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Volume 16, Issue 11, November 2019 - First Report Managed Care

Featured Article

11/20/2019
Mary Beth Nierengarten
As the push to deliver increasingly higher quality care at lower costs continues to be of the utmost importance, stakeholders and providers are implementing and testing a number of models to see what suits their patient population best.
As the push to deliver increasingly higher quality care at lower costs continues to be of the utmost importance, stakeholders and providers are implementing and testing a number of models to see what suits their patient population best.
As the push to deliver...
11/20/2019
First Report Managed Care
11/20/2019
Dean Celia
In the wake of the recent massive out-of-court settlement by a maker and three distributors of opioids, experts weigh in on the role managed care stakeholders should play at this critical juncture.
In the wake of the recent massive out-of-court settlement by a maker and three distributors of opioids, experts weigh in on the role managed care stakeholders should play at this critical juncture.
In the wake of the recent...
11/20/2019
First Report Managed Care
11/20/2019
Paul Nicolaus
A recent analysis estimates current levels of wasteful spending in the US health care system and suggests there are opportunities to intervene and save. Experts point to shared decision-making as one tool that could help address waste factors...
A recent analysis estimates current levels of wasteful spending in the US health care system and suggests there are opportunities to intervene and save. Experts point to shared decision-making as one tool that could help address waste factors...
A recent analysis estimates...
11/20/2019
First Report Managed Care
Conference Insider
11/20/2019
Statin use is associated with a 43% lower risk of hepatocellular carcinoma (HCC), according to new study results presented at the American College of Gastroenterology (ACG) 2019 Annual Scientific Meeting and Postgraduate Course.
Statin use is associated with a 43% lower risk of hepatocellular carcinoma (HCC), according to new study results presented at the American College of Gastroenterology (ACG) 2019 Annual Scientific Meeting and Postgraduate Course.
Statin use is associated with a...
11/20/2019
First Report Managed Care
Conference Insider
11/20/2019
AK002—an anti-SIGLEC8 antibody—may be a safe and effective treatment option in eosinophilic gastritis (EG) and eosinophilic gastroenteritis (EGE), according to results of ENIGMA, a phase 2 clinical trial.
AK002—an anti-SIGLEC8 antibody—may be a safe and effective treatment option in eosinophilic gastritis (EG) and eosinophilic gastroenteritis (EGE), according to results of ENIGMA, a phase 2 clinical trial.
AK002—an anti-SIGLEC8...
11/20/2019
First Report Managed Care
Conference Insider
11/20/2019
AK002—an anti-SIGLEC8 antibody—may be a safe and effective treatment option in eosinophilic gastritis (EG) and eosinophilic gastroenteritis (EGE), according to results of ENIGMA, a phase 2 clinical trial.
AK002—an anti-SIGLEC8 antibody—may be a safe and effective treatment option in eosinophilic gastritis (EG) and eosinophilic gastroenteritis (EGE), according to results of ENIGMA, a phase 2 clinical trial.
AK002—an anti-SIGLEC8...
11/20/2019
First Report Managed Care
Conference Insider
11/20/2019
Gastroenterology patients with avoidant/restrictive food intake disorder (ARFID) are less likely to be taking psychotropic medications, have less-severe body image concerns, and are frustrated with being unable to eat what they want compared...
Gastroenterology patients with avoidant/restrictive food intake disorder (ARFID) are less likely to be taking psychotropic medications, have less-severe body image concerns, and are frustrated with being unable to eat what they want compared...
Gastroenterology patients with...
11/20/2019
First Report Managed Care
Conference Insider
11/20/2019
Budesonide oral suspension (BOS) appears to be a safe and effective induction therapy for eosinophilic esophagitis (EoE) among adolescents and adults, according to results of a phase 3 clinical trial that were presented at the ACG 2019 Annual...
Budesonide oral suspension (BOS) appears to be a safe and effective induction therapy for eosinophilic esophagitis (EoE) among adolescents and adults, according to results of a phase 3 clinical trial that were presented at the ACG 2019 Annual...
Budesonide oral suspension (BOS)...
11/20/2019
First Report Managed Care
Conference Insider
11/20/2019
Budesonide oral suspension (BOS) appears to be a safe and effective induction therapy for eosinophilic esophagitis (EoE) among adolescents and adults, according to results of a phase 3 clinical trial that were presented at the ACG 2019 Annual...
Budesonide oral suspension (BOS) appears to be a safe and effective induction therapy for eosinophilic esophagitis (EoE) among adolescents and adults, according to results of a phase 3 clinical trial that were presented at the ACG 2019 Annual...
Budesonide oral suspension (BOS)...
11/20/2019
First Report Managed Care
Conference Insider
11/20/2019
Using a fluoroscopy system enabled with artificial intelligence (AI) during image-guided endoscopy can significantly reduce patients’ exposure to radiation and diminish the scatter effect to endoscopy personnel, according to late-breaking...
Using a fluoroscopy system enabled with artificial intelligence (AI) during image-guided endoscopy can significantly reduce patients’ exposure to radiation and diminish the scatter effect to endoscopy personnel, according to late-breaking...
Using a fluoroscopy system...
11/20/2019
First Report Managed Care
Conference Insider
11/20/2019
Nancy Myers, PhD, vice president at the American Hospital Association Center for Health Innovation, and James Dom Dera, MD, FAAFP, population health medical director at NewHealth Collaborative/Summa Health, discussed care coordination in the...
Nancy Myers, PhD, vice president at the American Hospital Association Center for Health Innovation, and James Dom Dera, MD, FAAFP, population health medical director at NewHealth Collaborative/Summa Health, discussed care coordination in the...
Nancy Myers, PhD, vice president...
11/20/2019
First Report Managed Care
Conference Insider
11/20/2019
In a session at Health Care Quality Congress 2019, David Asch, MD, MBA, of The Perelman School & Wharton School of the University of Pennsylvania, discussed how patterns of behavior can be used to improve outcomes and health care quality.
In a session at Health Care Quality Congress 2019, David Asch, MD, MBA, of The Perelman School & Wharton School of the University of Pennsylvania, discussed how patterns of behavior can be used to improve outcomes and health care quality.
In a session at Health Care...
11/20/2019
First Report Managed Care
Conference Insider
11/20/2019
In a poster presentation at AMCP Nexus 2019, researchers presented findings from two surveys examining how value assessment frameworks (VAFs) are impacting payer coverage decisions in the United States.
In a poster presentation at AMCP Nexus 2019, researchers presented findings from two surveys examining how value assessment frameworks (VAFs) are impacting payer coverage decisions in the United States.
In a poster presentation at AMCP...
11/20/2019
First Report Managed Care
Conference Insider
11/20/2019
According to data on drug pricing presented in a poster session at AMCP Nexus 2019, despite discounts and rebates, list and net prices are still increasing rapidly. Using data from the investment firm, SSR Health, researchers from the...
According to data on drug pricing presented in a poster session at AMCP Nexus 2019, despite discounts and rebates, list and net prices are still increasing rapidly. Using data from the investment firm, SSR Health, researchers from the...
According to data on drug...
11/20/2019
First Report Managed Care
Conference Insider
11/20/2019
When compared to prostaglandin analogs (PGA), latanoprostene bunod appears to be cost-saving in the treatment of primary open-angle glaucoma, according to data presented at AMCP Nexus 2019. 
When compared to prostaglandin analogs (PGA), latanoprostene bunod appears to be cost-saving in the treatment of primary open-angle glaucoma, according to data presented at AMCP Nexus 2019. 
When compared to prostaglandin...
11/20/2019
First Report Managed Care
Conference Insider
11/20/2019
When compared to prostaglandin analogs (PGA), latanoprostene bunod appears to be cost-saving in the treatment of primary open-angle glaucoma, according to data presented at AMCP Nexus 2019. 
When compared to prostaglandin analogs (PGA), latanoprostene bunod appears to be cost-saving in the treatment of primary open-angle glaucoma, according to data presented at AMCP Nexus 2019. 
When compared to prostaglandin...
11/20/2019
First Report Managed Care
Conference Insider
11/20/2019
Medication synchronization was associated with better medication adherence, fewer hospital admissions, and lower health care costs in a population of patients with diabetes, according to a poster presented at AMCP Nexus 2019.
Medication synchronization was associated with better medication adherence, fewer hospital admissions, and lower health care costs in a population of patients with diabetes, according to a poster presented at AMCP Nexus 2019.
Medication synchronization was...
11/20/2019
First Report Managed Care
Conference Insider
11/20/2019
In a session at AMCP Nexus 2019 entitled, “Fast and Furious: What is Driving the Specialty Spend?” Jann Rigell, RPh, MBA principal, enterprise specialty programs, MedImpact Direct, and Susan Trieu, PharmD, director, enterprise specialty...
In a session at AMCP Nexus 2019 entitled, “Fast and Furious: What is Driving the Specialty Spend?” Jann Rigell, RPh, MBA principal, enterprise specialty programs, MedImpact Direct, and Susan Trieu, PharmD, director, enterprise specialty...
In a session at AMCP Nexus 2019...
11/20/2019
First Report Managed Care
Managed Care Q&A
11/20/2019
Edan Stanley
Caraline Coats, vice president of population health strategy, and Andrew Renda, MD, associate vice president of population health, both from Humana, recently spoke with First Report Managed Care about their company’s Bold Goal initiative, the...
Caraline Coats, vice president of population health strategy, and Andrew Renda, MD, associate vice president of population health, both from Humana, recently spoke with First Report Managed Care about their company’s Bold Goal initiative, the...
Caraline Coats, vice president...
11/20/2019
First Report Managed Care
Integrated Healthcare Executive
11/20/2019
Julie Gould
Chad Peterson, vice president of public sector solutions, and Sean Donoghue, senior vice president, both from Orion Health, a global health care company devoted to building technology solutions for increased interoperability, population...
Chad Peterson, vice president of public sector solutions, and Sean Donoghue, senior vice president, both from Orion Health, a global health care company devoted to building technology solutions for increased interoperability, population...
Chad Peterson, vice president of...
11/20/2019
First Report Managed Care
Veterans Health Today
11/20/2019
According to data from the Department of Veteran Affairs’ (VA) Opioid Overdose Education and Naloxone Distribution (OEND) program, more than 200,000 veterans were issued naloxone from May 2014 to September 2019. 
According to data from the Department of Veteran Affairs’ (VA) Opioid Overdose Education and Naloxone Distribution (OEND) program, more than 200,000 veterans were issued naloxone from May 2014 to September 2019. 
According to data from the...
11/20/2019
First Report Managed Care
Veterans Health Today
11/20/2019
Study findings published online in Circulation: Cardiovascular Quality and Outcomes suggest that veterans diagnosed with psychosis, bipolar disorder, depression, anxiety, and posttraumatic stress disorder are at an increased risk for...
Study findings published online in Circulation: Cardiovascular Quality and Outcomes suggest that veterans diagnosed with psychosis, bipolar disorder, depression, anxiety, and posttraumatic stress disorder are at an increased risk for...
Study findings published online...
11/20/2019
First Report Managed Care
Veterans Health Today
11/20/2019
Recently, researchers determined why it is important to address opioid use disorders, alcohol use, and depression among a cohort of veterans seeking pain care.
Recently, researchers determined why it is important to address opioid use disorders, alcohol use, and depression among a cohort of veterans seeking pain care.
Recently, researchers determined...
11/20/2019
First Report Managed Care
News Connection
11/20/2019
In a joint announcement, Centene, Walgreens, and RxAdvance announced that the three companies will be working together to introduce an innovative pharmacy benefit management (PBM) model that will increase access, enhance customer experience,...
In a joint announcement, Centene, Walgreens, and RxAdvance announced that the three companies will be working together to introduce an innovative pharmacy benefit management (PBM) model that will increase access, enhance customer experience,...
In a joint announcement,...
11/20/2019
First Report Managed Care
News Connection
11/20/2019
As of October 29, 2019, 1888 cases of vaping-related lung injury have been reported to the Centers for Disease Control and Prevention in 49 states. Illinois has reported the greatest number of cases (150-199), while Alaska is the only state...
As of October 29, 2019, 1888 cases of vaping-related lung injury have been reported to the Centers for Disease Control and Prevention in 49 states. Illinois has reported the greatest number of cases (150-199), while Alaska is the only state...
As of October 29, 2019, 1888...
11/20/2019
First Report Managed Care
News Connection
11/20/2019
Based on data presented in a JAMA study, the United States health care system spends an approximate $760 billion to $935 billion in waste—accounting for 25% of all health care spend.
Based on data presented in a JAMA study, the United States health care system spends an approximate $760 billion to $935 billion in waste—accounting for 25% of all health care spend.
Based on data presented in a...
11/20/2019
First Report Managed Care
News Connection
11/20/2019
According to a recent press release, a new phone application from UnitedHealthcare provides on-demand access to telemedicine services for roughly 27 million plan participants.
According to a recent press release, a new phone application from UnitedHealthcare provides on-demand access to telemedicine services for roughly 27 million plan participants.
According to a recent press...
11/20/2019
First Report Managed Care
News Connection
11/20/2019
In a strategic 7-year partnership, Humana and Microsoft recently announced their goals to build modern health care solutions for members, addressing the rise in enrolled Medicare members, and making digital health care solutions that are...
In a strategic 7-year partnership, Humana and Microsoft recently announced their goals to build modern health care solutions for members, addressing the rise in enrolled Medicare members, and making digital health care solutions that are...
In a strategic 7-year...
11/20/2019
First Report Managed Care
News Connection
11/20/2019
Inadequate management of a patient’s depression following heart attack or stroke is linked with notably higher health care costs, according to a study published online in the Journal of Medical Economics. 
Inadequate management of a patient’s depression following heart attack or stroke is linked with notably higher health care costs, according to a study published online in the Journal of Medical Economics. 
Inadequate management of a...
11/20/2019
First Report Managed Care
News Connection
11/20/2019
Results from the second OptumIQ survey of 500 US health professionals found that confidence and investment in artificial intelligence (AI) to improve health care is growing exponentially and that funding AI-related projects has also increased.
Results from the second OptumIQ survey of 500 US health professionals found that confidence and investment in artificial intelligence (AI) to improve health care is growing exponentially and that funding AI-related projects has also increased.
Results from the second OptumIQ...
11/20/2019
First Report Managed Care
News Connection
11/20/2019
A statewide public health program that uses community health workers to screen for cardiovascular disease (CVD) risk and provide ongoing support to participants is not only effective but also generates cost savings, according to a new study...
A statewide public health program that uses community health workers to screen for cardiovascular disease (CVD) risk and provide ongoing support to participants is not only effective but also generates cost savings, according to a new study...
A statewide public health...
11/20/2019
First Report Managed Care
News Connection
11/20/2019
Progression of metastatic breast cancer, metastatic colorectal cancer, and metastatic lung cancer is associated with higher 12-month health care costs, according to a study that looked at real-world incremental costs of disease progression...
Progression of metastatic breast cancer, metastatic colorectal cancer, and metastatic lung cancer is associated with higher 12-month health care costs, according to a study that looked at real-world incremental costs of disease progression...
Progression of metastatic breast...
11/20/2019
First Report Managed Care