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October 2014 - FRMC

Conference Insider
Managing Chronic Kidney Disease in Older Adults
11/03/2014
Eileen Koutnik-Fotopoulos
Chronic kidney disease is pervasive in the older population. The progression of CKD can have a significant affect on the overall prognosis of a geriatric patient.
Chronic kidney disease is pervasive in the older population. The progression of CKD can have a significant affect on the overall prognosis of a geriatric patient.
Chronic kidney disease is...
11/03/2014
First Report Managed Care
Prescribing Considerations for Antithrombotic Prophylaxis
11/03/2014
Eileen Koutnik-Fotopoulos
Disorders that require antithrombotic and antiplatelet therapies are prevalent in long-term care (LTC).
Disorders that require antithrombotic and antiplatelet therapies are prevalent in long-term care (LTC).
Disorders that require...
11/03/2014
First Report Managed Care
Conference Insider
Preventing the Spread of Infection in Long-Term Care Facilities
11/03/2014
Melissa D. Cooper
Anaheim­—In 2014, the Centers for Disease Control and Prevention (CDC) reported that >200 Americans die each day from a hospital-acquired infection. As such, healthcare professionals should be vigilant to reduce the risk of infection in...
Anaheim­—In 2014, the Centers for Disease Control and Prevention (CDC) reported that >200 Americans die each day from a hospital-acquired infection. As such, healthcare professionals should be vigilant to reduce the risk of infection in...
Anaheim­—In 2014, the Centers...
11/03/2014
First Report Managed Care
Conference Insider
Balancing Optimal End-of-Life Care with Resident Wishes
11/03/2014
Melissa D. Cooper
Anaheim­­—The goal of end-of-life care is to provide patients with the highest quality of care and the highest quality of life possible.
Anaheim­­—The goal of end-of-life care is to provide patients with the highest quality of care and the highest quality of life possible.
Anaheim­­—The goal of...
11/03/2014
First Report Managed Care
Conference Insider
Implementing a QAPI Program in Nursing Homes
11/03/2014
Eileen Koutnik-Fotopoulos
The Patient Protection and Affordable Care Act requires nursing homes to have an acceptable Quality Assurance and Performance Improvement plan.
The Patient Protection and Affordable Care Act requires nursing homes to have an acceptable Quality Assurance and Performance Improvement plan.
The Patient Protection and...
11/03/2014
First Report Managed Care
Costs Associated with Lung Cancer Screening for Medicare Patients
11/03/2014
Tim Casey
A forecasting model found that after 5 years, low-dose computed tomography lung cancer screening would result in 55,000 more lung cancer diagnoses, 11 million more scans, and $9.3 billion more in direct medical expenditures. 
A forecasting model found that after 5 years, low-dose computed tomography lung cancer screening would result in 55,000 more lung cancer diagnoses, 11 million more scans, and $9.3 billion more in direct medical expenditures. 
A forecasting model found that...
11/03/2014
First Report Managed Care
Lenvatinib Improves Progression-Free Survival in Patients with Thyroid Cancer
11/03/2014
Tim Casey
Patients with radioiodine-resistant, advanced differentiated thyroid cancer who received lenvatinib had a significantly greater progression-free survival compared with patients who received placebo, according to new research.
Patients with radioiodine-resistant, advanced differentiated thyroid cancer who received lenvatinib had a significantly greater progression-free survival compared with patients who received placebo, according to new research.
Patients with...
11/03/2014
First Report Managed Care
Ibrutinib Superior to Ofatumumab for Previously Treated CLL or SLL
11/03/2014
Tim Casey
Chicago—At a median follow-up of 9.4 months, patients with previously treated chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) who received ibrutinib had a significant increase in overall survival and progression-free...
Chicago—At a median follow-up of 9.4 months, patients with previously treated chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) who received ibrutinib had a significant increase in overall survival and progression-free...
Chicago—At a median follow-up of...
11/03/2014
First Report Managed Care
Exemestane versus Tamoxifen for Women with Premenopausal Breast Cancer
11/03/2014
Tim Casey
After a median follow-up of 5.7 years, an analysis found that premenopausal women with HR+ early breast cancer who received exemestane plus ovarian function suppression had a significant improvement in disease-free survival.
After a median follow-up of 5.7 years, an analysis found that premenopausal women with HR+ early breast cancer who received exemestane plus ovarian function suppression had a significant improvement in disease-free survival.
After a median follow-up of 5.7...
11/03/2014
First Report Managed Care
Bortezomib-Based Therapy as Frontline Treatment for Newly Diagnosed MCL
11/03/2014
Tim Casey
Chicago—Patients with newly diagnosed mantle cell lymphoma (MCL) who received a bortezomib-based combination therapy had a significant increase in progression-free survival compared with a group who received standard frontline therapy.
Chicago—Patients with newly diagnosed mantle cell lymphoma (MCL) who received a bortezomib-based combination therapy had a significant increase in progression-free survival compared with a group who received standard frontline therapy.
Chicago—Patients with newly...
11/03/2014
First Report Managed Care
Conference Insider
Evaluating Lipid-Lowering Therapies
11/03/2014
Eileen Koutnik-Fotopoulos
New Orleans—One in 3 Americans die of cardiovascular disease.
New Orleans—One in 3 Americans die of cardiovascular disease.
New Orleans—One in 3 Americans...
11/03/2014
First Report Managed Care
Conference Insider
CDC Highlights Statewide Disparities in Opioid Prescribing
11/03/2014
Kerri Fitzgerald
In 2012, the Centers for Disease Control and Prevention (CDC) found that for every 100 people in the United States, US clinicians wrote 82.5 prescriptions for opioid painkillers and 37.6 prescriptions for benzodiazepines.
In 2012, the Centers for Disease Control and Prevention (CDC) found that for every 100 people in the United States, US clinicians wrote 82.5 prescriptions for opioid painkillers and 37.6 prescriptions for benzodiazepines.
In 2012, the Centers for Disease...
11/03/2014
First Report Managed Care
NSAIDs Reduce Breast Cancer Recurrence among Overweight Women
11/03/2014
Kerri Fitzgerald
For overweight women, the use of nonsteroidal anti-inflammatory drugs (NSAIDs), including aspirin, ibuprofen, and naproxen, could cause certain breast cancers to be more treatable, according to a recent study.
For overweight women, the use of nonsteroidal anti-inflammatory drugs (NSAIDs), including aspirin, ibuprofen, and naproxen, could cause certain breast cancers to be more treatable, according to a recent study.
For overweight women, the use of...
11/03/2014
First Report Managed Care
Valve Size and Stenosis Predict Survival in Patients with Transcatheter Valve Implantation
11/03/2014
Mary Mihalovic
Small surgical valve size and stenosis were predictors of lower survival among patients who underwent transcatheter valve-in-valve implantation inside failed surgical bioprosthetic valves, according to a recent study.
Small surgical valve size and stenosis were predictors of lower survival among patients who underwent transcatheter valve-in-valve implantation inside failed surgical bioprosthetic valves, according to a recent study.
Small surgical valve size and...
11/03/2014
First Report Managed Care
Evidence to Support Screening for Asymptomatic CAS is Lacking
11/03/2014
Mary Mihalovic
Data supporting routine screening for asymptomatic carotid artery stenosis (CAS) are lacking, according a recent study.
Data supporting routine screening for asymptomatic carotid artery stenosis (CAS) are lacking, according a recent study.
Data supporting routine...
11/03/2014
First Report Managed Care
Formulary Updates Amid the Changing Climate of Healthcare
11/03/2014
James T. Kenney, RPh, MBA, discusses changes related to pharmaceutical coverage, reimbursement, and formularies in the ever-changing climate of healthcare.
James T. Kenney, RPh, MBA, discusses changes related to pharmaceutical coverage, reimbursement, and formularies in the ever-changing climate of healthcare.
James T. Kenney, RPh,...
11/03/2014
First Report Managed Care
Analysis of 2015 Premiums as the Second Year of Marketplace Open Enrollment Approaches
11/03/2014
Kerri Fitzgerald
With open enrollment right around the corner, a report from the Kaiser Family Foundation examined changes in coverage under the Patient Protection and Affordable Care Act (ACA) moving into 2015.
With open enrollment right around the corner, a report from the Kaiser Family Foundation examined changes in coverage under the Patient Protection and Affordable Care Act (ACA) moving into 2015.
With open enrollment right...
11/03/2014
First Report Managed Care
Insurance Coverage Concerns: In Vitro Fertilization and Intrauterine Insemination
11/03/2014
Tim Casey
Since the first baby was born via in vitro fertilization (IVF) in July 1978, the procedure has become more common and more accepted throughout the world for women suffering from infertility.
Since the first baby was born via in vitro fertilization (IVF) in July 1978, the procedure has become more common and more accepted throughout the world for women suffering from infertility.
Since the first baby was born...
11/03/2014
First Report Managed Care
States, Federal Government Debate Use of Medical Marijuana
11/03/2014
Tim Casey
The FDA has not approved marijuana for any indication; however, 23 states and Washington, DC, have enacted legislation that permits the use of medical marijuana and cannabis for certain conditions.
The FDA has not approved marijuana for any indication; however, 23 states and Washington, DC, have enacted legislation that permits the use of medical marijuana and cannabis for certain conditions.
The FDA has not approved...
11/03/2014
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

October 2014 Volume 11 Issue 10

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