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First Report Managed Care

News

Behind the Bill
08/28/2026
Grace Taylor, MS, MA
The Centers for Medicare & Medicaid Services (CMS) is rolling out Rural Health Transformation Program funding across states, supporting projects aimed at expanding access, modernizing infrastructure, and strengthening rural health care...
The Centers for Medicare & Medicaid Services (CMS) is rolling out Rural Health Transformation Program funding across states, supporting projects aimed at expanding access, modernizing infrastructure, and strengthening rural health care...
The Centers for Medicare &...
08/28/2026
First Report Managed Care
News
08/27/2026
Grace Taylor, MS, MA
Researchers found that posttransplant maintenance therapy for acute myeloid leukemia (AML) was associated with greater health care utilization and higher pharmacy costs, although total health care costs were not significantly increased.
Researchers found that posttransplant maintenance therapy for acute myeloid leukemia (AML) was associated with greater health care utilization and higher pharmacy costs, although total health care costs were not significantly increased.
Researchers found that...
08/27/2026
First Report Managed Care
News
08/27/2026
Rebecca Amrick
Researchers evaluated treatment patterns and care costs among patients with chronic hand eczema, outlining varied disease presentation, extensive use of corticosteroids, and care costs that increase with treatment intensity.
Researchers evaluated treatment patterns and care costs among patients with chronic hand eczema, outlining varied disease presentation, extensive use of corticosteroids, and care costs that increase with treatment intensity.
Researchers evaluated treatment...
08/27/2026
First Report Managed Care
News
08/24/2026
Rebecca Amrick
A study found that among employees with obesity, GLP-1 RA use was associated with higher medical costs but no significant differences in absenteeism or short-term disability days, highlighting the need for further research into their...
A study found that among employees with obesity, GLP-1 RA use was associated with higher medical costs but no significant differences in absenteeism or short-term disability days, highlighting the need for further research into their...
A study found that among...
08/24/2026
First Report Managed Care
News
08/24/2026
Rebecca Amrick
A study found that the Inflation Reduction Act’s cap on out-of-pocket spending among Medicare beneficiaries was associated with increased medication prescriptions and usage, indicating significant improvements in drug access.
A study found that the Inflation Reduction Act’s cap on out-of-pocket spending among Medicare beneficiaries was associated with increased medication prescriptions and usage, indicating significant improvements in drug access.
A study found that the Inflation...
08/24/2026
First Report Managed Care
News
08/21/2026
Rebecca Amrick
In a panel hosted by the Academy of Managed Care Pharmacy (AMCP) Market Insights, experts in dermatology and managed care discussed various health disparities for patients with moderate to severe atopic dermatitis, suggesting strategies and...
In a panel hosted by the Academy of Managed Care Pharmacy (AMCP) Market Insights, experts in dermatology and managed care discussed various health disparities for patients with moderate to severe atopic dermatitis, suggesting strategies and...
In a panel hosted by the Academy...
08/21/2026
First Report Managed Care
Behind the Bill
08/21/2026
Grace Taylor, MS, MA
The FDA’s proposed Prescription Drug User Fee Act (PDUFA) VIII and Generic Drug User Fee Amendments (GDUFA) IV agreements aim to streamline drug reviews, strengthen sponsor communication, and accelerate generic competition as Congress...
The FDA’s proposed Prescription Drug User Fee Act (PDUFA) VIII and Generic Drug User Fee Amendments (GDUFA) IV agreements aim to streamline drug reviews, strengthen sponsor communication, and accelerate generic competition as Congress...
The FDA’s proposed Prescription...
08/21/2026
First Report Managed Care
News
08/21/2026
Rebecca Amrick
In a simulation analysis of 100 000 adolescents with severe obesity, metabolic and bariatric surgery showed promise as a cost-effective long-term treatment, with sleeve gastrectomy being associated with the lowest costs per year gained.
In a simulation analysis of 100 000 adolescents with severe obesity, metabolic and bariatric surgery showed promise as a cost-effective long-term treatment, with sleeve gastrectomy being associated with the lowest costs per year gained.
In a simulation analysis of 100...
08/21/2026
First Report Managed Care
News
08/19/2026
Hannah Musick
Recent advances in chronic myeloid leukemia are expanding treatment options and supporting a more individualized approach that balances molecular response, toxicity, treatment-free remission goals, comorbidities, and cost.
Recent advances in chronic myeloid leukemia are expanding treatment options and supporting a more individualized approach that balances molecular response, toxicity, treatment-free remission goals, comorbidities, and cost.
Recent advances in chronic...
08/19/2026
First Report Managed Care
News
08/18/2026
Rebecca Amrick
A systematic review of clinical trials examining the impact of Janus kinase (JAK) inhibitors on skin conditions found that they demonstrated higher efficacy and comparable safety when compared with a placebo.
A systematic review of clinical trials examining the impact of Janus kinase (JAK) inhibitors on skin conditions found that they demonstrated higher efficacy and comparable safety when compared with a placebo.
A systematic review of clinical...
08/18/2026
First Report Managed Care

KOL Insights

Ben Derman
Interview
07/23/2026
Ben Derman, MD
In this interview, a guest expert shares insights discussed at the 2026 American Society of Clinical Oncology (ASCO) Annual Meeting about the updated ASCO Living Guideline for multiple myeloma, including broader use of quadruplet regimens,...
In this interview, a guest expert shares insights discussed at the 2026 American Society of Clinical Oncology (ASCO) Annual Meeting about the updated ASCO Living Guideline for multiple myeloma, including broader use of quadruplet regimens,...
In this interview, a guest...
07/23/2026
First Report Managed Care
PIPELINE PROJECTIONS
07/21/2026
Roy Moore
Roy Moore explores the evolving Alzheimer's disease pipeline, highlighting the promise of anti-amyloid therapies, emerging competitors, and the challenges ahead.
Roy Moore explores the evolving Alzheimer's disease pipeline, highlighting the promise of anti-amyloid therapies, emerging competitors, and the challenges ahead.
Roy Moore explores the evolving...
07/21/2026
First Report Managed Care
LC
Interview
07/20/2026
Lynn Carroll
In this interview, a guest expert discusses how health plans are evaluating innovative therapies through the lens of value-based care and explains why real-world evidence, interoperable data, and scalable contract infrastructure are essential...
In this interview, a guest expert discusses how health plans are evaluating innovative therapies through the lens of value-based care and explains why real-world evidence, interoperable data, and scalable contract infrastructure are essential...
In this interview, a guest...
07/20/2026
First Report Managed Care
J Collins
Commentary
07/14/2026
Jessica Collins, MBA
A patient panel at the 2026 National Infusion Center Association (NICA) Annual Conference underscored how delays driven by prior authorization, benefit design, and administrative barriers can profoundly affect the lives of individuals with...
A patient panel at the 2026 National Infusion Center Association (NICA) Annual Conference underscored how delays driven by prior authorization, benefit design, and administrative barriers can profoundly affect the lives of individuals with...
A patient panel at the 2026...
07/14/2026
First Report Managed Care
BI FRMC KOL video
Videos
07/01/2026
Toby Maher, MD, PhD
In this expert commentary, Dr Toby Maher discusses the evolving treatment landscape in progressive pulmonary fibrosis (PPF) and the potential implications of the longer-term FIBRONEER-ILD trial findings. He explores how nerandomilast may...
In this expert commentary, Dr Toby Maher discusses the evolving treatment landscape in progressive pulmonary fibrosis (PPF) and the potential implications of the longer-term FIBRONEER-ILD trial findings. He explores how nerandomilast may...
In this expert commentary, Dr...
07/01/2026
First Report Managed Care
MANAGED CARE Q&A
06/25/2026
Joe DePinto
This interview explores the structural, operational, and reimbursement challenges limiting access to cell and gene therapies, highlighting the importance of stakeholder collaboration, innovative payment models, real-world evidence, and...
This interview explores the structural, operational, and reimbursement challenges limiting access to cell and gene therapies, highlighting the importance of stakeholder collaboration, innovative payment models, real-world evidence, and...
This interview explores the...
06/25/2026
First Report Managed Care
Commentary
06/25/2026
Chris Terrone; Cynthia Miller; Mitch DeKoven
As regulators and payers place growing emphasis on real-world evidence, new survey findings reveal what managed care decision-makers value most—and how manufacturers can generate and communicate evidence that meaningfully influences coverage...
As regulators and payers place growing emphasis on real-world evidence, new survey findings reveal what managed care decision-makers value most—and how manufacturers can generate and communicate evidence that meaningfully influences coverage...
As regulators and payers place...
06/25/2026
First Report Managed Care
Commentary
06/25/2026
Patty Hayward; David Lareau; Jeanne Cohen; Alexandria Foley, MSN, RN; Kevin Ritter; Payam Zamani, MD; Eugene Gonsiorek; Mike Camacho; Joseph Kleiman; Bill Kerr, MD
To mark the 20th anniversary of value-based care, health care innovation and value-based care leaders reflect on how the industry has evolved—and why success over the next 20 years will depend on moving from payment reform to the...
To mark the 20th anniversary of value-based care, health care innovation and value-based care leaders reflect on how the industry has evolved—and why success over the next 20 years will depend on moving from payment reform to the...
To mark the 20th anniversary of...
06/25/2026
First Report Managed Care
Commentary
06/25/2026
Chandra Y. Osborn, PhD, MPH
As managed care shifts toward outcomes-based performance, health plans are discovering that identifying at-risk members is no longer enough—the real competitive advantage lies in driving sustained behavior change to improve medication...
As managed care shifts toward outcomes-based performance, health plans are discovering that identifying at-risk members is no longer enough—the real competitive advantage lies in driving sustained behavior change to improve medication...
As managed care shifts toward...
06/25/2026
First Report Managed Care
Regulatory Insights
06/25/2026
Adam Colborn, JD
Although major legislative activity has slowed following pharmacy benefit manager (PBM) reform, ongoing congressional scrutiny of drug patents, price transparency, broker compensation, and the future of Medicare Star Ratings signals that...
Although major legislative activity has slowed following pharmacy benefit manager (PBM) reform, ongoing congressional scrutiny of drug patents, price transparency, broker compensation, and the future of Medicare Star Ratings signals that...
Although major legislative...
06/25/2026
First Report Managed Care

Issue Features

Special Article
06/25/2026
This article reviews the extended follow-up findings from the Phase III FIBRONEER-ILD trial and examines the potential implications of nerandomilast for the management of PPF. It highlights the durability of lung function benefits, clinically...
This article reviews the extended follow-up findings from the Phase III FIBRONEER-ILD trial and examines the potential implications of nerandomilast for the management of PPF. It highlights the durability of lung function benefits, clinically...
This article reviews the...
06/25/2026
First Report Managed Care
Infographic
05/21/2026
The infographic summarizes 76-week study data from the phase 3 FIBRONEER-IPF trial to provide additional insights on lung function trends, disease progression, mortality risk, and safety outcomes over time with nerandomilast.
The infographic summarizes 76-week study data from the phase 3 FIBRONEER-IPF trial to provide additional insights on lung function trends, disease progression, mortality risk, and safety outcomes over time with nerandomilast.
The infographic summarizes...
05/21/2026
First Report Managed Care
Sponsored
10/16/2025
JOURNAVX is an oral nonopioid indicated for the treatment of moderate-to-severe acute pain in adults—the first and only oral pain signal inhibitor highly selective for NaV1.81
JOURNAVX is an oral nonopioid indicated for the treatment of moderate-to-severe acute pain in adults—the first and only oral pain signal inhibitor highly selective for NaV1.81
JOURNAVX is an oral nonopioid...
10/16/2025
First Report Managed Care
Infographic
08/06/2025
The infographic summarizes the FIBRONEER-IPF Phase 3 trial results, demonstrating nerandomilast significantly reduced the decline in forced vital capacity (FVC) over 52 weeks compared to placebo. Nerandomilast exhibited a favorable safety...
The infographic summarizes the FIBRONEER-IPF Phase 3 trial results, demonstrating nerandomilast significantly reduced the decline in forced vital capacity (FVC) over 52 weeks compared to placebo. Nerandomilast exhibited a favorable safety...
The infographic summarizes the...
08/06/2025
First Report Managed Care
Feature Story
05/12/2025
Lynn Carroll; Rahul Sharma
Health care organizations will be under increasing financial pressure in 2025 and beyond as they struggle to reduce costs while improving care quality—particularly as actions at the federal level threaten to severely disrupt the industry. Not...
Health care organizations will be under increasing financial pressure in 2025 and beyond as they struggle to reduce costs while improving care quality—particularly as actions at the federal level threaten to severely disrupt the industry. Not...
Health care organizations will...
05/12/2025
First Report Managed Care

Interactive Features

Poll
06/18/2026
Do you think retifanlimab plus carboplatin/paclitaxel should be adopted as the new frontline standard of care for patients with advanced squamous cell carcinoma of the anal canal?
Do you think retifanlimab plus carboplatin/paclitaxel should be adopted as the new frontline standard of care for patients with advanced squamous cell carcinoma of the anal canal?
Do you think retifanlimab plus...
06/18/2026
First Report Managed Care
PIPELINE PROJECTIONS
03/26/2026
Roy Moore
Roy Moore outlines how a rapidly expanding atopic dermatitis pipeline is intensifying competition, reshaping payer strategies, and raising the bar for new therapies.
Roy Moore outlines how a rapidly expanding atopic dermatitis pipeline is intensifying competition, reshaping payer strategies, and raising the bar for new therapies.
Roy Moore outlines how a rapidly...
03/26/2026
First Report Managed Care
Quiz
11/25/2025
True or False: The transformation of traditional health care call centers into “smart access hubs” relies entirely on artificial intelligence (AI) to manage all patient interactions and scheduling.
True or False: The transformation of traditional health care call centers into “smart access hubs” relies entirely on artificial intelligence (AI) to manage all patient interactions and scheduling.
True or False: The...
11/25/2025
First Report Managed Care