Skip to main content

First Report Managed Care

News

News
02/11/2025
A recent study published in JAMA Network Open provides evidence that at-risk Medicare Advantage (MA) payment arrangements lead to superior quality and efficiency in health care delivery compared with fee-for-service (FFS) MA models.
A recent study published in JAMA Network Open provides evidence that at-risk Medicare Advantage (MA) payment arrangements lead to superior quality and efficiency in health care delivery compared with fee-for-service (FFS) MA models.
A recent study published in JAMA...
02/11/2025
First Report Managed Care
News
02/10/2025
The use of ruxolitinib cream for atopic dermatitis shows promise in decreasing the need for other treatments, with reductions in oral corticosteroid use observed in some patients.
The use of ruxolitinib cream for atopic dermatitis shows promise in decreasing the need for other treatments, with reductions in oral corticosteroid use observed in some patients.
The use of ruxolitinib cream for...
02/10/2025
First Report Managed Care
News
02/10/2025
Individuals with multiple sclerosis (MS) experience an ongoing impact of post-COVID-19 symptoms, revealing a significant overlap between post-acute sequelae of SARS-CoV-2 infection (PASC) and MS-related symptoms.
Individuals with multiple sclerosis (MS) experience an ongoing impact of post-COVID-19 symptoms, revealing a significant overlap between post-acute sequelae of SARS-CoV-2 infection (PASC) and MS-related symptoms.
Individuals with multiple...
02/10/2025
First Report Managed Care
News
02/07/2025
A recent study published in JAMA Network Open highlights the financial benefits of employer-sponsored behavioral health programs, demonstrating that these programs can result in significant net medical costs savings.
A recent study published in JAMA Network Open highlights the financial benefits of employer-sponsored behavioral health programs, demonstrating that these programs can result in significant net medical costs savings.
A recent study published in JAMA...
02/07/2025
First Report Managed Care
News
02/06/2025
A comparison of infliximab brands Inflectra and Remsima in patients with Crohn's disease and ulcerative colitis reveals differences in post-induction levels and response rates, suggesting potential considerations for dosing adjustments based...
A comparison of infliximab brands Inflectra and Remsima in patients with Crohn's disease and ulcerative colitis reveals differences in post-induction levels and response rates, suggesting potential considerations for dosing adjustments based...
A comparison of infliximab...
02/06/2025
First Report Managed Care
News
02/06/2025
A cost-effectiveness analysis suggests that dostarlimab plus carboplatin-paclitaxel may be a valuable first-line treatment option for patients with primary advanced or recurrent endometrial cancer.
A cost-effectiveness analysis suggests that dostarlimab plus carboplatin-paclitaxel may be a valuable first-line treatment option for patients with primary advanced or recurrent endometrial cancer.
A cost-effectiveness analysis...
02/06/2025
First Report Managed Care
News
02/05/2025
Cigna has announced a performance-based initiative that ties executive compensation to customer satisfaction metrics, invests $150 million to improve care delivery and digital tools, and enhances transparency with an annual report on prior...
Cigna has announced a performance-based initiative that ties executive compensation to customer satisfaction metrics, invests $150 million to improve care delivery and digital tools, and enhances transparency with an annual report on prior...
Cigna has announced a...
02/05/2025
Integrated Healthcare Executive
Conference Coverage
02/03/2025
Gain insights on navigating the future of neurological therapies from industry experts at the 2025 NeuroNet Pro Annual Summit.
Gain insights on navigating the future of neurological therapies from industry experts at the 2025 NeuroNet Pro Annual Summit.
Gain insights on navigating the...
02/03/2025
First Report Managed Care
Conference Coverage
02/03/2025
Panelists at the 2025 NeuroNet Pro Annual Summit delve into the transformative power of artificial intelligence (AI) and collective clinical data in neurology, showcasing how partnerships and advanced technology are reshaping the landscape of...
Panelists at the 2025 NeuroNet Pro Annual Summit delve into the transformative power of artificial intelligence (AI) and collective clinical data in neurology, showcasing how partnerships and advanced technology are reshaping the landscape of...
Panelists at the 2025 NeuroNet...
02/03/2025
First Report Managed Care
Conference Coverage
01/31/2025
Panelists at the 2025 NeuroNet Pro Annual Summit discussed chronic care management, teleconsultations, and operational efficiency tools to support overwhelmed private practice neurologists.
Panelists at the 2025 NeuroNet Pro Annual Summit discussed chronic care management, teleconsultations, and operational efficiency tools to support overwhelmed private practice neurologists.
Panelists at the 2025 NeuroNet...
01/31/2025
First Report Managed Care

KOL Insights

Author Image
Commentary
01/23/2025
Experts weigh in on how advancements in AI, smart technology, and innovative care models will drive equitable health care in 2025 by improving access, reducing disparities, and enhancing patient outcomes across underserved populations.
Experts weigh in on how advancements in AI, smart technology, and innovative care models will drive equitable health care in 2025 by improving access, reducing disparities, and enhancing patient outcomes across underserved populations.
Experts weigh in on how...
01/23/2025
First Report Managed Care
Headshots
Commentary
01/14/2025
GLP-1 drugs present significant financial and health equity challenges, offering transformative benefits for obesity and cardiometabolic disorders while requiring data-driven strategies for cost-effective and equitable access.
GLP-1 drugs present significant financial and health equity challenges, offering transformative benefits for obesity and cardiometabolic disorders while requiring data-driven strategies for cost-effective and equitable access.
GLP-1 drugs present significant...
01/14/2025
First Report Managed Care
DeMarrais Headshot
Commentary
01/03/2025
Health systems must adapt to the growing demand for specialty pharmacies by scaling services, embracing technology, and collaborating with experts to improve patient outcomes, reduce administrative burdens, and navigate regulatory challenges.
Health systems must adapt to the growing demand for specialty pharmacies by scaling services, embracing technology, and collaborating with experts to improve patient outcomes, reduce administrative burdens, and navigate regulatory challenges.
Health systems must adapt to the...
01/03/2025
First Report Managed Care
Varshney Headshot
Interview
01/03/2025
In this interview, Dr Jo Varshney, founder and CEO of VeriSIM Life, discusses the complexities of drug development, the role of AI in accelerating discovery, the integration of real-world evidence, and strategies to reduce costs while...
In this interview, Dr Jo Varshney, founder and CEO of VeriSIM Life, discusses the complexities of drug development, the role of AI in accelerating discovery, the integration of real-world evidence, and strategies to reduce costs while...
In this interview, Dr Jo...
01/03/2025
First Report Managed Care
KOL Headshots
Commentary
12/27/2024
In this exclusive commentary for First Report Managed Care, health experts and business leaders explore how advancements in Medicare Advantage, ambient intelligence, generative AI, cybersecurity, risk adjustment, precision oncology, and AI...
In this exclusive commentary for First Report Managed Care, health experts and business leaders explore how advancements in Medicare Advantage, ambient intelligence, generative AI, cybersecurity, risk adjustment, precision oncology, and AI...
In this exclusive commentary for...
12/27/2024
First Report Managed Care
Interview
12/03/2024
In this interview, Dr Lucienne Ide discusses the challenges nontraditional players face in health care, the critical role of trust, and the need for innovative, collaborative solutions to improve access, outcomes, and cost-effectiveness.
In this interview, Dr Lucienne Ide discusses the challenges nontraditional players face in health care, the critical role of trust, and the need for innovative, collaborative solutions to improve access, outcomes, and cost-effectiveness.
In this interview, Dr Lucienne...
12/03/2024
First Report Managed Care
Commentary
11/25/2024
The 2025 Medicare Advantage Star Ratings present a new landscape for MA plans, with fewer achieving high ratings due to changes in methodology, utilization patterns, ongoing litigation, and potential impacts of recent election outcomes. Learn...
The 2025 Medicare Advantage Star Ratings present a new landscape for MA plans, with fewer achieving high ratings due to changes in methodology, utilization patterns, ongoing litigation, and potential impacts of recent election outcomes. Learn...
The 2025 Medicare Advantage Star...
11/25/2024
First Report Managed Care
Jason Oswald Headshot
Commentary
11/08/2024
"As AI continues to evolve, its integration into group health underwriting offers carriers new opportunities to enhance decision-making, streamline operations, and improve overall plan performance," said Jason Oswald, Director of Solution...
"As AI continues to evolve, its integration into group health underwriting offers carriers new opportunities to enhance decision-making, streamline operations, and improve overall plan performance," said Jason Oswald, Director of Solution...
"As AI continues to evolve, its...
11/08/2024
First Report Managed Care
Hawley Headshot
Commentary
10/31/2024
Health plan leaders increasingly recognize the value of utilizing technology as a counteroffensive against high medical loss ratios, which are now close to 90% in the large group market. As the industry is poised to face the same pressures in...
Health plan leaders increasingly recognize the value of utilizing technology as a counteroffensive against high medical loss ratios, which are now close to 90% in the large group market. As the industry is poised to face the same pressures in...
Health plan leaders increasingly...
10/31/2024
First Report Managed Care
Trushar Dungarani, MD
Interview
10/24/2024
In this interview, Trushar Dungarani, DO, SFHM, discusses the importance of high-quality, accessible patient data for clinicians to enhance care delivery, address social determinants of health, and drive effective population health...
In this interview, Trushar Dungarani, DO, SFHM, discusses the importance of high-quality, accessible patient data for clinicians to enhance care delivery, address social determinants of health, and drive effective population health...
In this interview, Trushar...
10/24/2024
First Report Managed Care

Issue Features

Sponsored by ViiV Healthcare
12/04/2024
In this video, Ida shares her experience of accessing CABENUVA.
In this video, Ida shares her experience of accessing CABENUVA.
In this video, Ida shares her...
12/04/2024
First Report Managed Care
Feature Story
11/27/2024
In 2025, prior authorization undergoes a transformative evolution driven by regulatory changes, artificial intelligence enhancements, proactive utilization forecasting, and the integration of clinical nudges, all aimed at improving care...
In 2025, prior authorization undergoes a transformative evolution driven by regulatory changes, artificial intelligence enhancements, proactive utilization forecasting, and the integration of clinical nudges, all aimed at improving care...
In 2025, prior authorization...
11/27/2024
First Report Managed Care
Cover Story
11/25/2024
With new faces and shifting power dynamics in Washington, concerns about health care policy in 2025 are rising, including potential reform of PBMs, the 340B program, and the IRA, as well as the push for expanded access to innovative therapies...
With new faces and shifting power dynamics in Washington, concerns about health care policy in 2025 are rising, including potential reform of PBMs, the 340B program, and the IRA, as well as the push for expanded access to innovative therapies...
With new faces and shifting...
11/25/2024
First Report Managed Care
Sponsored
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
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

Interactive Features

Quiz
01/10/2025
With Medicare Advantage under increased scrutiny and Star Ratings impacting payments, how do you think plans will adapt in 2025?
With Medicare Advantage under increased scrutiny and Star Ratings impacting payments, how do you think plans will adapt in 2025?
With Medicare Advantage under...
01/10/2025
First Report Managed Care
Poll
01/07/2025
Do you believe that condoliase has the potential to fill a crucial treatment gap between conservative care and surgical options for patients with lumbar disc herniation?
Do you believe that condoliase has the potential to fill a crucial treatment gap between conservative care and surgical options for patients with lumbar disc herniation?
Do you believe that condoliase...
01/07/2025
First Report Managed Care
Poll
12/09/2024
Do you believe that immediate initiation of antiretroviral therapy (ART) following an HIV diagnosis, as opposed to delaying treatment, significantly benefits individuals and communities?
Do you believe that immediate initiation of antiretroviral therapy (ART) following an HIV diagnosis, as opposed to delaying treatment, significantly benefits individuals and communities?
Do you believe that immediate...
12/09/2024
First Report Managed Care
Poll
07/29/2024
Are you concerned about the impact of RSV mutations on the effectiveness of current therapeutics in preventing the virus from spreading?
Are you concerned about the impact of RSV mutations on the effectiveness of current therapeutics in preventing the virus from spreading?
Are you concerned about the...
07/29/2024
First Report Managed Care
Quiz
07/23/2024
True or False: Patients with chronic obstructive pulmonary disease (COPD) have a lower incidence of RSV infection compared to the general population because treatments for COPD also alleviate the symptoms of RSV.
True or False: Patients with chronic obstructive pulmonary disease (COPD) have a lower incidence of RSV infection compared to the general population because treatments for COPD also alleviate the symptoms of RSV.
True or False: Patients with...
07/23/2024
First Report Managed Care