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March 2018 - FRMC

Featured Article

Managed Care Innovator: Jane Lutz - Part 2
03/16/2018
Dean Celia
First Report Managed Care spoke with Jane Lutz, PBMI’s executive director, about the recent merging of large PBMs with payers, like Express Scripts and Cigna, and how these changes will impact managed care.
First Report Managed Care spoke with Jane Lutz, PBMI’s executive director, about the recent merging of large PBMs with payers, like Express Scripts and Cigna, and how these changes will impact managed care.
First Report Managed Care spoke...
03/16/2018
First Report Managed Care
Managed Care Innovator: Jane Lutz - Part 1
03/16/2018
Dean Celia
Jane Lutz, executive director of PBMI, draws her on organization’s independent research to reveal what stakeholders expect of pharmacy benefits managers, how transparency (or lack thereof) factors in, and where PBMs need to step up.
Jane Lutz, executive director of PBMI, draws her on organization’s independent research to reveal what stakeholders expect of pharmacy benefits managers, how transparency (or lack thereof) factors in, and where PBMs need to step up.
Jane Lutz, executive director of...
03/16/2018
First Report Managed Care
Conference Insider
Atopic Dermatitis ED Visits Common, Costly
04/04/2018
A poster presented at the AAD 2018 Annual Meeting found that atopic dermatitis is a costly driver of increased emergency department (ED) utilization.
A poster presented at the AAD 2018 Annual Meeting found that atopic dermatitis is a costly driver of increased emergency department (ED) utilization.
A poster presented at the AAD...
04/04/2018
First Report Managed Care
Conference Insider
High Dermatologist Areas Associated With Increased Medicare Utilization, Costs
04/04/2018
According to a recent presentation at the AAD 2018 Annual Meeting measured the impact of dermatologist density on Medicare costs and utilization throughout the United States.
According to a recent presentation at the AAD 2018 Annual Meeting measured the impact of dermatologist density on Medicare costs and utilization throughout the United States.
According to a recent...
04/04/2018
First Report Managed Care
Department
Preview of AMCP Annual Meeting 2018
04/04/2018
Meeting Preview: Get ready to be a part of the largest gathering of managed care and specialty pharmacy experts at the AMCP 2018 Annual Meeting. This year’s AMCP spring meeting will take place April 23 to April 26 at the Boston Convention...
Meeting Preview: Get ready to be a part of the largest gathering of managed care and specialty pharmacy experts at the AMCP 2018 Annual Meeting. This year’s AMCP spring meeting will take place April 23 to April 26 at the Boston Convention...
Meeting Preview: Get ready to...
04/04/2018
First Report Managed Care
News Connection
Apple Launching Employee Health Clinics, Integrated Health Plans
04/04/2018
On the heels of a similar announcement by Amazon, JPMorgan, and Berkshire Hathaway, Apple has announced it will launch a group of health clinics for its employees and their families, according to recent reports.
On the heels of a similar announcement by Amazon, JPMorgan, and Berkshire Hathaway, Apple has announced it will launch a group of health clinics for its employees and their families, according to recent reports.
On the heels of a similar...
04/04/2018
First Report Managed Care
News Connection
Aetna Report Identifies Drivers of Shift to Value-Based Care
04/04/2018
A recent report from Aetna outlined how a myriad of factors, including care integration, technology, and payer collaborations, are influencing the shift toward value-based care.
A recent report from Aetna outlined how a myriad of factors, including care integration, technology, and payer collaborations, are influencing the shift toward value-based care.
A recent report from Aetna...
04/04/2018
First Report Managed Care
News Connection
VA EHR Proposal Would Link Records With Private Providers
04/04/2018
A new rule released by The Department of Veterans Affairs (VA) aims to make it easier for the VA to share patient records via electronic health records (EHR) systems between the agency and private providers.
A new rule released by The Department of Veterans Affairs (VA) aims to make it easier for the VA to share patient records via electronic health records (EHR) systems between the agency and private providers.
A new rule released by The...
04/04/2018
First Report Managed Care
News Connection
Senate Significantly Changes VA Choice Bill Ahead of Vote
04/04/2018
Bipartisan legislation to reform and expand the VA Choice program was recently changed in order to take in to consideration proposals from the Trump Administration.
Bipartisan legislation to reform and expand the VA Choice program was recently changed in order to take in to consideration proposals from the Trump Administration.
Bipartisan legislation to reform...
04/04/2018
First Report Managed Care
News Connection
VA Announces New Steps to Improve Low-Performing Health Centers
04/04/2018
The Department of Veterans Affairs (VA) recently announced it will aggressively implement new strategies to improve the quality of care at low-performing medical centers throughout the country. 
The Department of Veterans Affairs (VA) recently announced it will aggressively implement new strategies to improve the quality of care at low-performing medical centers throughout the country. 
The Department of Veterans...
04/04/2018
First Report Managed Care
News Connection
Successful Diabetes Pill Trials Signal Big Change for Diabetes Treatment
04/04/2018
Novo Nordisk recently announced that clinical trials for its semaglutide pill found that the drug is more effective and better tolerated than expected.
Novo Nordisk recently announced that clinical trials for its semaglutide pill found that the drug is more effective and better tolerated than expected.
Novo Nordisk recently announced...
04/04/2018
First Report Managed Care
News Connection
Payers Spend Less for Chemotherapy in Physician Offices vs Hospitals
04/04/2018
A recent study in JAMA Oncology found that chemotherapy costs were lower when the treatments were administered at physician’s offices and higher in hospital outpatient facilities. 
A recent study in JAMA Oncology found that chemotherapy costs were lower when the treatments were administered at physician’s offices and higher in hospital outpatient facilities. 
A recent study in JAMA Oncology...
04/04/2018
First Report Managed Care
News Connection
TAVR Improves Quality of Life Compared With Surgery
04/04/2018
A study in Age and Ageing found that patients who receive the minimally invasive procedure transcatheter aortic valve replacement (TAVR) had improved quality of life compared with patients who underwent surgery.
A study in Age and Ageing found that patients who receive the minimally invasive procedure transcatheter aortic valve replacement (TAVR) had improved quality of life compared with patients who underwent surgery.
A study in Age and Ageing found...
04/04/2018
First Report Managed Care
Formulary Frontlines®
Severe Asthma: New Biologics Improve Standard of Care, Increase Costs
03/12/2018
David Costill
Recent advances in the ability to treat moderate to severe asthma with targeted therapies may change the game for these patients. However, cost considerations could significantly impact budgets as these new agents come to the market. 
Recent advances in the ability to treat moderate to severe asthma with targeted therapies may change the game for these patients. However, cost considerations could significantly impact budgets as these new agents come to the market. 
Recent advances in the ability...
03/12/2018
First Report Managed Care
News
The Impact of New Medicaid Work Requirements
03/09/2018
Mary Beth Nierengarten
CMS recently announced its new policy guidance for states that wish to apply for a waiver to make Medicaid eligibility contingent on work or community engagement.
CMS recently announced its new policy guidance for states that wish to apply for a waiver to make Medicaid eligibility contingent on work or community engagement.
CMS recently announced its new...
03/09/2018
First Report Managed Care
Generics for HIV: Complex Barriers Impede the Uptake
03/06/2018
Jill Sederstorm
A number of barriers are keeping patients from gaining access to cheaper, generic versions of HIV treatment medications.
A number of barriers are keeping patients from gaining access to cheaper, generic versions of HIV treatment medications.
A number of barriers are keeping...
03/06/2018
First Report Managed Care
Conference Insider
High Rates of Skin Disease Readmission Represent Significant Cost Burden
03/04/2018
Recent research presented at the AAD 2018 Annual Meeting found that rates of readmission for skin disease are increasing and represent a massive financial burden for the United States health care system.
Recent research presented at the AAD 2018 Annual Meeting found that rates of readmission for skin disease are increasing and represent a massive financial burden for the United States health care system.
Recent research presented at the...
03/04/2018
First Report Managed Care
Viewpoint
How Integrated Communication Platforms Can Drive Value for Payers
03/02/2018
Lee Horner
Lee Horner explains how payers can invest in technology solutions that return investment and result in long-term gains. 
Lee Horner explains how payers can invest in technology solutions that return investment and result in long-term gains. 
Lee Horner explains how payers...
03/02/2018
First Report Managed Care
News
Managed Care Update: Amazon, Berkshire, JPMorgan Deal Could Completely Change Health Care
02/01/2018
David Costill
First Report Managed Care spoke with managed care experts about how the Amazon, Berkshire, JPMorgan venture will likely take shape.
First Report Managed Care spoke with managed care experts about how the Amazon, Berkshire, JPMorgan venture will likely take shape.
First Report Managed Care spoke...
02/01/2018
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

News
Comparative Effectiveness for Bronchodilator Responsiveness Testing
02/09/2024
Emry Lloyd
A new study compares the efficacy of salbutamol administration via a nebulizer vs a metered-dose inhaler with a spacer for bronchodilator responsiveness testing.
A new study compares the efficacy of salbutamol administration via a nebulizer vs a metered-dose inhaler with a spacer for bronchodilator responsiveness testing.
A new study compares the...
02/09/2024
First Report Managed Care
News
Trial to Test CAR T-Cell Therapy for Refractory Progressive MS
03/18/2024
Jolynn Tumolo
An autologous, fully human CD19 chimeric antigen receptor (CAR) T-cell product candidate recently received clearance from the US Food and Drug Administration (FDA) as an investigational new drug for the treatment of patients with refractory...
An autologous, fully human CD19 chimeric antigen receptor (CAR) T-cell product candidate recently received clearance from the US Food and Drug Administration (FDA) as an investigational new drug for the treatment of patients with refractory...
An autologous, fully human CD19...
03/18/2024
First Report Managed Care
Conference Coverage
PBM Legislation: Navigating Congressional Delays and Encouraging Progress
04/17/2024
Hannah Musick
Explore the world of federal pharmacy benefit manager (PBM) legislation and its potential impact on stakeholders in this in-depth analysis presented by Ross Margulies, JD, MPH, Partner and Co-Chair Healthcare and Life Sciences Coverage &...
Explore the world of federal pharmacy benefit manager (PBM) legislation and its potential impact on stakeholders in this in-depth analysis presented by Ross Margulies, JD, MPH, Partner and Co-Chair Healthcare and Life Sciences Coverage &...
Explore the world of federal...
04/17/2024
First Report Managed Care
Conference Coverage
The Impact of Fatigue on Prospective Memory in Persons With MS
05/23/2024
Hannah Musick
High fatigue levels in persons with multiple sclerosis (MS) are significantly associated with subjective impairment in prospective memory, particularly in tasks such as forgetting the date and missing appointments.
High fatigue levels in persons with multiple sclerosis (MS) are significantly associated with subjective impairment in prospective memory, particularly in tasks such as forgetting the date and missing appointments.
High fatigue levels in persons...
05/23/2024
First Report Managed Care
Interview
Enhancing Patient Services: Payer and Provider Considerations
06/28/2024
Patient services emerged as a central topic at AXS24, with many stakeholders emphasizing the need for consistency and accessibility in patient support. They also highlighted the importance of addressing both financial and emotional support...
Patient services emerged as a central topic at AXS24, with many stakeholders emphasizing the need for consistency and accessibility in patient support. They also highlighted the importance of addressing both financial and emotional support...
Patient services emerged as a...
06/28/2024
First Report Managed Care

March 2018 Volume 15 Issue 3

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