabetes
03/16/2015
First Report Managed Care conducted a review of health economic and outcomes research data and identified 3 studies that examined these criteria.
First Report Managed Care conducted a review of health economic and outcomes research data and identified 3 studies that examined these criteria.
First Report Managed Care...
03/16/2015
First Report Managed Care
Adherence and Costs among Epilepsy Regimens
03/16/2015
Kerri Fitzgerald
A study found that patients with epilepsy who received a non-controlled antiepileptic drug (AED) had stronger medication adherence and lower total medical costs compared with patients treated with controlled AEDs.
A study found that patients with epilepsy who received a non-controlled antiepileptic drug (AED) had stronger medication adherence and lower total medical costs compared with patients treated with controlled AEDs.
A study found that patients with...
03/16/2015
First Report Managed Care
News
HIV-Infected Veterans Have Higher Rates of Medicare/Medicaid Enrollment
03/16/2015
Kerri Fitzgerald
A substantial proportion of veterans are dually enrolled in the Veterans Affairs (VA) healthcare system as well as Medicare and/or Medicaid, which leads to care received inside and outside of the VA. However, the use of non-VA healthcare...
A substantial proportion of veterans are dually enrolled in the Veterans Affairs (VA) healthcare system as well as Medicare and/or Medicaid, which leads to care received inside and outside of the VA. However, the use of non-VA healthcare...
A substantial proportion of...
03/16/2015
Veterans Health Today
News
Improved RA Lipid Profile Associated with Decreased Inflammation
03/16/2015
Mary Mihalovic
Patients with rheumatoid arthritis showed overall improvement in lipid profiles despite an increase in low-density lipoprotein cholesterol levels when they experienced a decrease in inflammation.
Patients with rheumatoid arthritis showed overall improvement in lipid profiles despite an increase in low-density lipoprotein cholesterol levels when they experienced a decrease in inflammation.
Patients with rheumatoid...
03/16/2015
First Report Managed Care
News
Study Finds Overall Vaccination Rates Remain Low
03/16/2015
Mary Mihalovic
Overall vaccination coverage rates remain low, and with the Advisory Committee on Immunization Practices’ 2015 recommended immunization schedule for adults ≥19 years of age, comes a reminder to healthcare providers that their recommendations...
Overall vaccination coverage rates remain low, and with the Advisory Committee on Immunization Practices’ 2015 recommended immunization schedule for adults ≥19 years of age, comes a reminder to healthcare providers that their recommendations...
Overall vaccination coverage...
03/16/2015
First Report Managed Care
News
Budget Analysis of Addition of Riociguat for PAH and CTEPH
03/16/2015
Mary Beth Nierengarten
Results of a budgetary impact model study showed that the addition of riociguat to treat patients with PAH or CTEPH offers US health plans an additional treatment for these conditions that is safe, effective, and associated with minimal...
Results of a budgetary impact model study showed that the addition of riociguat to treat patients with PAH or CTEPH offers US health plans an additional treatment for these conditions that is safe, effective, and associated with minimal...
Results of a budgetary impact...
03/16/2015
First Report Managed Care
News Connection
Study Finds Lisdexamfetamine Dimesylate Decreases Binge-Eating Episodes
03/16/2015
Kerri Fitzgerald
A recent study found that treatment with lisdexamfetamine dimesylate led to a decrease in binge-eating days for patients with binge-eating disorder compared with placebo.
A recent study found that treatment with lisdexamfetamine dimesylate led to a decrease in binge-eating days for patients with binge-eating disorder compared with placebo.
A recent study found that...
03/16/2015
First Report Managed Care
News Connection
Analyzing Subsidies and Cost-Sharing Under the ACA
03/16/2015
Kerri Fitzgerald
A recent report examined the subsidies and cost-sharing under the ACA, specifically regarding silver plan options on the exchange.
A recent report examined the subsidies and cost-sharing under the ACA, specifically regarding silver plan options on the exchange.
A recent report examined the...
03/16/2015
First Report Managed Care
Handling National Drug Shortages
03/16/2015
Kerri Fitzgerald
Though the rate of national drug shortages has decreased over time since hitting a high in 2011, the ongoing shortages are not being resolved and continue to impact patients, clinicians, and health systems.
Though the rate of national drug shortages has decreased over time since hitting a high in 2011, the ongoing shortages are not being resolved and continue to impact patients, clinicians, and health systems.
Though the rate of national drug...
03/16/2015
First Report Managed Care
Healthcare Coverage Grows in Second Year of Enrollment
03/16/2015
Eileen Koutnik-Fotopoulos
The latest tally shows that more than 11 million people signed up for private health insurance coverage under the Patient Protection and Affordable Care Act, as the Centers for Medicare & Medicaid Services held a special enrollment period for...
The latest tally shows that more than 11 million people signed up for private health insurance coverage under the Patient Protection and Affordable Care Act, as the Centers for Medicare & Medicaid Services held a special enrollment period for...
The latest tally shows that more...
03/16/2015
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

Shannon Smith, RN, BSN
Commentary
Navigating the CY 2025 CMS Physician Fee Schedule Proposals: Strategic Insights for Health Care Leaders
09/30/2024
Shannon Smith, RN, BSN
The Centers for Medicare & Medicaid Services (CMS) has released its calendar year (CY) 2025 physician fee schedule proposals. In this commentary, an expert breaks down the key components and their implications for health care organizations.
The Centers for Medicare & Medicaid Services (CMS) has released its calendar year (CY) 2025 physician fee schedule proposals. In this commentary, an expert breaks down the key components and their implications for health care organizations.
The Centers for Medicare &...
09/30/2024
First Report Managed Care
Behind the Bill
Unpredictable Polls and Uncharted Policies in the 2024 Elections
10/23/2024
Katie Hayes, MJ
With the 2024 elections just 13 days away, everyone has one question: What happens next? The stakes are particularly high for health policy, but there’s a cloud of uncertainty hanging over the predictions—especially when it comes to polling...
With the 2024 elections just 13 days away, everyone has one question: What happens next? The stakes are particularly high for health policy, but there’s a cloud of uncertainty hanging over the predictions—especially when it comes to polling...
With the 2024 elections just 13...
10/23/2024
First Report Managed Care
News
Latest Formulary Exclusions from Top PBMs Demonstrate Issues in the Drug Pricing Landscape
02/21/2024
Dean Celia
Experts highlight the impact of the "warped incentives" in drug pricing's gross-to-net bubble, revealing that despite significant discounts, certain biosimilars are excluded from the formularies of major pharmacy benefit managers, leading to...
Experts highlight the impact of the "warped incentives" in drug pricing's gross-to-net bubble, revealing that despite significant discounts, certain biosimilars are excluded from the formularies of major pharmacy benefit managers, leading to...
Experts highlight the impact of...
02/21/2024
First Report Managed Care
Owens
Podcasts
Understanding the Impact of Formulary Exclusions on Medication Adherence
03/28/2024

Featuring Gary Owens, MD, president of Gary Owens Associates

Featuring Gary Owens, MD, presid...
Join us as guest expert Gary Owens discusses how formulary exclusions can impact patient medication adherence and lead to adverse economic outcomes, making the need for non-medical switching and formulary exception requests an important issue...
Join us as guest expert Gary Owens discusses how formulary exclusions can impact patient medication adherence and lead to adverse economic outcomes, making the need for non-medical switching and formulary exception requests an important issue...
Join us as guest expert Gary...
03/28/2024
First Report Managed Care
Conference Coverage
Pharmaceutical Industry Trend and Prediction Highlights from AMCP 2024
04/26/2024
Hannah Musick
A keynote session at AMCP 2024 outlined pharmaceutical industry trends and predictions for pharmacy benefits management (PBMs), including challenges and disruptors like the Inflation Reduction Act (IRA), changing consumer preferences, rising...
A keynote session at AMCP 2024 outlined pharmaceutical industry trends and predictions for pharmacy benefits management (PBMs), including challenges and disruptors like the Inflation Reduction Act (IRA), changing consumer preferences, rising...
A keynote session at AMCP 2024...
04/26/2024
First Report Managed Care

March 2015 Volume 12 Issue 3

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Editorial Correspondence

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