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Behind the Bill
We’re Done Talking About Medicare for All Now, Right?
10/16/2024
As we approach the final stretch of the 2024 election, Medicare for All is once again part of the health care conversation. But here’s the reality: even some of its previous champions, like Vice President Kamala Harris, have moved on. Harris...
As we approach the final stretch of the 2024 election, Medicare for All is once again part of the health care conversation. But here’s the reality: even some of its previous champions, like Vice President Kamala Harris, have moved on. Harris...
As we approach the final stretch...
10/16/2024
First Report Managed Care
Behind the Bill
VP Debate Leaves Health Care Questions Unanswered
10/09/2024
VP debate sidestepped key health care reforms like prescription drug prices, systemic reforms, and affordability.
VP debate sidestepped key health care reforms like prescription drug prices, systemic reforms, and affordability.
VP debate sidestepped key health...
10/09/2024
First Report Managed Care
Behind the Bill
Everything You Didn't (Want to) Know About the Filibuster
10/02/2024
Navigating the murky waters of Senate procedures, including the filibuster, is crucial for understanding why health care reform proposals struggle to become reality in the US.
Navigating the murky waters of Senate procedures, including the filibuster, is crucial for understanding why health care reform proposals struggle to become reality in the US.
Navigating the murky waters of...
10/02/2024
First Report Managed Care
Behind the Bill
The Shaky Ground of Copay Accumulator Programs
09/18/2024
The aftermath of legal challenges and state legislation continues to reshape the landscape of copay accumulator programs, forcing payers and manufacturers to adapt their strategies.
The aftermath of legal challenges and state legislation continues to reshape the landscape of copay accumulator programs, forcing payers and manufacturers to adapt their strategies.
The aftermath of legal...
09/18/2024
First Report Managed Care
Blog
Software as Medicine: The Rise of Digital Technology in Modern Health Care
09/10/2024
First Report Managed Care is thrilled to introduce Andy Molnar, CEO of the Digital Therapeutics Alliance (DTA), as he launches a monthly blog series. As the leader of the premier global organization for the digital therapeutics industry, Andy...
First Report Managed Care is thrilled to introduce Andy Molnar, CEO of the Digital Therapeutics Alliance (DTA), as he launches a monthly blog series. As the leader of the premier global organization for the digital therapeutics industry, Andy...
First Report Managed Care is...
09/10/2024
First Report Managed Care
Behind the Bill
Streamlining Biosimilars: FDA's Draft Guidance Signals Big Changes (Part 2)
09/04/2024
This is a continuation of our Behind the Bill on the FDA’s new guidance for biosimilar interchangeability.
This is a continuation of our Behind the Bill on the FDA’s new guidance for biosimilar interchangeability.
This is a continuation of our...
09/04/2024
First Report Managed Care
Behind the Bill
Streamlining Biosimilars: FDA's Draft Guidance Signals Big Changes (Part 1)
08/28/2024
FDA eases biosimilar interchangeability rules, dropping switching studies. New guidance and legislation aim to boost access and lower costs.
FDA eases biosimilar interchangeability rules, dropping switching studies. New guidance and legislation aim to boost access and lower costs.
FDA eases biosimilar...
08/28/2024
First Report Managed Care
News
Study Finds Gemcitabine-Docetaxel Combo Outperforms BCG in Treating High-Risk Bladder Cancer
08/23/2024
Gemcitabine and docetaxel therapy may be a viable alternative to bacillus Calmette-Guérin (BCG) for patients with high-risk non-muscle invasive bladder cancer (NMIBC), according to study results published in JAMA Network Open.
Gemcitabine and docetaxel therapy may be a viable alternative to bacillus Calmette-Guérin (BCG) for patients with high-risk non-muscle invasive bladder cancer (NMIBC), according to study results published in JAMA Network Open.
Gemcitabine and docetaxel...
08/23/2024
First Report Managed Care
Behind the Bill
The SMART Prices Act is the Next Chapter in IRA-Driven Drug Pricing Reform
08/21/2024
The SMART Prices Act aims to strengthen Medicare drug pricing reforms but faces opposition from manufacturers and uncertain prospects in Congress.
The SMART Prices Act aims to strengthen Medicare drug pricing reforms but faces opposition from manufacturers and uncertain prospects in Congress.
The SMART Prices Act aims to...
08/21/2024
First Report Managed Care
Farrukh Awan, MD
Videos
Promising Therapies and Clinical Trials for Chronic Lymphocytic Leukemia
08/14/2024
Farrukh Awan, MD, highlights promising therapies and clinical trials within the field of chronic lymphocytic leukemia (CLL).
Farrukh Awan, MD, highlights promising therapies and clinical trials within the field of chronic lymphocytic leukemia (CLL).
Farrukh Awan, MD, highlights...
08/14/2024
Journal of Clinical Pathways
From Journal of Clinical Pathways
Behind the Bill
How CMS’s New IPPS Rule Could Reshape Pharma Supply Chains for Essential Drugs
08/14/2024
CMS’s new IPPS rule aims to bolster small hospitals’ buffer stocks of drug shortages, aligning with HHS’s broader strategy.
CMS’s new IPPS rule aims to bolster small hospitals’ buffer stocks of drug shortages, aligning with HHS’s broader strategy.
CMS’s new IPPS rule aims to...
08/14/2024
First Report Managed Care

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News
Long-Term Study Reveals Sustained Metabolic Adaptation After Gastric Bypass Surgery
10/21/2024
A study published in the International Journal of Obesity found that gastric bypass surgery leads to significant long-term weight loss and metabolic changes, suggesting that maintaining fat-free mass may help sustain metabolic rates...
A study published in the International Journal of Obesity found that gastric bypass surgery leads to significant long-term weight loss and metabolic changes, suggesting that maintaining fat-free mass may help sustain metabolic rates...
A study published in the...
10/21/2024
First Report Managed Care
SV
Interview
Homecare Insights Survey Offers Glimpse at Caregiver Motivations, Perspectives and Priorities
10/18/2024
Learn about the impact of the 2024 Homecare Insights Survey on caregiver satisfaction and how specialized training, recognition, and technology can enhance patient care and support caregiver well-being.
Learn about the impact of the 2024 Homecare Insights Survey on caregiver satisfaction and how specialized training, recognition, and technology can enhance patient care and support caregiver well-being.
Learn about the impact of the...
10/18/2024
First Report Managed Care
Conference Coverage
Successes and Challenges Ahead: Navigating Changes in IRA and Medicare Part D
10/18/2024
Explore the implications of the CY 2025 Medicare Part D Redesign and the Inflation Reduction Act with AMCP Nexus 2024 session speakers, addressing successes and challenges faced by stakeholders as they prepare for significant changes ahead.
Explore the implications of the CY 2025 Medicare Part D Redesign and the Inflation Reduction Act with AMCP Nexus 2024 session speakers, addressing successes and challenges faced by stakeholders as they prepare for significant changes ahead.
Explore the implications of the...
10/18/2024
First Report Managed Care
News
Peripheral Residual Disease Monitoring Signals Progression Risk in Multiple Myeloma
10/18/2024
Peripheral residual disease identified using next-generation flow in patients with transplant-eligible multiple myeloma was associated with a 13-fold increased risk of progression or death, according to a clinical trial update published...
Peripheral residual disease identified using next-generation flow in patients with transplant-eligible multiple myeloma was associated with a 13-fold increased risk of progression or death, according to a clinical trial update published...
Peripheral residual disease...
10/18/2024
First Report Managed Care
News
Poststroke Seizure Care Differs With Time of Occurrence
10/18/2024
A common complication of stroke, poststroke seizures require a systematic diagnosis, according to a review article in Frontiers in Neurology.
A common complication of stroke, poststroke seizures require a systematic diagnosis, according to a review article in Frontiers in Neurology.
A common complication of stroke,...
10/18/2024
First Report Managed Care
Conference Coverage
State-Level Initiatives in Drug Pricing, PBM Reform, and Utilization Management
10/16/2024
Discover the latest state-level pharmacy policy trends, including pharmacy benefit manager (PBM) regulations and utilization management practices, from the eye-opening AMCP Nexus 2024 session.
Discover the latest state-level pharmacy policy trends, including pharmacy benefit manager (PBM) regulations and utilization management practices, from the eye-opening AMCP Nexus 2024 session.
Discover the latest state-level...
10/16/2024
First Report Managed Care
Conference Coverage
New Medicare Part D Out-of-Pocket Maximum Poses Barrier to Accessing Expensive Alzheimer Treatments
10/16/2024
A study presented at AMCP Nexus 2024 reveals that most patients with Alzheimer disease are not expected to reach the new Medicare Part D out-of-pocket maximum of $2000, potentially hindering access to high-cost treatments like lecanemab.
A study presented at AMCP Nexus 2024 reveals that most patients with Alzheimer disease are not expected to reach the new Medicare Part D out-of-pocket maximum of $2000, potentially hindering access to high-cost treatments like lecanemab.
A study presented at AMCP Nexus...
10/16/2024
First Report Managed Care
Conference Coverage
Cost-Effectiveness of MDMA-Assisted Therapy for PTSD
10/16/2024
Researchers at AMCP Nexus 2024 explored the cost-effectiveness of Midomafetamine-assisted therapy (MDMA-AT) for post-traumatic stress disorder (PTSD) in US health care settings, with findings suggesting it may be a more cost-effective...
Researchers at AMCP Nexus 2024 explored the cost-effectiveness of Midomafetamine-assisted therapy (MDMA-AT) for post-traumatic stress disorder (PTSD) in US health care settings, with findings suggesting it may be a more cost-effective...
Researchers at AMCP Nexus 2024...
10/16/2024
First Report Managed Care
Behind the Bill
We’re Done Talking About Medicare for All Now, Right?
10/16/2024
As we approach the final stretch of the 2024 election, Medicare for All is once again part of the health care conversation. But here’s the reality: even some of its previous champions, like Vice President Kamala Harris, have moved on. Harris...
As we approach the final stretch of the 2024 election, Medicare for All is once again part of the health care conversation. But here’s the reality: even some of its previous champions, like Vice President Kamala Harris, have moved on. Harris...
As we approach the final stretch...
10/16/2024
First Report Managed Care
Conference Coverage
Real-World Analysis of Persistence and Prescribing Patterns of TV-46000 for Schizophrenia Treatment
10/15/2024
This study on the prescribing patterns of TV-46000 for schizophrenia treatment in the US reveals high persistence rates and frequent use as a first-line treatment option among patients.
This study on the prescribing patterns of TV-46000 for schizophrenia treatment in the US reveals high persistence rates and frequent use as a first-line treatment option among patients.
This study on the prescribing...
10/15/2024
First Report Managed Care
Conference Coverage
Increasing Prescriptions, Decreasing Results: Studying GLP-1 Weight Loss Use Trends
10/15/2024
A surge in GLP-1 drug use for weight management in the US has led to decreasing rates of sustained use and meaningful weight loss, as highlighted in a recent study analyzing trends in medication persistence and outcomes.
A surge in GLP-1 drug use for weight management in the US has led to decreasing rates of sustained use and meaningful weight loss, as highlighted in a recent study analyzing trends in medication persistence and outcomes.
A surge in GLP-1 drug use for...
10/15/2024
First Report Managed Care

First Reports

Weekly Dose of Hemophilia Factor VIII Therapy Delivers Significant Bleed Protection
Pegloticase Benefit Enhanced When Combined With Methotrexate for Patients With Chronic Gout
HCRU Burden of Chronic vs Episodic Migraine and Effect of Early vs Late Nonoral Triptan Use
Zanubrutinib Exhibits Superior Overall Response Rate for Adult Patients With Chronic Lymphocytic Leukemia
Access to Acute Treatments for Migraine Can Reduce Costs for Employers, Health Care System
Addition of Daratumumab to a Treatment Plan for Transplant Ineligible Patients With Multiple Myeloma Proves Beneficial
Atezolizumab Demonstrates Positive Disease-free Survival Benefit Among Patients With NSCLC
Data Supports Progression-Free Survival, Overall Survival for Long-Term CLL/SLL Treatment
ICER Report Ranks Value, Clinical Effectiveness of Dupilumab and Other AD Treatments
Dupilumab Reduces Type 2 Inflammation, May Offer Clinical Benefits for Multiple Comorbid Diseases

Commentary

Milo Headshot
Commentary
Transforming Health Care Payer Operations With AI
10/11/2024
Health plans today face mounting pressure to enhance member engagement while improving health outcomes and control rising costs. As health care inflation continues to outpace general inflation across the United States, health plans are...
Health plans today face mounting pressure to enhance member engagement while improving health outcomes and control rising costs. As health care inflation continues to outpace general inflation across the United States, health plans are...
Health plans today face mounting...
10/11/2024
First Report Managed Care
Lynn Carroll
Commentary
How Capitation Contracts Can Benefit Provider and Payer Population Health Initiatives
10/04/2024
In response to the vulnerabilities exposed by the COVID-19 pandemic, provider organizations are increasingly turning to capitation payment models to ensure revenue stability, improve care quality, and manage population health.
In response to the vulnerabilities exposed by the COVID-19 pandemic, provider organizations are increasingly turning to capitation payment models to ensure revenue stability, improve care quality, and manage population health.
In response to the...
10/04/2024
First Report Managed Care
Mike Spellman
Commentary
Unlocking Value in Payment Integrity: A New Paradigm for Health Insurers
10/01/2024
From cost-cutting to value creation, learn how payment integrity is shifting towards a more holistic approach in the health care industry to enhance care quality and stakeholder relationships.
From cost-cutting to value creation, learn how payment integrity is shifting towards a more holistic approach in the health care industry to enhance care quality and stakeholder relationships.
From cost-cutting to value...
10/01/2024
First Report Managed Care
Shannon Smith, RN, BSN
Commentary
Navigating the CY 2025 CMS Physician Fee Schedule Proposals: Strategic Insights for Health Care Leaders
09/30/2024
The Centers for Medicare & Medicaid Services (CMS) has released its calendar year (CY) 2025 physician fee schedule proposals. In this commentary, an expert breaks down the key components and their implications for health care organizations.
The Centers for Medicare & Medicaid Services (CMS) has released its calendar year (CY) 2025 physician fee schedule proposals. In this commentary, an expert breaks down the key components and their implications for health care organizations.
The Centers for Medicare &...
09/30/2024
First Report Managed Care
Noel Felipe
Commentary
Providers Can Reduce Administrative Burden and Improve Productivity With AI Tools to Mitigate Labor Shortages
09/30/2024
As labor shortages continue to plague the health care industry, providers are turning to artificial intelligence tools to streamline administrative tasks, enhance patient care, and improve staff satisfaction, offering a glimpse into the...
As labor shortages continue to plague the health care industry, providers are turning to artificial intelligence tools to streamline administrative tasks, enhance patient care, and improve staff satisfaction, offering a glimpse into the...
As labor shortages continue to...
09/30/2024
First Report Managed Care
Commentary
Enhancing Provider Experience Through Electronic Prior Authorization
08/13/2024
Each year the American Medical Association (AMA) surveys its membership to ascertain their feedback concerning prior authorizations (PAs) and the impact of this service on their practice. Reliably, AMA members say that PAs are disruptive to...
Each year the American Medical Association (AMA) surveys its membership to ascertain their feedback concerning prior authorizations (PAs) and the impact of this service on their practice. Reliably, AMA members say that PAs are disruptive to...
Each year the American Medical...
08/13/2024
First Report Managed Care
Commentary
Payer-Provider Synergy: Aligning at the Fulcrum Points
08/05/2024
Payer-provider collaboration represents a crucial opportunity to bridge the gap between those who provide care and those who finance it. In this commentary, experts delve into strategies to help foster a collaborative relationship between...
Payer-provider collaboration represents a crucial opportunity to bridge the gap between those who provide care and those who finance it. In this commentary, experts delve into strategies to help foster a collaborative relationship between...
Payer-provider collaboration...
08/05/2024
First Report Managed Care
Commentary
Easing the Nursing Shortage Burden With Wins on Quality, Cost, Scale
07/10/2024
Already challenged with cost, care, and administrative pressures, health care organizations are now staring down a daunting talent supply-and-demand gap. This shortage will negatively affect affordability and access to care for consumers and...
Already challenged with cost, care, and administrative pressures, health care organizations are now staring down a daunting talent supply-and-demand gap. This shortage will negatively affect affordability and access to care for consumers and...
Already challenged with cost,...
07/10/2024
First Report Managed Care
Darland Headshot
Commentary
Expanding Access to Life-Saving Cardiac Care
07/01/2024
More than 6 million Americans are living with heart failure (HF), the leading cause of hospitalization among adults 65 and older. In this commentary, Chris Darland, CEO, Peerbridge Health, discusses emerging technologies, such as AI-enabled...
More than 6 million Americans are living with heart failure (HF), the leading cause of hospitalization among adults 65 and older. In this commentary, Chris Darland, CEO, Peerbridge Health, discusses emerging technologies, such as AI-enabled...
More than 6 million Americans...
07/01/2024
First Report Managed Care
Commentary
Making Contract Management Work in a Value-Based Care Environment
06/12/2024
Lynn Carroll, Chief Operating Officer, HSBlox
David Wolf, Vice President of Product Management, MedeAnalytics
Value-based care (VBC) models aim improve clinical outcomes and reduce health care costs by proactively focusing on patient wellness. To make this preventive approach to individual and population care work, patients, providers, payers, and...
Value-based care (VBC) models aim improve clinical outcomes and reduce health care costs by proactively focusing on patient wellness. To make this preventive approach to individual and population care work, patients, providers, payers, and...
Value-based care (VBC) models...
06/12/2024
First Report Managed Care

Interviews

SV
Interview
Homecare Insights Survey Offers Glimpse at Caregiver Motivations, Perspectives and Priorities
10/18/2024
Learn about the impact of the 2024 Homecare Insights Survey on caregiver satisfaction and how specialized training, recognition, and technology can enhance patient care and support caregiver well-being.
Learn about the impact of the 2024 Homecare Insights Survey on caregiver satisfaction and how specialized training, recognition, and technology can enhance patient care and support caregiver well-being.
Learn about the impact of the...
10/18/2024
First Report Managed Care
Josh Reischer
Interview
Integrating AI Advancements Into Clinical Care
08/15/2024
Josh Reischer, MD, CEO and Co-Founder of Health Note, answers our burning questions about integrating artificial intelligence and other technology tools into health care.
Josh Reischer, MD, CEO and Co-Founder of Health Note, answers our burning questions about integrating artificial intelligence and other technology tools into health care.
Josh Reischer, MD, CEO and...
08/15/2024
First Report Managed Care
Venkatgiri Vandali
Interview
Maximizing Efficiency and Patient Care With Generative AI
08/12/2024
The role of generative AI in managing data is explored and the potential impact of payers, providers, and patients in this interview with industry expert Venkatgiri Vandali of Firstsource.
The role of generative AI in managing data is explored and the potential impact of payers, providers, and patients in this interview with industry expert Venkatgiri Vandali of Firstsource.
The role of generative AI in...
08/12/2024
First Report Managed Care
O & S
Interview
The Impact of Labor Shortages on Long-Term Care and Homecare
07/31/2024
Guest experts weigh in on the ongoing issue of labor shortages in the health care homecare industry as well as solutions for maintaining a robust, engaged, and well-trained workforce.
Guest experts weigh in on the ongoing issue of labor shortages in the health care homecare industry as well as solutions for maintaining a robust, engaged, and well-trained workforce.
Guest experts weigh in on the...
07/31/2024
First Report Managed Care
Gavin Magaha
Interview
Strategies for Managing Duplicate Discounts Under the 340B Drug Discount Program
07/31/2024
Discover insights from an industry expert on 340B policy and compliance as they delve into industry trends, potential reforms, and the future of drug discount programs in the health care landscape.
Discover insights from an industry expert on 340B policy and compliance as they delve into industry trends, potential reforms, and the future of drug discount programs in the health care landscape.
Discover insights from an...
07/31/2024
First Report Managed Care
Brian Esterly Headshot
Interview
Insights on the 2024 Medicare Physician Fee Schedule: Implications and Opportunities for Virtual Care Management Services
07/26/2024
The current Medicare Physician Fee Schedule brought many significant changes to increase access to much needed virtual care management (VCM) services to underserved populations. Learn more about the potential implications of these fee...
The current Medicare Physician Fee Schedule brought many significant changes to increase access to much needed virtual care management (VCM) services to underserved populations. Learn more about the potential implications of these fee...
The current Medicare Physician...
07/26/2024
First Report Managed Care
Ryan Bosch
Interview
Breaking Down Barriers: Understanding the Impact of Social Determinants of Health (Part 2)
07/24/2024
Discover how social determinants of health have historically been overlooked in health care, the obstacles preventing professionals from addressing them, and the potential consequences of reducing policy support in this eye-opening interview...
Discover how social determinants of health have historically been overlooked in health care, the obstacles preventing professionals from addressing them, and the potential consequences of reducing policy support in this eye-opening interview...
Discover how social determinants...
07/24/2024
First Report Managed Care
Ryan Bosch
Interview
Breaking Down Barriers: Understanding the Impact of Social Determinants of Health (Part 1)
07/09/2024
Discover how social determinants of health have historically been overlooked in healthcare, the obstacles preventing professionals from addressing them, and the potential consequences of reducing policy support in this eye-opening interview...
Discover how social determinants of health have historically been overlooked in healthcare, the obstacles preventing professionals from addressing them, and the potential consequences of reducing policy support in this eye-opening interview...
Discover how social determinants...
07/09/2024
First Report Managed Care
Brian Esterly
Interview
Navigating the Future of Virtual Chronic Care Management
06/28/2024
Learn about the impact of the 2024 Medicare Physician Fee Schedule, the importance of virtual care management services in chronic care, and how organizations like TimeDoc can help providers navigate the changing health care landscape.
Learn about the impact of the 2024 Medicare Physician Fee Schedule, the importance of virtual care management services in chronic care, and how organizations like TimeDoc can help providers navigate the changing health care landscape.
Learn about the impact of the...
06/28/2024
First Report Managed Care
Interview
Enhancing Patient Services: Payer and Provider Considerations
06/28/2024
Patient services emerged as a central topic at AXS24, with many stakeholders emphasizing the need for consistency and accessibility in patient support. They also highlighted the importance of addressing both financial and emotional support...
Patient services emerged as a central topic at AXS24, with many stakeholders emphasizing the need for consistency and accessibility in patient support. They also highlighted the importance of addressing both financial and emotional support...
Patient services emerged as a...
06/28/2024
First Report Managed Care

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Podcasts

Sid Devarakonda
Podcasts
Frontline Treatment Landscape Advancements for Non-Small Cell Lung Cancer
08/28/2024
Tune in as we speak with a guest oncology expert about the progress in treating non-small cell lung cancer, targeted therapies and immunotherapy, and the challenges of early detection and screening options covered by health plans.
Tune in as we speak with a guest oncology expert about the progress in treating non-small cell lung cancer, targeted therapies and immunotherapy, and the challenges of early detection and screening options covered by health plans.
Tune in as we speak with a guest...
08/28/2024
First Report Managed Care
Owens
Podcasts
Understanding the Impact of Formulary Exclusions on Medication Adherence
03/28/2024

Featuring Gary Owens, MD, president of Gary Owens Associates

Featuring Gary Owens, MD, president o...
Join us as guest expert Gary Owens discusses how formulary exclusions can impact patient medication adherence and lead to adverse economic outcomes, making the need for non-medical switching and formulary exception requests an important issue...
Join us as guest expert Gary Owens discusses how formulary exclusions can impact patient medication adherence and lead to adverse economic outcomes, making the need for non-medical switching and formulary exception requests an important issue...
Join us as guest expert Gary...
03/28/2024
First Report Managed Care
Prajapati Podcast
Podcasts
Standardizing the Field of Digital Medicine: Insights from an Industry Expert
02/27/2024

Featuring Yash Prajapati, consultant at ZS Associates 

Featuring Yash Prajapati, consultant ...
Join us in exploring the challenges and opportunities in the development, approval, and integration of digital therapeutic solutions with ZS Associates Consultant Yash Prajapati.
Join us in exploring the challenges and opportunities in the development, approval, and integration of digital therapeutic solutions with ZS Associates Consultant Yash Prajapati.
Join us in exploring the...
02/27/2024
First Report Managed Care
Shomali Podcast
Podcasts
Expanding Diabetes Care
02/27/2024

Featuring Mansur Shomali, MD, chief medical officer at Welldoc, endocrinologist at MedStar Health 

Featuring Mansur Shomali, MD, chief m...
Discover how digital therapeutics are revolutionizing disease management, patient care, reducing health care costs, and more with Dr Mansur Shomali, CMO at Welldoc.
Discover how digital therapeutics are revolutionizing disease management, patient care, reducing health care costs, and more with Dr Mansur Shomali, CMO at Welldoc.
Discover how digital...
02/27/2024
First Report Managed Care
Larry Hsu Headshot
Podcasts
Expert Insights into Value-Based Care for Polymyalgia Rheumatica
01/11/2024

Featuring Larry Hsu, MD, medical director at HMSA

Featuring Larry Hsu, MD, medical dire...
A doctor and expert in value-based care offers insights into treatment costs and treatment regimens for patients with polymyalgia rheumatica.
A doctor and expert in value-based care offers insights into treatment costs and treatment regimens for patients with polymyalgia rheumatica.
A doctor and expert in...
01/11/2024
First Report Managed Care

Department

Managed Care Q&A
Insights and Strategies for Success for 2025 Medicare Advantage Open Enrollment
08/29/2024
Learn about key factors influencing the 2025 Medicare Advantage open enrollment period including payment rate adjustments, compliance regulations, behavioral health benefits, and the importance of hyper-personalization for enhancing customer...
Learn about key factors influencing the 2025 Medicare Advantage open enrollment period including payment rate adjustments, compliance regulations, behavioral health benefits, and the importance of hyper-personalization for enhancing customer...
Learn about key factors...
08/29/2024
First Report Managed Care
News Connection
CMS Unveils New AHEAD Model Aimed at State Populations
05/30/2024
Paul Nicolaus
The Centers for Medicare & Medicaid Services (CMS)'s AHEAD model aims to improve population health management by awarding funding to states and promoting primary care investment and enhanced equity measures, but implementation challenges and...
The Centers for Medicare & Medicaid Services (CMS)'s AHEAD model aims to improve population health management by awarding funding to states and promoting primary care investment and enhanced equity measures, but implementation challenges and...
The Centers for Medicare &...
05/30/2024
First Report Managed Care
News Connection
Navigating the Inflation Reduction Act's Impact on Drug Pricing and Health Care
05/29/2024
Dean Celia
During a recent webinar hosted by the Drug Channels Institute, Adam Fein, PhD, discussed the specifics of the Inflation Reduction Act (IRA) and its potential impacts and timeline. First Report Managed Care connected with other managed care...
During a recent webinar hosted by the Drug Channels Institute, Adam Fein, PhD, discussed the specifics of the Inflation Reduction Act (IRA) and its potential impacts and timeline. First Report Managed Care connected with other managed care...
During a recent webinar hosted...
05/29/2024
First Report Managed Care
Managed Care Q&A
Prioritizing Patient Voices in Drug Development and Coverage
05/27/2024
Jasmine Patel, Senior Principal, Patient Advocacy, Strategic Consulting at Envision Pharma Group
Jessica Krauser, Marketing Advisor, Envision Pharma Group; Founder of 5kforJK
In this interview, guest experts discuss the importance of incorporating patient voices into health care decision-making, highlighting opportunities for collaboration and enhancement in drug development and patient coverage.
In this interview, guest experts discuss the importance of incorporating patient voices into health care decision-making, highlighting opportunities for collaboration and enhancement in drug development and patient coverage.
In this interview, guest experts...
05/27/2024
First Report Managed Care
IPF letters
Formulary Frontlines®
New Therapies in Development for Idiopathic Pulmonary Fibrosis (IPF) Address Existing Challenges With Diagnosis and Management
05/13/2024

Reviewed by Elizabeth Volkmann, MD, MS

Reviewed by Elizabeth Volkmann, MD, M...
IPF is a chronic, progressive interstitial lung disease that presents a significant burden to ~3 million patients worldwide. Despite ongoing challenges with IPF diagnosis and management, new therapies in development are showing promise.
IPF is a chronic, progressive interstitial lung disease that presents a significant burden to ~3 million patients worldwide. Despite ongoing challenges with IPF diagnosis and management, new therapies in development are showing promise.
IPF is a chronic, progressive...
05/13/2024
First Report Managed Care

Columns

Surgical Pearls
Surgical Therapies for Vitiligo
10/18/2022
Riya Gandhi, MA, Associate Editor
In this interview, Loren D. Krueger, MD, met with The Dermatologist to discuss the benefits and risks of surgical treatments for patients with vitiligo based on a recent systematic review and meta-analysis.
In this interview, Loren D. Krueger, MD, met with The Dermatologist to discuss the benefits and risks of surgical treatments for patients with vitiligo based on a recent systematic review and meta-analysis.
In this interview, Loren D....
10/18/2022
The Dermatologist
Viewpoint
A Payer Expert Analyzes Rare Disease Drug Policy
06/06/2022
Edmund J Pezalla, MD
Edmund J Pezalla, MD, founder and CEO of Enlightenment Bioconsult, Hartford, CT provides insight on rare disease drug policy noting volume and indication-based contracts as potential solutions for managing costs of therapies.
Edmund J Pezalla, MD, founder and CEO of Enlightenment Bioconsult, Hartford, CT provides insight on rare disease drug policy noting volume and indication-based contracts as potential solutions for managing costs of therapies.
Edmund J Pezalla, MD, founder...
06/06/2022
First Report Managed Care
Viewpoint
Predictions for US Health Care Information Technology in 2021
05/28/2021

Chris Hobson, MD, Chief Medical Officer at Orion Health

Chris Hobson, MD, Chief Medical Offic...
"COVID-19 and political uncertainty placed immense pressure across the entirety of the health care industry as organizations were tasked with balancing an already overloaded system with limited resources and shifting priorities to respond...
"COVID-19 and political uncertainty placed immense pressure across the entirety of the health care industry as organizations were tasked with balancing an already overloaded system with limited resources and shifting priorities to respond...
"COVID-19 and political...
05/28/2021
First Report Managed Care
Viewpoint
Five Trends Driving Adoption of Holistic Strategies: Focusing on Revenue Integrity
04/12/2021

Vasilios Nassiopoulos, Vice President of Platform Strategy and Innovation, Hayes

Vasilios Nassiopoulos, Vice President...
Holistic approaches to revenue integrity ensure that all billing and compliance functions are working collaboratively to address all sides of a claim.
Holistic approaches to revenue integrity ensure that all billing and compliance functions are working collaboratively to address all sides of a claim.
Holistic approaches to revenue...
04/12/2021
First Report Managed Care
Viewpoint
Three Steps to Identify and Address Social Determinants of Health
08/31/2020

Jessica Schiller, RN, BSN, MAS, Director of Clinical Programs at Wellframe

Jessica Schiller, RN, BSN, MAS, Direc...
Social determinants of health (SDoH) reflect a wide variety of factors, including where people live, their education level, their occupation, and their ability to access support networks.
Social determinants of health (SDoH) reflect a wide variety of factors, including where people live, their education level, their occupation, and their ability to access support networks.
Social determinants of health...
08/31/2020
First Report Managed Care

Features

Sponsored
Kindred Hospitals’ Complex Wound Care Can Reduce Readmissions and Length of Stay
09/17/2024
Discover how Kindred Hospitals, a national network of long-term acute care hospitals (LTACHs), are improving patient outcomes and reducing health care costs for complex wound patients through their advanced wound care program.
Discover how Kindred Hospitals, a national network of long-term acute care hospitals (LTACHs), are improving patient outcomes and reducing health care costs for complex wound patients through their advanced wound care program.
Discover how Kindred Hospitals,...
09/17/2024
First Report Managed Care
Cover Story
How Payers Can Gain the Full Benefits of Medical AI
08/28/2024
Discover how medical AI technology is revolutionizing the health care industry by enabling payers to access and analyze unstructured clinical data, leading to improved member outcomes, reduced costs, and increased retention.
Discover how medical AI technology is revolutionizing the health care industry by enabling payers to access and analyze unstructured clinical data, leading to improved member outcomes, reduced costs, and increased retention.
Discover how medical AI...
08/28/2024
First Report Managed Care
Sponsored
Kindred Hospitals: A Critical Level of Care
08/27/2024
The authors explore the advantages of timely transfers of critically ill patients to Kindred Hospitals, a national network of long-term acute care hospitals (LTACHs), providing insights into key aspects of their intensive care units (ICUs).
The authors explore the advantages of timely transfers of critically ill patients to Kindred Hospitals, a national network of long-term acute care hospitals (LTACHs), providing insights into key aspects of their intensive care units (ICUs).
The authors explore the...
08/27/2024
First Report Managed Care
Infographic
The Efficacy and Safety of an Oral Phosphodiesterase 4B (PDE4B) Inhibitor, BI 1015550, in Patients With Idiopathic Pulmonary Fibrosis (IPF): A Phase 2 Clinical Trial
07/24/2024
This infographic summarizes a recent Phase 2 clinical trial evaluating the efficacy and safety of an oral phosphodiesterase inhibitor in patients with idiopathic pulmonary fibrosis (IPF).
This infographic summarizes a recent Phase 2 clinical trial evaluating the efficacy and safety of an oral phosphodiesterase inhibitor in patients with idiopathic pulmonary fibrosis (IPF).
This infographic summarizes a...
07/24/2024
First Report Managed Care
Feature Story
A Better Way to Pay for Primary Care
05/31/2024
Mary Beth Nierengarten
A push for a hybrid payment model for primary care is gaining momentum, with advocates urging the CMS to implement changes to increase funding and improve outcomes for patients.
A push for a hybrid payment model for primary care is gaining momentum, with advocates urging the CMS to implement changes to increase funding and improve outcomes for patients.
A push for a hybrid payment...
05/31/2024
First Report Managed Care

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Volume 21
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News
Long-Term Study Reveals Sustained Metabolic Adaptation After Gastric Bypass Surgery
10/21/2024
A study published in the International Journal of Obesity found that gastric bypass surgery leads to significant long-term weight loss and metabolic changes, suggesting that maintaining fat-free mass may help sustain metabolic rates...
A study published in the International Journal of Obesity found that gastric bypass surgery leads to significant long-term weight loss and metabolic changes, suggesting that maintaining fat-free mass may help sustain metabolic rates...
A study published in the...
10/21/2024
First Report Managed Care
News
Poststroke Seizure Care Differs With Time of Occurrence
10/18/2024
A common complication of stroke, poststroke seizures require a systematic diagnosis, according to a review article in Frontiers in Neurology.
A common complication of stroke, poststroke seizures require a systematic diagnosis, according to a review article in Frontiers in Neurology.
A common complication of stroke,...
10/18/2024
First Report Managed Care
Research Review
Long-Acting Antiretroviral Therapy Linked to Better Adherence and Persistence in HIV Treatment
10/14/2024
Research presented at AMCP Nexus 2024 suggests that switching to long-acting antiretroviral therapy (ART) may significantly improve adherence and persistence in people with HIV (PWH) compared to staying on traditional oral ART, offering a...
Research presented at AMCP Nexus 2024 suggests that switching to long-acting antiretroviral therapy (ART) may significantly improve adherence and persistence in people with HIV (PWH) compared to staying on traditional oral ART, offering a...
Research presented at AMCP Nexus...
10/14/2024
First Report Managed Care
Interview
Revolutionizing Health Care With ACOs: Vytalize Health's Role in Value-Based Care
01/24/2024

Featuring Faris Ghawi, co-founder and CEO, Vytalize Health

Featuring Faris Ghawi, co-founder and...
Vytalize Health, as an ACO REACH entity, assumes full risk for the cost and quality of care, sharing upside incentives with primary and nonprimary care providers based on predefined metrics. Faris Ghawi offers insights into how ACOs like...
Vytalize Health, as an ACO REACH entity, assumes full risk for the cost and quality of care, sharing upside incentives with primary and nonprimary care providers based on predefined metrics. Faris Ghawi offers insights into how ACOs like...
Vytalize Health, as an ACO REACH...
01/24/2024
First Report Managed Care
SV
Interview
Homecare Insights Survey Offers Glimpse at Caregiver Motivations, Perspectives and Priorities
10/18/2024
Learn about the impact of the 2024 Homecare Insights Survey on caregiver satisfaction and how specialized training, recognition, and technology can enhance patient care and support caregiver well-being.
Learn about the impact of the 2024 Homecare Insights Survey on caregiver satisfaction and how specialized training, recognition, and technology can enhance patient care and support caregiver well-being.
Learn about the impact of the...
10/18/2024
First Report Managed Care

Video Insights

Alexander Spira, MD, PhD
Videos
Unmet Needs in the Treatment and Management of Non–Small Cell Lung Cancer
09/26/2024
Alexander I. Spira, MD, PhD, discusses significant unmet needs in the treatment and management of non–small cell lung cancer (NSCLC).
Alexander I. Spira, MD, PhD, discusses significant unmet needs in the treatment and management of non–small cell lung cancer (NSCLC).
Alexander I. Spira, MD, PhD,...
09/26/2024
First Report Managed Care
Videos
Treatment Options for NSCLC: A Discussion on Coverage, Clinical Outcomes, and Payer Perspectives
09/25/2024
Learn about research developments in 1L therapy for NSCLC patients with EGFR mutations and how outcomes may impact coverage and reimbursement decisions for insurers.
Learn about research developments in 1L therapy for NSCLC patients with EGFR mutations and how outcomes may impact coverage and reimbursement decisions for insurers.
Learn about research...
09/25/2024
First Report Managed Care
Title Card
Videos
Addressing the Root Cause of a Common Ocular Condition: A Virtual Roundtable
09/04/2024
View a roundtable discussion on Demodex blepharitis, a prevalent ocular condition that often goes undiagnosed in patients.
View a roundtable discussion on Demodex blepharitis, a prevalent ocular condition that often goes undiagnosed in patients.
View a roundtable discussion on...
09/04/2024
First Report Managed Care
Jordan Bazinsky
Videos
Addressing Health Disparities and Promoting Equity: The Role of Advanced Imaging Solutions
08/15/2024
Guest expert Jordan Bazinsky discusses the challenges facing the medical imaging industry, the potential of AI and emerging technologies, the role of advanced imaging solutions in promoting health equity, and the key trends and challenges...
Guest expert Jordan Bazinsky discusses the challenges facing the medical imaging industry, the potential of AI and emerging technologies, the role of advanced imaging solutions in promoting health equity, and the key trends and challenges...
Guest expert Jordan Bazinsky...
08/15/2024
First Report Managed Care
Farrukh Awan, MD
Videos
Promising Therapies and Clinical Trials for Chronic Lymphocytic Leukemia
08/14/2024
Farrukh Awan, MD, highlights promising therapies and clinical trials within the field of chronic lymphocytic leukemia (CLL).
Farrukh Awan, MD, highlights promising therapies and clinical trials within the field of chronic lymphocytic leukemia (CLL).
Farrukh Awan, MD, highlights...
08/14/2024
Journal of Clinical Pathways
Hayward
Videos
Evolving Health Care Contact Centers Into Drivers of Value-Based Care
07/31/2024
Discover how health care contact centers can transform into drivers of value-based care through AI, automation, upskilling agents, and rethinking workflows and metrics to improve patient outcomes and population health.
Discover how health care contact centers can transform into drivers of value-based care through AI, automation, upskilling agents, and rethinking workflows and metrics to improve patient outcomes and population health.
Discover how health care contact...
07/31/2024
First Report Managed Care
Lucille Accetta Headshot
Videos
Enhancing Patient Medication Adherence: Insights and Strategies From Asembia 2024
06/11/2024
Lucille Accetta, PharmD, MBA, MSPH, Senior Vice President of CVS Specialty Operations
Key stakeholders in the health care industry gathered to discuss prevalent topics at this year's Asembia annual summit. Medication adherence emerged as one of the most talked-about issues. In a session led by Lucille Accetta, PharmD, MBA,...
Key stakeholders in the health care industry gathered to discuss prevalent topics at this year's Asembia annual summit. Medication adherence emerged as one of the most talked-about issues. In a session led by Lucille Accetta, PharmD, MBA,...
Key stakeholders in the health...
06/11/2024
First Report Managed Care
Melissa Andel, Principal, CommonHealth Solutions, LLC
Videos
Navigating the Impact of the Inflation Reduction Act: Implications for Payers, Patients, and Manufacturers
05/24/2024
Melissa Andel, Principal, CommonHealth Solutions, LLC
Learn about the impacts of the Inflation Reduction Act on payers and patients, highlighting the changes in Medicare benefits and drug coverage coming in 2025 and 2026.
Learn about the impacts of the Inflation Reduction Act on payers and patients, highlighting the changes in Medicare benefits and drug coverage coming in 2025 and 2026.
Learn about the impacts of the...
05/24/2024
First Report Managed Care
Joe DePinto Headshot
Videos
Navigating Payment Models in the CGT Landscape: Insights and Innovations
05/21/2024
Joe DePinto, Head of Cell, Gene, and Advanced Therapies, McKesson
An expert discusses the evolution and challenges of payment models in the cell and gene therapy (CGT) space reviewed during his session at Asembia 2024.
An expert discusses the evolution and challenges of payment models in the cell and gene therapy (CGT) space reviewed during his session at Asembia 2024.
An expert discusses the...
05/21/2024
First Report Managed Care
Jennifer L. Mathieu Senior Vice President, Professional and Government Affairs at AMCP
Videos
Unlocking the Future of Managed Care Pharmacy: A Deep Dive into Federal Legislation and Regulations
05/15/2024
Jennifer L. Mathieu Senior Vice President, Professional and Government Affairs, AMCP
Learn about developments in federal legislation and regulations within the pharmacy landscape shaping the future of managed care in an interview with a session presenter from AMCP 2024.
Learn about developments in federal legislation and regulations within the pharmacy landscape shaping the future of managed care in an interview with a session presenter from AMCP 2024.
Learn about developments in...
05/15/2024
First Report Managed Care

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