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First Report Managed Care

News

News
10/07/2026
Rebecca Amrick
Researchers found that full-risk contracts were associated with variations in service utilization patterns, providing potential benchmarks which could help inform physician fee schedule reforms.
Researchers found that full-risk contracts were associated with variations in service utilization patterns, providing potential benchmarks which could help inform physician fee schedule reforms.
Researchers found that full-risk...
10/07/2026
First Report Managed Care
Behind the Bill
10/02/2026
Grace Taylor, MS, MA
The Centers for Medicare & Medicaid Services (CMS) has finalized the Global Benchmark for Efficient Drug Pricing (GLOBE) Model, linking certain Medicare Part B drug rebates to international prices in an effort to lower federal spending and...
The Centers for Medicare & Medicaid Services (CMS) has finalized the Global Benchmark for Efficient Drug Pricing (GLOBE) Model, linking certain Medicare Part B drug rebates to international prices in an effort to lower federal spending and...
The Centers for Medicare &...
10/02/2026
First Report Managed Care
News
10/01/2026
Rebecca Amrick
Researchers found that calculating Medicare Advantage (MA) rebates based on spending reductions alone resulted in lower monthly payments than what was observed, implying that additional factors such as coding and favorable selection might...
Researchers found that calculating Medicare Advantage (MA) rebates based on spending reductions alone resulted in lower monthly payments than what was observed, implying that additional factors such as coding and favorable selection might...
Researchers found that...
10/01/2026
First Report Managed Care
News
09/29/2026
Rebecca Amrick
Researchers found that combining integrated pharmacy benefits with population health management programs is associated with reductions in cost growth and improved nurse outreach among members.
Researchers found that combining integrated pharmacy benefits with population health management programs is associated with reductions in cost growth and improved nurse outreach among members.
Researchers found that combining...
09/29/2026
First Report Managed Care
News
09/29/2026
Rebecca Amrick
Researchers assessed outpatient vitiligo care among US adults and found that most visits were with dermatologists or primary care physicians, with topical corticosteroids emerging as the most common treatment.
Researchers assessed outpatient vitiligo care among US adults and found that most visits were with dermatologists or primary care physicians, with topical corticosteroids emerging as the most common treatment.
Researchers assessed outpatient...
09/29/2026
First Report Managed Care
News
09/28/2026
Rebecca Amrick
Researchers found that among patients with myelofibrosis (MF), anemia was associated with reduced doses of ruxolitinib and worse survival outcomes, highlighting the need for proactive strategies aimed at mitigating the impact and progression...
Researchers found that among patients with myelofibrosis (MF), anemia was associated with reduced doses of ruxolitinib and worse survival outcomes, highlighting the need for proactive strategies aimed at mitigating the impact and progression...
Researchers found that among...
09/28/2026
First Report Managed Care
News
09/28/2026
Rebecca Amrick
Researchers found that patients with relapsed or refractory follicular lymphoma (R/R FL) achieved short but clinically significant responses to bispecific antibodies following chimeric antigen receptor (CAR) T-cell therapy, highlighting the...
Researchers found that patients with relapsed or refractory follicular lymphoma (R/R FL) achieved short but clinically significant responses to bispecific antibodies following chimeric antigen receptor (CAR) T-cell therapy, highlighting the...
Researchers found that patients...
09/28/2026
First Report Managed Care
Behind the Bill
09/25/2026
Grace Taylor, MS, MA
All 50 states are moving to participate in a Medicaid drug pricing model that the Trump administration projects could lower prescription drug spending, though questions remain about the magnitude and durability of the savings.
All 50 states are moving to participate in a Medicaid drug pricing model that the Trump administration projects could lower prescription drug spending, though questions remain about the magnitude and durability of the savings.
All 50 states are moving to...
09/25/2026
First Report Managed Care
News
09/25/2026
Rebecca Amrick
Researchers found that evidence-based obesity treatments may reduce chronic disease while generating long-term medical savings, productivity gain, and positive returns on investment among commercially insured US adults.
Researchers found that evidence-based obesity treatments may reduce chronic disease while generating long-term medical savings, productivity gain, and positive returns on investment among commercially insured US adults.
Researchers found that...
09/25/2026
First Report Managed Care
News
09/25/2026
Rebecca Amrick
Researchers found that sustained exposure to full-dose ruxolitinib was associated with spleen reduction and manageable toxicity among select patients with myelofibrosis (MF).
Researchers found that sustained exposure to full-dose ruxolitinib was associated with spleen reduction and manageable toxicity among select patients with myelofibrosis (MF).
Researchers found that sustained...
09/25/2026
First Report Managed Care

KOL Insights

Interview
09/29/2026
Hamad Husainy, DO, FACEP
Hamad Husainy, DO, FACEP, discusses opportunities to strengthen care transitions, improve data sharing, and reduce avoidable emergency department visits and hospital readmissions.
Hamad Husainy, DO, FACEP, discusses opportunities to strengthen care transitions, improve data sharing, and reduce avoidable emergency department visits and hospital readmissions.
Hamad Husainy, DO, FACEP,...
09/29/2026
First Report Managed Care
MANAGED CARE Q&A
09/29/2026
Travis Morgan
In this interview, Travis Morgan, CPA, MBA, discusses how a pharmacist-led medication optimization program targeting polypharmacy among Medicare accountable care organization beneficiaries was associated with increasing reductions in total...
In this interview, Travis Morgan, CPA, MBA, discusses how a pharmacist-led medication optimization program targeting polypharmacy among Medicare accountable care organization beneficiaries was associated with increasing reductions in total...
In this interview, Travis...
09/29/2026
First Report Managed Care
MANAGED CARE Q&A
09/29/2026
Rakshith Yashvanth
In this interview, Rakshith Yashvanth discusses how health plans can move SDOH programs beyond referrals by strengthening community partnerships, reducing administrative burden, and using linked data to measure service delivery and long-term...
In this interview, Rakshith Yashvanth discusses how health plans can move SDOH programs beyond referrals by strengthening community partnerships, reducing administrative burden, and using linked data to measure service delivery and long-term...
In this interview, Rakshith...
09/29/2026
First Report Managed Care
Regulatory Insights
09/29/2026
Adam Colborn, JD
As the 2026 midterm elections approach, Senate Finance Committee proposals, competing 340B reform bills, and bipartisan Medicare legislation offer insight into the health care priorities that could shape the next Congress.
As the 2026 midterm elections approach, Senate Finance Committee proposals, competing 340B reform bills, and bipartisan Medicare legislation offer insight into the health care priorities that could shape the next Congress.
As the 2026 midterm elections...
09/29/2026
First Report Managed Care
Commentary
09/29/2026
Hass Saad, MD; Fawad Butt; Tomas Bednar; Eugene Gonsiorek; David Feldman, MD; Bob Watson; Ronald F. Dixon, MD
Health care leaders discuss how the FY 2027 CMS inpatient payment rule may shape hospital finances, digital infrastructure, care coordination, and readiness for nationwide joint replacement bundles.
Health care leaders discuss how the FY 2027 CMS inpatient payment rule may shape hospital finances, digital infrastructure, care coordination, and readiness for nationwide joint replacement bundles.
Health care leaders discuss how...
09/29/2026
First Report Managed Care
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

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