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Expert Insights

Interview
By Julie Gould Randy Messier, MS, PMCH CCE, medical technologist, recently sat down with First Report Managed Care to discuss his research, “Continuous Improvement of MS Care Quality and Outcomes: A Coach-Supported Quality Improvement Intervention and Readiness Assessment Approach for the MS…
Feature
Health care expenses remain one of the fastest-growing portions of state budgets, and in recent years the emergence of new high-cost treatments has led to the exploration of different approaches for controlling prescription drug spending in particular. Alternative payment models for drugs in the…
Interview
By Edan Stanley Gary Owens, MD, president of Gary Owens Associates, shares a payer perspective on treatment options for chronic lymphocytic leukemia, and weighs the benefits and challenges of using targeted therapy with ibrutinib compared with traditional chemoimmunotherapy. Please introduce…
Cover Story
Managed Care Innovator: Jake Frenz Building a PBM With Technology at its Core   Jake Frenz, founder and CEO of SmithRx, a pharmacy benefit manager (PBM) created in 2016 believes his company’s business model, technology know-how, and data infrastructure significantly differentiates it from more…
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As health care costs in the United States continue to climb, strategies to shift the direction of health care delivery to ensure better quality at lower cost remain front and center of the health care debate.  As formulated in the 2007 Institute of Healthcare Improvement Triple Aim framework, a…
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Electronic health records have been blamed as a significant source of physician frustration and even burnout. Is it possible for managed care leaders to turn this technology from a burden to a boon? When electronic health records (EHRs) first emerged, there was hope that this form of health…
Formulary Frontlines
Multiple sclerosis (MS) is a chronic, inflammatory disease that involves an immune-mediated attack on the central nervous system (CNS), and is characterized by inflammation, demyelination, and degenerative changes.1,2 A recent study estimates that in 2017 nearly 1 million adults were living with MS…
Managed Care Q&A
Pramod John, PhD, CEO of VIVIO Health, discusses a recent presentation where he spoke about using real-world data to drive better outcomes and lower costs, as well as weighs the benefits of value-based care. Please introduce yourself and tell me about your background. I am Pramod John. I am the…
Interview
In a recent podcast, Jim Adams, CIO of AllianceRx Walgreens Prime and Sean Creehan, president of pharmacy business of Inovalon, break down the different uses of technology in the health care sector and highlight how patients can benefit from cloud-based technologies.The following is an edited…
Cover Story
The IRS—with input from HHS—expands list of preventive care options for HSA participants with high deductible health plans. Our experts offer insights, predict the level of adoption, and address potential downsides. On July 17, 2019, the Internal Revenue Service (IRS) added care for a number of…
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