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May 2017 - FRMC

Department

Formulary Frontlines®
Latest Drug Treatment Developments for Type 2 Diabetes in Patients With Cardiovascular Risk
05/23/2017
Vanita Pindolia, PharmD; Whitney Aultman, PharmD
Cardiovascular (CV) disease is the leading cause of early death in diabetic patients, and multiple clinical trials have assessed new antidiabetic medication classes.
Cardiovascular (CV) disease is the leading cause of early death in diabetic patients, and multiple clinical trials have assessed new antidiabetic medication classes.
Cardiovascular (CV) disease is...
05/23/2017
First Report Managed Care
Managed Care Q&A
Cutting Diabetes Drug Costs Through Innovative Programs
05/22/2017
David Costill
Troyen Brennan, MD, executive vice president and chief medical officer at CVS Health, discusses how CVS Health's prescription savings program offers discounts on certain medications directly to patients.
Troyen Brennan, MD, executive vice president and chief medical officer at CVS Health, discusses how CVS Health's prescription savings program offers discounts on certain medications directly to patients.
Troyen Brennan, MD, executive...
05/22/2017
First Report Managed Care
News Connection
Care Coordination, Access Crucial to PCMH Success
05/22/2017
Elements of the patient-centered medical home (PCMH) model most strongly linked with clinical quality are care coordination, access, continuity, and communication, according to a recent study in JAMA Internal Medicine.
Elements of the patient-centered medical home (PCMH) model most strongly linked with clinical quality are care coordination, access, continuity, and communication, according to a recent study in JAMA Internal Medicine.
Elements of the patient-centered...
05/22/2017
First Report Managed Care
News Connection
Express Scripts May Lose Anthem as Pharmacy Client Amid Lawsuit
05/22/2017
Express Scripts, the leading pharmacy benefit manager (PBM) in the country, recently announced that its largest client, Anthem Inc, will likely not renew its contract once the current agreement expires December 31, 2019.
Express Scripts, the leading pharmacy benefit manager (PBM) in the country, recently announced that its largest client, Anthem Inc, will likely not renew its contract once the current agreement expires December 31, 2019.
Express Scripts, the leading...
05/22/2017
First Report Managed Care
News Connection
Rise in Insured Americans Did Not Hurt Access to Care
05/22/2017
The boost in the number of newly insured Americans as a result of the ACA did not hamper access to care for Americans who already had health insurance, according to a study in Health Affairs.
The boost in the number of newly insured Americans as a result of the ACA did not hamper access to care for Americans who already had health insurance, according to a study in Health Affairs.
The boost in the number of newly...
05/22/2017
First Report Managed Care
News Connection
House Introduces Bill to Loosen Communication Restrictions for Off-Label Use
05/22/2017
Representative Morgan Griffith (R-Virginia) recently introduced a new bill aimed at reducing the restrictions on off-label communications between pharmaceuticals companies, payers, and providers—allowing drugmakers to discuss unapproved uses...
Representative Morgan Griffith (R-Virginia) recently introduced a new bill aimed at reducing the restrictions on off-label communications between pharmaceuticals companies, payers, and providers—allowing drugmakers to discuss unapproved uses...
Representative Morgan Griffith...
05/22/2017
First Report Managed Care
News Connection
House of Representatives Passes American Health Care Act
05/22/2017
After months of political wrangling, House Republicans have finally passed their health care reform bill, the American Health Care Act, which will give states the right to waive essential health benefits.
After months of political wrangling, House Republicans have finally passed their health care reform bill, the American Health Care Act, which will give states the right to waive essential health benefits.
After months of political...
05/22/2017
First Report Managed Care
News Connection
Maine, Wisconsin Pursue Additional Requirements for Medicaid Eligibility
05/22/2017
Maine and Wisconsin officials have announced plans to implement reforms mandating proof of employment, substance sobriety, and other requirements among Medicaid participants, according to releases from each state’s health department.
Maine and Wisconsin officials have announced plans to implement reforms mandating proof of employment, substance sobriety, and other requirements among Medicaid participants, according to releases from each state’s health department.
Maine and Wisconsin officials...
05/22/2017
First Report Managed Care

Column

Viewpoint
Fourier Study Outcomes: Are PCSK9 Inhibitors Worth the Cost?
05/22/2017
Thomas Morrow, MD
Tom Morrow, MD, discusses the cost of PCSK9 Inhibitors and how they impacted patient response rates in a recent study. 
Tom Morrow, MD, discusses the cost of PCSK9 Inhibitors and how they impacted patient response rates in a recent study. 
Tom Morrow, MD, discusses the...
05/22/2017
First Report Managed Care

News

News
Oncology Clinical Trials: A Win-Win for Payers
05/12/2017
Paul Nicolaus
Clinical trials could represent a unique opportunity for significant cost savings while getting patients access to cutting-edge treatments.
Clinical trials could represent a unique opportunity for significant cost savings while getting patients access to cutting-edge treatments.
Clinical trials could represent...
05/12/2017
First Report Managed Care

Behind the Bill

Behind the Bill
The Medicare Paradox: How Tariffs Could Undermine IRA Drug Pricing Reforms
04/23/2025
Katie Hayes, MJ
The Trump administration's recent announcement of national security investigations into pharmaceutical imports has set up a potential collision course with one of the most significant health care reforms in recent years. While the White...
The Trump administration's recent announcement of national security investigations into pharmaceutical imports has set up a potential collision course with one of the most significant health care reforms in recent years. While the White...
The Trump administration's...
04/23/2025
First Report Managed Care
Behind the Bill
The Bitter Pill, Now in Motion: Pharma Tariffs Move from Rhetoric to Reality
04/16/2025
Katie Hayes, MJ
Last week, I flagged the growing risk that tariffs could upend affordability in the generics market. This week, the Trump administration made it official: it’s launching national security investigations under Section 232 of the Trade...
Last week, I flagged the growing risk that tariffs could upend affordability in the generics market. This week, the Trump administration made it official: it’s launching national security investigations under Section 232 of the Trade...
Last week, I flagged the growing...
04/16/2025
First Report Managed Care
Behind the Bill
The Bitter Pill: How Tariffs Could Make Generics Less Affordable
04/09/2025
Katie Hayes, MJ
As President Donald Trump’s administration introduces a series of tariffs aimed at rebalancing trade and boosting US manufacturing, one sector in particular is watching closely: pharmaceuticals. While drugs themselves may not be directly...
As President Donald Trump’s administration introduces a series of tariffs aimed at rebalancing trade and boosting US manufacturing, one sector in particular is watching closely: pharmaceuticals. While drugs themselves may not be directly...
As President Donald Trump’s...
04/09/2025
First Report Managed Care
Behind the Bill
SCOTUS Takes on the Nondelegation Doctrine: Surprising Reactions and What They Mean for Agency Power
04/02/2025
Katie Hayes, MJ
The Supreme Court recently heard arguments in Federal Communication Commission (FCC) v Consumers’ Research, a case that I covered in February and one that could dramatically reshape federal agency authority through the nondelegation...
The Supreme Court recently heard arguments in Federal Communication Commission (FCC) v Consumers’ Research, a case that I covered in February and one that could dramatically reshape federal agency authority through the nondelegation...
The Supreme Court recently heard...
04/02/2025
First Report Managed Care
Behind the Bill
Dr Oz’s Prescription for Making Medicaid “Viable at Every Level”
03/26/2025
Katie Hayes, MJ
On Tuesday, March 25, 2025, the Senate Finance Committee voted to advance Dr Mehmet Oz in his confirmation as the next head of the Centers for Medicare and Medicaid Services (CMS).1 The full Senate vote is expected “soon” (whatever that...
On Tuesday, March 25, 2025, the Senate Finance Committee voted to advance Dr Mehmet Oz in his confirmation as the next head of the Centers for Medicare and Medicaid Services (CMS).1 The full Senate vote is expected “soon” (whatever that...
On Tuesday, March 25, 2025, the...
03/26/2025
First Report Managed Care
Behind the Bill
The $880 Billion Question Continues: Dr Oz's Confirmation and the Future of Medicaid
03/19/2025
Katie Hayes, MJ
Last week, I explored the $880 billion question facing Congress—whether lawmakers could achieve their budget goals without cutting Medicaid. This week, that question took center stage as Dr Mehmet Oz, President Trump's nominee to lead the...
Last week, I explored the $880 billion question facing Congress—whether lawmakers could achieve their budget goals without cutting Medicaid. This week, that question took center stage as Dr Mehmet Oz, President Trump's nominee to lead the...
Last week, I explored the $880...
03/19/2025
First Report Managed Care
Behind the Bill
The $880 Billion Question: Can Congress Cut Spending Without Touching Medicaid?
03/12/2025
Katie Hayes, MJ
I’d like to step away from administrative law for a moment to provide a quick update on Medicaid. With news coming from all sides, what does the future of Medicaid actually look like? The House of Representatives narrowly passed a budget...
I’d like to step away from administrative law for a moment to provide a quick update on Medicaid. With news coming from all sides, what does the future of Medicaid actually look like? The House of Representatives narrowly passed a budget...
I’d like to step away from...
03/12/2025
First Report Managed Care
Behind the Bill
RFK Jr’s Public Comment Ban: The Silent Shift in Health Care Rulemaking
03/05/2025
Katie Hayes, MJ
The erosion of administrative law continues, and with it, the dismantling of decades-long precedent. In June, the Supreme Court overturned a 40-year-old doctrine that allowed federal agencies to interpret their own ambiguous statutes. Later...
The erosion of administrative law continues, and with it, the dismantling of decades-long precedent. In June, the Supreme Court overturned a 40-year-old doctrine that allowed federal agencies to interpret their own ambiguous statutes. Later...
The erosion of administrative...
03/05/2025
First Report Managed Care
Behind the Bill
Prevention Over Pills? The First 2 Weeks of Health Care’s New Direction
02/26/2025
Katie Hayes, MJ
The dust has barely settled from Robert F Kennedy Jr’s confirmation as Secretary of Health and Human Services (HHS), but the changes are already coming fast and furious—a key theme of the Trump Administration’s actions within the last several...
The dust has barely settled from Robert F Kennedy Jr’s confirmation as Secretary of Health and Human Services (HHS), but the changes are already coming fast and furious—a key theme of the Trump Administration’s actions within the last several...
The dust has barely settled from...
02/26/2025
First Report Managed Care
Behind the Bill
The Nondelegation Doctrine: The Next Constitutional Showdown (Part 2)
02/19/2025
Katie Hayes, MJ
Last week, I explored the potential revival of the nondelegation doctrine through Federal Communication Commission v Consumers’ Research. Today, I want to examine what this could mean for health care regulation by considering the parallels...
Last week, I explored the potential revival of the nondelegation doctrine through Federal Communication Commission v Consumers’ Research. Today, I want to examine what this could mean for health care regulation by considering the parallels...
Last week, I explored the...
02/19/2025
First Report Managed Care

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Trending Articles

News
Examining the Benefits of County-Based Public Insurance in California
05/26/2023
Julie Gould
Researchers studied the impact of county-based public insurance on premium growth in California's Affordable Care Act exchange.
Researchers studied the impact of county-based public insurance on premium growth in California's Affordable Care Act exchange.
Researchers studied the impact...
05/26/2023
First Report Managed Care
News
Ceralasertib Alone Shows Little Benefit for Relapsed/Refractory CLL
06/22/2023
Jolynn Tumolo
For the study, patients who were heavily pretreated for chronic lymphocytic leukemia received ceralasertib with vs without acalabrutinib.
For the study, patients who were heavily pretreated for chronic lymphocytic leukemia received ceralasertib with vs without acalabrutinib.
For the study, patients who were...
06/22/2023
First Report Managed Care
News
High Industry Payments to Hemophilia Center Directors May Be Cause for Concern
07/21/2023
Jolynn Tumolo
“Future studies should assess whether high payments, especially among individuals who have responsibility over the success of hemophilia centers and clinics, may result in competition with the interest of the patients at these centers and...
“Future studies should assess whether high payments, especially among individuals who have responsibility over the success of hemophilia centers and clinics, may result in competition with the interest of the patients at these centers and...
“Future studies should assess...
07/21/2023
First Report Managed Care
News
Proposed Rule Would Make Hospital Prices Even More Transparent
08/14/2023
Julie Appleby
Although government data shows that hospitals’ compliance with price transparency rules has improved, updating the requirements of that law is the focus of a new proposal that aims further standardize the required data, increase its...
Although government data shows that hospitals’ compliance with price transparency rules has improved, updating the requirements of that law is the focus of a new proposal that aims further standardize the required data, increase its...
Although government data shows...
08/14/2023
First Report Managed Care
News
Ongoing Study of IL-23 in Asthma May Yield More Treatment Options
09/11/2023
Jolynn Tumolo
A new study suggests that gaining a better understanding of the relationship between interleukin (IL)-23 and airway inflammation in asthma patients could lead to alternative treatment options beyond traditional anti-type 2 inflammatory...
A new study suggests that gaining a better understanding of the relationship between interleukin (IL)-23 and airway inflammation in asthma patients could lead to alternative treatment options beyond traditional anti-type 2 inflammatory...
A new study suggests that...
09/11/2023
First Report Managed Care

May 2017 Volume 14 Issue 5

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