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October 2011 - FRMC

Cardiovascular Events and Biologic Therapies for Chronic Plaque Psoriasis
10/14/2011
Tori Socha
Researchers have found links between autoimmune diseases including rheumatoid arthritis, psoriasis, and Crohn’s disease with chronic systemic inflammation.
Researchers have found links between autoimmune diseases including rheumatoid arthritis, psoriasis, and Crohn’s disease with chronic systemic inflammation.
Researchers have found links...
10/14/2011
First Report Managed Care
Treatment Patterns, Adverse Events Associated with NSAIDs
10/14/2011
Tim Casey
Las Vegas—A retrospective analysis of a healthcare claims database found that patients who took nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve chronic pain conditions had different clinical characteristics and varying cardiovascular...
Las Vegas—A retrospective analysis of a healthcare claims database found that patients who took nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve chronic pain conditions had different clinical characteristics and varying cardiovascular...
Las Vegas—A retrospective...
10/14/2011
First Report Managed Care
Oxymorphone Extended Release Effective, Tolerable for Patients with Depression
10/14/2011
Tim Casey
The likelihood of adverse events (AEs) associated with oxymorphone extended release was similar between the depression and no depression groups.
The likelihood of adverse events (AEs) associated with oxymorphone extended release was similar between the depression and no depression groups.
The likelihood of adverse events...
10/14/2011
First Report Managed Care
Abuse Potential of IRO-A and IRO Tablets
10/14/2011
Tim Casey
A study found that an immediate-release oxycodone hydrochloride formulation had a lesser potential for abuse when crushed and administered intranasally in recreational opioid users.
A study found that an immediate-release oxycodone hydrochloride formulation had a lesser potential for abuse when crushed and administered intranasally in recreational opioid users.
A study found that an...
10/14/2011
First Report Managed Care
Treatment Options for Chronic Pain
10/14/2011
Tim Casey
Las Vegas—When treating patients with chronic pain, prescribers typically initiate opioid therapy. However, there are several other options that need to be considered to ensure that patients receive effective and safe care, according to...
Las Vegas—When treating patients with chronic pain, prescribers typically initiate opioid therapy. However, there are several other options that need to be considered to ensure that patients receive effective and safe care, according to...
Las Vegas—When treating patients...
10/14/2011
First Report Managed Care
Conference Insider
Treating Patients with Knee Osteoarthritis with Topical Diclofenac Sodium 1% Gel
10/14/2011
Tim Casey
Las Vegas—A post-hoc analysis of 3 similar 12-week, randomized, double-blind, parallel-group, multicenter trials found that patients with knee osteoarthritis (OA) who used topical diclofenac sodium 1% gel had significant improvements in pain...
Las Vegas—A post-hoc analysis of 3 similar 12-week, randomized, double-blind, parallel-group, multicenter trials found that patients with knee osteoarthritis (OA) who used topical diclofenac sodium 1% gel had significant improvements in pain...
Las Vegas—A post-hoc analysis of...
10/14/2011
First Report Managed Care
Polypharmacy in Treating Chronic Pain
10/14/2011
Tim Casey
Until recently, patients with chronic pain were treated in similar ways despite differences in their characteristics or conditions.
Until recently, patients with chronic pain were treated in similar ways despite differences in their characteristics or conditions.
Until recently, patients with...
10/14/2011
First Report Managed Care
Long-Term Milnacipran Treatment for Fibromyalgia
10/14/2011
Tim Casey
Las Vegas—Patients with fibromyalgia who took milnacipran for >3 years exhibited improvements in pain, global status, and physical functioning, according to a multicenter, open-label, flexible-dose trial. The results were presented at the...
Las Vegas—Patients with fibromyalgia who took milnacipran for >3 years exhibited improvements in pain, global status, and physical functioning, according to a multicenter, open-label, flexible-dose trial. The results were presented at the...
Las Vegas—Patients with...
10/14/2011
First Report Managed Care
Healthcare Reform and Pain Management
10/14/2011
Tim Casey
Las Vegas—To adapt to the new healthcare environment, providers must embrace technology, quality measures, and collaboration. The rules are designed to make providers more accountable, lower the rapidly rising costs, and ensure patients...
Las Vegas—To adapt to the new healthcare environment, providers must embrace technology, quality measures, and collaboration. The rules are designed to make providers more accountable, lower the rapidly rising costs, and ensure patients...
Las Vegas—To adapt to the new...
10/14/2011
First Report Managed Care
Templates and Training for Advanced Practitioners in Surgical Intensive Care Units
10/14/2011
Christin Melton
Providing templates for documenting patient care and instructing advanced practitioners (APs), such as advanced practice registered nurses and physician assistants, on proper use of the forms can help hospitals capture more revenue for...
Providing templates for documenting patient care and instructing advanced practitioners (APs), such as advanced practice registered nurses and physician assistants, on proper use of the forms can help hospitals capture more revenue for...
Providing templates for...
10/14/2011
First Report Managed Care
Using Express Lane Principles to Enroll Individuals in Health Insurance Programs
10/14/2011
Tori Socha
Express lane principles, the automated use by one agency or program of data gathered and/or findings made by another, will be used by states as 2014 approaches to enroll and retain individuals in health coverage programs. Beginning in 2014,...
Express lane principles, the automated use by one agency or program of data gathered and/or findings made by another, will be used by states as 2014 approaches to enroll and retain individuals in health coverage programs. Beginning in 2014,...
Express lane principles, the...
10/14/2011
First Report Managed Care
Using Natural Language Processing to Screen for Adverse Postoperative Events
10/14/2011
Tori Socha
The Agency for Healthcare Research and Quality (AHRQ) has developed a set of 20 patient safety indicators to use as measures to screen for potential adverse events that may occur during hospitalization. The measures utilize administrative...
The Agency for Healthcare Research and Quality (AHRQ) has developed a set of 20 patient safety indicators to use as measures to screen for potential adverse events that may occur during hospitalization. The measures utilize administrative...
The Agency for Healthcare...
10/14/2011
First Report Managed Care
Healthcare Reform and Safety-Net Providers
10/14/2011
Tori Socha
The Patient Protection and Affordable Care Act (ACA) is designed to address the issue of uninsured adults in the United States by providing more choices for coverage and expanding Medicaid coverage. At present, a portion of uninsured patients...
The Patient Protection and Affordable Care Act (ACA) is designed to address the issue of uninsured adults in the United States by providing more choices for coverage and expanding Medicaid coverage. At present, a portion of uninsured patients...
The Patient Protection and...
10/14/2011
First Report Managed Care
Linaclotide Found to Reduce Unpleasant Effects of Chronic Constipation
10/14/2011
Christin Melton
In 2 placebo-controlled phase 3 trials, a 12-week daily regimen of linaclotide significantly reduced symptoms of chronic constipation and improved quality of life. Study investigators said the ameliorating effects of linaclotide were evident...
In 2 placebo-controlled phase 3 trials, a 12-week daily regimen of linaclotide significantly reduced symptoms of chronic constipation and improved quality of life. Study investigators said the ameliorating effects of linaclotide were evident...
In 2 placebo-controlled phase 3...
10/14/2011
First Report Managed Care
Specialists Performing Carotid Stenting Procedures
10/14/2011
Tori Socha
Carotid endarterectomy is performed on approximately 100,000 Americans every year to reduce their risk for stroke, a procedure performed by surgeons, followed by diagnostic carotid and cerebral angiography by radiologists. According to...
Carotid endarterectomy is performed on approximately 100,000 Americans every year to reduce their risk for stroke, a procedure performed by surgeons, followed by diagnostic carotid and cerebral angiography by radiologists. According to...
Carotid endarterectomy is...
10/14/2011
First Report Managed Care
Unintentional Discontinuation of Medications for Chronic Diseases
10/14/2011
Tori Socha
Patients admitted to hospitals are particularly vulnerable during periods of transition in care; incomplete or inaccurate communication as responsibility moves from one physician to another can result in medical errors. Likewise, at hospital...
Patients admitted to hospitals are particularly vulnerable during periods of transition in care; incomplete or inaccurate communication as responsibility moves from one physician to another can result in medical errors. Likewise, at hospital...
Patients admitted to hospitals...
10/14/2011
First Report Managed Care
Early Repeated Screening Colonoscopy among Medicare Beneficiaries
10/14/2011
Tori Socha
Increased rates of screening for colorectal cancer (CRC) have led to reductions in rates of mortality from CRC; the screening procedure preferred by the American Cancer Society is colonoscopy, which can identify and remove precancerous...
Increased rates of screening for colorectal cancer (CRC) have led to reductions in rates of mortality from CRC; the screening procedure preferred by the American Cancer Society is colonoscopy, which can identify and remove precancerous...
Increased rates of screening for...
10/14/2011
First Report Managed Care
Rivaroxaban Noninferior to Warfarin in Reducing Risk of Stroke
10/14/2011
Tori Socha
For people at increased risk for ischemic stroke, warfarin has been shown to reduce the risk in patients with nonvalvular atrial fibrillation. However, possible food and drug interactions require frequent monitoring of coagulation to make...
For people at increased risk for ischemic stroke, warfarin has been shown to reduce the risk in patients with nonvalvular atrial fibrillation. However, possible food and drug interactions require frequent monitoring of coagulation to make...
For people at increased risk for...
10/14/2011
First Report Managed Care
Physican and Hospital Volume and Outcomes for Endovascular Treatment of AIOD
10/14/2011
With innovations in surgical technology, particularly in vascular surgery, aortoiliac occlusive disease (AIOD) is often treated with endovascular methods, including angioplasty and stenting. These techniques are used even in cases of severe...
With innovations in surgical technology, particularly in vascular surgery, aortoiliac occlusive disease (AIOD) is often treated with endovascular methods, including angioplasty and stenting. These techniques are used even in cases of severe...
With innovations in surgical...
10/14/2011
First Report Managed Care
Proton Pump Inhibitors May Compromise Antifracture Efficacy of Alendronate in Elderly Patients
10/14/2011
Christin Melton
Elderly patients who receive proton pump inhibitors (PPIs) while using alendronate, an oral bisphosphonate typically prescribed to reduce the risk of osteoporotic fractures, may have poorer response to alendronate. According to a...
Elderly patients who receive proton pump inhibitors (PPIs) while using alendronate, an oral bisphosphonate typically prescribed to reduce the risk of osteoporotic fractures, may have poorer response to alendronate. According to a...
Elderly patients who receive...
10/14/2011
First Report Managed Care
BEACOPP and ABVD Regimens in Patients with Advanced Hodgkin Lymphoma
10/14/2011
Christin Melton
Should an intensive BEACOPP (bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone) regimen replace the commonly used ABVD (doxorubicin, bleomycin, vinblastine, and dacarbazine) regimen as front-line...
Should an intensive BEACOPP (bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone) regimen replace the commonly used ABVD (doxorubicin, bleomycin, vinblastine, and dacarbazine) regimen as front-line...
Should an intensive BEACOPP...
10/14/2011
First Report Managed Care
Hospital-Acquired Infections Increase Costs and Risks for Trauma Patients
10/14/2011
Christin Melton
Whereas hospital-acquired infections (HAIs) cost the US healthcare system tens of billions of dollars annually and cause >90,000 deaths, authors of a retrospective study report that the burden of HAIs in trauma patients is especially high...
Whereas hospital-acquired infections (HAIs) cost the US healthcare system tens of billions of dollars annually and cause >90,000 deaths, authors of a retrospective study report that the burden of HAIs in trauma patients is especially high...
Whereas hospital-acquired...
10/14/2011
First Report Managed Care
Improving Behavioral Screening Rates for Medicaid-Eligible Children
10/14/2011
Christin Melton
After Massachusetts was ordered to comply more fully with a provision in the federal government’s Early Periodic Screening, Diagnosis, and Treatment (EPSDT) statute requiring states to provide mental health assessments for children enrolled...
After Massachusetts was ordered to comply more fully with a provision in the federal government’s Early Periodic Screening, Diagnosis, and Treatment (EPSDT) statute requiring states to provide mental health assessments for children enrolled...
After Massachusetts was ordered...
10/14/2011
First Report Managed Care
STOPP Criteria for Potentially Inappropriate Medications in Older People
10/14/2011
Tori Socha
Older people, particularly those presenting to a hospital with an acute illness, have a high rate of inappropriate medication use, according to researchers. Because of the risk of intolerance associated with adverse pharmacodynamics or...
Older people, particularly those presenting to a hospital with an acute illness, have a high rate of inappropriate medication use, according to researchers. Because of the risk of intolerance associated with adverse pharmacodynamics or...
Older people, particularly those...
10/14/2011
First Report Managed Care
Prophylactic Use of Acid-Suppressive Drugs to Prevent Nosocomial GI Bleeding
10/14/2011
Christin Melton
A retrospective study found that although acid-suppressive medication reduces the risk of nosocomial (hospital-acquired) bleeding from the gastrointestinal (GI) tract in noncritical hospitalized patients, using these drugs routinely as...
A retrospective study found that although acid-suppressive medication reduces the risk of nosocomial (hospital-acquired) bleeding from the gastrointestinal (GI) tract in noncritical hospitalized patients, using these drugs routinely as...
A retrospective study found that...
10/14/2011
First Report Managed Care
Triptorelin Helps Prevent Chemotherapy-Induced Menopause in Younger Breast Cancer Patients
10/14/2011
Christin Melton
Administering triptorelin, a gonadotropin-releasing hormone (GnRH) analogue, to suppress ovarian function in premenopausal women undergoing chemotherapy for early-stage breast cancer can help prevent transient or permanent amenorrhea.
Administering triptorelin, a gonadotropin-releasing hormone (GnRH) analogue, to suppress ovarian function in premenopausal women undergoing chemotherapy for early-stage breast cancer can help prevent transient or permanent amenorrhea.
Administering triptorelin, a...
10/14/2011
First Report Managed Care
Radiotherapy Alone versus Radiotherapy plus Short-Term ADT in Prostate Cancer
10/14/2011
Tori Socha
Treatment regimens for clinically localized prostate cancer have, since the 1990s, included radiotherapy plus long-term treatment with luteinizing-hormone–releasing analogues and oral antiandrogen agents to induce apoptotic regression in...
Treatment regimens for clinically localized prostate cancer have, since the 1990s, included radiotherapy plus long-term treatment with luteinizing-hormone–releasing analogues and oral antiandrogen agents to induce apoptotic regression in...
Treatment regimens for...
10/14/2011
First Report Managed Care
Counterfeit Medications Gaining Attention
10/14/2011
Tim Casey
Although the accurate number and dollar value of counterfeit drugs are difficult to quantify, the issue has received attention recently in the United States because pharmaceutical companies are becoming more internationally based and because...
Although the accurate number and dollar value of counterfeit drugs are difficult to quantify, the issue has received attention recently in the United States because pharmaceutical companies are becoming more internationally based and because...
Although the accurate number and...
10/14/2011
First Report Managed Care
Survey Finds Health Insurance Premiums Increasing
10/14/2011
Tim Casey
As the economy continues to sputter and salaries remain stagnant, health insurance costs are increasing at a rapid rate, creating a difficult financial situation for many people and companies struggling to adapt to the prolonged slump.
As the economy continues to sputter and salaries remain stagnant, health insurance costs are increasing at a rapid rate, creating a difficult financial situation for many people and companies struggling to adapt to the prolonged slump.
As the economy continues to...
10/14/2011
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
Task Force Publishes Target-To-Treat Guidance for GCA and PMR
03/12/2024
Jolynn Tumolo
An international task force recently published the first target-to-treat (T2T) recommendations for patients with giant cell arteritis (GCA) and polymyalgia rheumatica (PMR) in the Annals of the Rheumatic Diseases.
An international task force recently published the first target-to-treat (T2T) recommendations for patients with giant cell arteritis (GCA) and polymyalgia rheumatica (PMR) in the Annals of the Rheumatic Diseases.
An international task force...
03/12/2024
First Report Managed Care
Asembia: More Than an Annual Conference
04/15/2024

Emry Lloyd

Emry Lloyd
Asembia, established in 2005, pioneered the recognition and promotion of specialty pharmacies, focusing on becoming a leader in the specialty pharmacy group purchasing organization sector. Offering scalable solutions, including prescription...
Asembia, established in 2005, pioneered the recognition and promotion of specialty pharmacies, focusing on becoming a leader in the specialty pharmacy group purchasing organization sector. Offering scalable solutions, including prescription...
Asembia, established in 2005,...
04/15/2024
First Report Managed Care
Conference Coverage
Addressing Suicidal Ideation in Persons With Multiple Sclerosis: Developing a Predictive Nomogram
05/22/2024
Hannah Musick
New research explored the development of a predictive nomogram to identify persons with multiple sclerosis at higher risk of suicidal ideation, emphasizing the importance of behavioral risk factors in this vulnerable population.
New research explored the development of a predictive nomogram to identify persons with multiple sclerosis at higher risk of suicidal ideation, emphasizing the importance of behavioral risk factors in this vulnerable population.
New research explored the...
05/22/2024
First Report Managed Care
News
Johnson & Johnson Expands Use of Prezcobix for Pediatric Patients in the US
06/21/2024
Hannah Musick
Johnson & Johnson aims to expand use of its HIV-1 therapy, Prezcobix, for younger patients in the US, potentially paving the way for improved treatment options for pediatric patients with the virus.
Johnson & Johnson aims to expand use of its HIV-1 therapy, Prezcobix, for younger patients in the US, potentially paving the way for improved treatment options for pediatric patients with the virus.
Johnson & Johnson aims to expand...
06/21/2024
First Report Managed Care
Brian Esterly Headshot
Interview
Insights on the 2024 Medicare Physician Fee Schedule: Implications and Opportunities for Virtual Care Management Services
07/26/2024
The current Medicare Physician Fee Schedule brought many significant changes to increase access to much needed virtual care management (VCM) services to underserved populations. Learn more about the potential implications of these fee...
The current Medicare Physician Fee Schedule brought many significant changes to increase access to much needed virtual care management (VCM) services to underserved populations. Learn more about the potential implications of these fee...
The current Medicare Physician...
07/26/2024
First Report Managed Care

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