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Volume 16, Issue 6, June 2019 - First Report Managed Care

Featured Article

06/18/2019
Dean Celia
Many are clamoring for Medicare for All, so the Democratic presidential candidates have jumped on the bandwagon—or so it seems. Our panelists look beyond the headlines and analyze what is really being said, and what changes will come if a...
Many are clamoring for Medicare for All, so the Democratic presidential candidates have jumped on the bandwagon—or so it seems. Our panelists look beyond the headlines and analyze what is really being said, and what changes will come if a...
Many are clamoring for Medicare...
06/18/2019
First Report Managed Care
06/18/2019
Mary Beth Nierengarten
We recently discussed in the May 2019 issue of First Report Managed Care the need to address chronic pain treatment strategies for patients at risk of becoming chemically dependent or developing a substance abuse disorder. New developments...
We recently discussed in the May 2019 issue of First Report Managed Care the need to address chronic pain treatment strategies for patients at risk of becoming chemically dependent or developing a substance abuse disorder. New developments...
We recently discussed in the May...
06/18/2019
First Report Managed Care
Formulary Frontlines®
06/18/2019
Edan Stanley
AML is the most common acute leukemia in adults with an estimated 21,450 new cases expected in 2019 in the United States and approximately 10,920 deaths. In this segment, we explore various treatments for AML.
AML is the most common acute leukemia in adults with an estimated 21,450 new cases expected in 2019 in the United States and approximately 10,920 deaths. In this segment, we explore various treatments for AML.
AML is the most common acute...
06/18/2019
First Report Managed Care
Viewpoint
06/18/2019
In a recent podcast, Matthew Michela, CEO and president of Life Image, a global network for sharing clinical and imaging data powered by industry leading interoperability standards, discussed innovations in interoperability and the value of...
In a recent podcast, Matthew Michela, CEO and president of Life Image, a global network for sharing clinical and imaging data powered by industry leading interoperability standards, discussed innovations in interoperability and the value of...
In a recent podcast, Matthew...
06/18/2019
First Report Managed Care
News Connection
06/18/2019
Medicare Part D coverage, according to recently published research, leaves older adults at risk of paying higher out-of-pocket costs when purchasing specialty cancer medications. 
Medicare Part D coverage, according to recently published research, leaves older adults at risk of paying higher out-of-pocket costs when purchasing specialty cancer medications. 
Medicare Part D coverage,...
06/18/2019
First Report Managed Care
News Connection
06/18/2019
CVS Health has announced the availability of their new service, Vendor Benefit Management. The new service is designed to help CVS Caremark pharmacy benefit management (PBM) clients contract and manage their relationship with third-party...
CVS Health has announced the availability of their new service, Vendor Benefit Management. The new service is designed to help CVS Caremark pharmacy benefit management (PBM) clients contract and manage their relationship with third-party...
CVS Health has announced the...
06/18/2019
First Report Managed Care
News Connection
06/18/2019
Research published in Annals of Internal Medicine explained that beyond the known effect on clinical outcomes, physician burnout costs the US health care system approximately $4.6 billion a year. 
Research published in Annals of Internal Medicine explained that beyond the known effect on clinical outcomes, physician burnout costs the US health care system approximately $4.6 billion a year. 
Research published in Annals of...
06/18/2019
First Report Managed Care
News Connection
06/18/2019
Technological innovation continues to change a variety of industries and the health care sector is no different. In an effort to simplify the integration and use of various personal health technologies and interventions, Express Scripts,...
Technological innovation continues to change a variety of industries and the health care sector is no different. In an effort to simplify the integration and use of various personal health technologies and interventions, Express Scripts,...
Technological innovation...
06/18/2019
First Report Managed Care
News Connection
06/18/2019
UnitedHealth Group recently published a new research brief in which the company examined consumer health care spending and found significant variations in pricing for the same diagnostic tests, causing many consumers to overspend. 
UnitedHealth Group recently published a new research brief in which the company examined consumer health care spending and found significant variations in pricing for the same diagnostic tests, causing many consumers to overspend. 
UnitedHealth Group recently...
06/18/2019
First Report Managed Care
Conference Insider
06/18/2019
A team of researchers from The Institute for Clinical and Economic Review (ICER) recently examined the cost-effectiveness and value for use of the extended-release partial opioid agonist, CAM2038, among patients with opioid use disorder...
A team of researchers from The Institute for Clinical and Economic Review (ICER) recently examined the cost-effectiveness and value for use of the extended-release partial opioid agonist, CAM2038, among patients with opioid use disorder...
A team of researchers from The...
06/18/2019
First Report Managed Care
Conference Insider
06/18/2019
In an effort to raise awareness of antimicrobial resistance (AMR) and to elevate the roles of infection prevention, stewardship, surveillance, and the health care professionals who manage these programs, a group of researchers developed a...
In an effort to raise awareness of antimicrobial resistance (AMR) and to elevate the roles of infection prevention, stewardship, surveillance, and the health care professionals who manage these programs, a group of researchers developed a...
In an effort to raise awareness...
06/18/2019
First Report Managed Care
Conference Insider
06/18/2019
Opioid prescribing to children and adolescents with asthma is high, according to a study presented, during a poster session at ISPOR 2019 . 
Opioid prescribing to children and adolescents with asthma is high, according to a study presented, during a poster session at ISPOR 2019 . 
Opioid prescribing to children...
06/18/2019
First Report Managed Care
Conference Insider
06/18/2019
During a podium session at the ISPOR annual meeting, Kevin Lu, PhD, University of South Carolina, explained why there is an urgent need to address financial burden or barriers among cancer survivors.  Dr Lu identified the percentages of new...
During a podium session at the ISPOR annual meeting, Kevin Lu, PhD, University of South Carolina, explained why there is an urgent need to address financial burden or barriers among cancer survivors.  Dr Lu identified the percentages of new...
During a podium session at the...
06/18/2019
First Report Managed Care
Conference Insider
06/18/2019
Darshan Mehta, PhD, of Sunovion Pharmaceuticals, recently explained why increasing copays result in higher prescription abandonment rates among patients prescribed antiepileptic drugs (AED), during a session at the ISPOR annual meeting. 
Darshan Mehta, PhD, of Sunovion Pharmaceuticals, recently explained why increasing copays result in higher prescription abandonment rates among patients prescribed antiepileptic drugs (AED), during a session at the ISPOR annual meeting. 
Darshan Mehta, PhD, of Sunovion...
06/18/2019
First Report Managed Care
Conference Insider
06/18/2019
During a session held at the ISPOR annual meeting, Jack Sheehan, PhD, MBA, discussed health care utilization and associated costs among patients with treatment-resistant depression (TRD) who are covered by commercial health plans, Medicaid,...
During a session held at the ISPOR annual meeting, Jack Sheehan, PhD, MBA, discussed health care utilization and associated costs among patients with treatment-resistant depression (TRD) who are covered by commercial health plans, Medicaid,...
During a session held at the...
06/18/2019
First Report Managed Care
Conference Insider
06/18/2019
Monthly health care costs more than triple after patients with nonalcoholic fatty liver disease (NAFLD) and its more advanced form, nonalcoholic steatohepatitis (NASH), receive a diagnosis of cirrhosis, according to a study presented during a...
Monthly health care costs more than triple after patients with nonalcoholic fatty liver disease (NAFLD) and its more advanced form, nonalcoholic steatohepatitis (NASH), receive a diagnosis of cirrhosis, according to a study presented during a...
Monthly health care costs more...
06/18/2019
First Report Managed Care
Conference Insider
06/18/2019
During a session at ISPOR 2019, Naomi Sacks, PhD, director of Evidence Strategy and Generation at Precision Xtract, discussed the costs associated with paroxysmal supraventricular tachycardia (PSVT) and explained why costs differ depending on...
During a session at ISPOR 2019, Naomi Sacks, PhD, director of Evidence Strategy and Generation at Precision Xtract, discussed the costs associated with paroxysmal supraventricular tachycardia (PSVT) and explained why costs differ depending on...
During a session at ISPOR 2019,...
06/18/2019
First Report Managed Care
Conference Insider
06/18/2019
Former FDA Commissioner, Scott Gottlieb, MD, addressed attendees of the Asembia 2019 Specialty Pharmacy Summit as keynote speaker where he shared the core principals by which he governed in the FDA, offered insight into open projects and...
Former FDA Commissioner, Scott Gottlieb, MD, addressed attendees of the Asembia 2019 Specialty Pharmacy Summit as keynote speaker where he shared the core principals by which he governed in the FDA, offered insight into open projects and...
Former FDA Commissioner, Scott...
06/18/2019
First Report Managed Care
Conference Insider
06/18/2019
When asked what drives her to continue the fight to find the cure to Alzheimer disease, Maria Shriver stated simply, “I don’t want to lose my mind” to attendees of the Asembia 2019 Specialty Pharmacy Summit in a keynote conversation. 
When asked what drives her to continue the fight to find the cure to Alzheimer disease, Maria Shriver stated simply, “I don’t want to lose my mind” to attendees of the Asembia 2019 Specialty Pharmacy Summit in a keynote conversation. 
When asked what drives her to...
06/18/2019
First Report Managed Care
Conference Insider
06/18/2019
Rina Shah, divisional vice president of Pharmacy Operations and Specialty at Walgreens, and LeeAnn Mengel, vice president of Baptist MD Anderson Cancer Center (Baptist), discussed their recent partnership during a session at the Asembia 2019...
Rina Shah, divisional vice president of Pharmacy Operations and Specialty at Walgreens, and LeeAnn Mengel, vice president of Baptist MD Anderson Cancer Center (Baptist), discussed their recent partnership during a session at the Asembia 2019...
Rina Shah, divisional vice...
06/18/2019
First Report Managed Care
Conference Insider
06/18/2019
As the drive to improve drug costs and coverage for patients continues, payers, pharmacy benefit managers (PBMs), and manufacturers compete to offer cost managing programs. The latest effort from PBMs comes in the form of copay accumulator...
As the drive to improve drug costs and coverage for patients continues, payers, pharmacy benefit managers (PBMs), and manufacturers compete to offer cost managing programs. The latest effort from PBMs comes in the form of copay accumulator...
As the drive to improve drug...
06/18/2019
First Report Managed Care
Conference Insider
06/18/2019
James Adams, chief information officer of AllianceRx Walgreens Prime, and Sean Creehan, president of pharmacy business and GM of Creehan at Inovalon, recently discussed the importance of cloud-based technology use within the health care...
James Adams, chief information officer of AllianceRx Walgreens Prime, and Sean Creehan, president of pharmacy business and GM of Creehan at Inovalon, recently discussed the importance of cloud-based technology use within the health care...
James Adams, chief information...
06/18/2019
First Report Managed Care
Conference Insider
06/18/2019
Treatment for chronic inflammatory demyelinating polyneuropathy (CIPD) varies as the disorder is considered rare. Presenters at the Asembia 2019 Specialty Pharmacy Summit discussed diagnosis methods and multiple therapy options that patients...
Treatment for chronic inflammatory demyelinating polyneuropathy (CIPD) varies as the disorder is considered rare. Presenters at the Asembia 2019 Specialty Pharmacy Summit discussed diagnosis methods and multiple therapy options that patients...
Treatment for chronic...
06/18/2019
First Report Managed Care
Conference Insider
06/18/2019
During a session at the Asembia 2019 Specialty Pharmacy Summit, Rhonda Cooper-DeHoff, PharmD, associate professor in the department of pharmacotherapy and translational research at the University of Florida College of Pharmacy, and Joseph...
During a session at the Asembia 2019 Specialty Pharmacy Summit, Rhonda Cooper-DeHoff, PharmD, associate professor in the department of pharmacotherapy and translational research at the University of Florida College of Pharmacy, and Joseph...
During a session at the Asembia...
06/18/2019
First Report Managed Care
Conference Insider
06/18/2019
There has long been a connection between coffee, caffeine, and quickened bowel movements but researchers presented at Digestive Disease Week explained that while long believed to be the case, caffeine might not play as significant a role as...
There has long been a connection between coffee, caffeine, and quickened bowel movements but researchers presented at Digestive Disease Week explained that while long believed to be the case, caffeine might not play as significant a role as...
There has long been a connection...
06/18/2019
First Report Managed Care
Conference Insider
06/18/2019
New science presented at Digestive Disease Week found that fasting between dawn and sunset for a total of 30 days increased protein levels that play a crucial role in improving insulin resistance and protecting against the risks from a...
New science presented at Digestive Disease Week found that fasting between dawn and sunset for a total of 30 days increased protein levels that play a crucial role in improving insulin resistance and protecting against the risks from a...
New science presented at...
06/18/2019
First Report Managed Care
Conference Insider
06/18/2019
Researchers presented at Digestive Disease Week that physical activity including walking and muscle-strengthening activities significantly reduced the risk of cirrhosis-related deaths 
Researchers presented at Digestive Disease Week that physical activity including walking and muscle-strengthening activities significantly reduced the risk of cirrhosis-related deaths 
Researchers presented at...
06/18/2019
First Report Managed Care