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First Report Managed Care

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Behind the Bill
02/05/2025
On inauguration day, President Trump issued an executive order rescinding several Biden-era health care initiatives, including 3 experimental drug pricing models developed by the Center for Medicare and Medicaid Innovation (CMMI). Oh boy did...
On inauguration day, President Trump issued an executive order rescinding several Biden-era health care initiatives, including 3 experimental drug pricing models developed by the Center for Medicare and Medicaid Innovation (CMMI). Oh boy did...
On inauguration day, President...
02/05/2025
First Report Managed Care
Behind the Bill
01/29/2025
The Plot Thickens in Drug Pricing Drama Just when you thought the drug pricing debate couldn't get more interesting, Robert F. Kennedy Jr adds an unexpected twist. During closed-door Senate meetings, President Trump’s US Department of...
The Plot Thickens in Drug Pricing Drama Just when you thought the drug pricing debate couldn't get more interesting, Robert F. Kennedy Jr adds an unexpected twist. During closed-door Senate meetings, President Trump’s US Department of...
The Plot Thickens in Drug...
01/29/2025
First Report Managed Care
Behind the Bill
01/22/2025
Last week brought 2 major developments in health care policy: President Trump's inauguration and the Centers for Medicare and Medicaid Services’ (CMS) announcement of 15 additional drugs selected for Medicare price negotiations. While these...
Last week brought 2 major developments in health care policy: President Trump's inauguration and the Centers for Medicare and Medicaid Services’ (CMS) announcement of 15 additional drugs selected for Medicare price negotiations. While these...
Last week brought 2 major...
01/22/2025
First Report Managed Care
Behind the Bill
01/15/2025
The 119th Congress faces immediate health care deadlines amid significant leadership transitions. While much attention focuses on high-profile nominations like Dr Oz for Centers for Medicare and Medicaid Services (CMS) Administrator and...
The 119th Congress faces immediate health care deadlines amid significant leadership transitions. While much attention focuses on high-profile nominations like Dr Oz for Centers for Medicare and Medicaid Services (CMS) Administrator and...
The 119th Congress faces...
01/15/2025
First Report Managed Care
Behind the Bill
01/08/2025
Happy New Year! As we dive into 2025, it’s clear that this year promises to bring significant changes to health care. With President-elect Donald Trump's inauguration just weeks away, the spotlight is already shifting to how his...
Happy New Year! As we dive into 2025, it’s clear that this year promises to bring significant changes to health care. With President-elect Donald Trump's inauguration just weeks away, the spotlight is already shifting to how his...
Happy New Year! As we dive into...
01/08/2025
First Report Managed Care
Behind the Bill
12/18/2024
The 118th Congress is wrapping up with a whimper rather than a bang when it comes to health care legislation, particularly compared to its predecessor's transformative impact on pharmaceutical policy. As we reflect on these past 4 years, the...
The 118th Congress is wrapping up with a whimper rather than a bang when it comes to health care legislation, particularly compared to its predecessor's transformative impact on pharmaceutical policy. As we reflect on these past 4 years, the...
The 118th Congress is wrapping...
12/18/2024
First Report Managed Care
Behind the Bill
12/11/2024
After writing about Dr Oz's potential impact on Medicare drug negotiations last week, I found myself diving deeper into an aspect of his nomination that deserves closer attention: his vision for Medicare's future. A letter from Senate...
After writing about Dr Oz's potential impact on Medicare drug negotiations last week, I found myself diving deeper into an aspect of his nomination that deserves closer attention: his vision for Medicare's future. A letter from Senate...
After writing about Dr Oz's...
12/11/2024
First Report Managed Care
Behind the Bill
12/04/2024
President-elect Donald Trump nominated Dr Mehmet Oz to lead the Centers for Medicare & Medicaid Services (CMS). With this potential change in leadership, are there any implications for Medicare’s drug price negotiation program,...
President-elect Donald Trump nominated Dr Mehmet Oz to lead the Centers for Medicare & Medicaid Services (CMS). With this potential change in leadership, are there any implications for Medicare’s drug price negotiation program,...
President-elect Donald Trump...
12/04/2024
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
Behind the Bill
11/20/2024
As Robert F. Kennedy Jr’s nomination for Secretary of Health and Human Services (HHS) moves through the Senate, there’s growing discussion about whether a recess appointment could be used to bypass confirmation challenges. The Supreme Court’s...
As Robert F. Kennedy Jr’s nomination for Secretary of Health and Human Services (HHS) moves through the Senate, there’s growing discussion about whether a recess appointment could be used to bypass confirmation challenges. The Supreme Court’s...
As Robert F. Kennedy Jr’s...
11/20/2024
First Report Managed Care
Behind the Bill
11/13/2024
In 2015, Supreme Court Justice Elena Kagan famously declared "we're all textualists now" during a lecture at Harvard Law School.1 The statement reflected a growing consensus that legal interpretation should focus primarily on the plain...
In 2015, Supreme Court Justice Elena Kagan famously declared "we're all textualists now" during a lecture at Harvard Law School.1 The statement reflected a growing consensus that legal interpretation should focus primarily on the plain...
In 2015, Supreme Court Justice...
11/13/2024
First Report Managed Care

More From First Report Managed Care

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
Fenty
Videos
02/10/2025
In an interview with a guest expert, learn about the history and current use of CGRP therapies for patients with migraines.
In an interview with a guest expert, learn about the history and current use of CGRP therapies for patients with migraines.
In an interview with a guest...
02/10/2025
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
From Integrated Healthcare Executive
Behind the Bill
02/05/2025
On inauguration day, President Trump issued an executive order rescinding several Biden-era health care initiatives, including 3 experimental drug pricing models developed by the Center for Medicare and Medicaid Innovation (CMMI). Oh boy did...
On inauguration day, President Trump issued an executive order rescinding several Biden-era health care initiatives, including 3 experimental drug pricing models developed by the Center for Medicare and Medicaid Innovation (CMMI). Oh boy did...
On inauguration day, President...
02/05/2025
First Report Managed Care
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

Commentary

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
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
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
Milo Headshot
Commentary
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
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
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

Interviews

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
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
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
SV
Interview
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
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
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
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
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
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
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

Podcasts

Robbins
Podcasts
12/12/2024
Explore the challenges patients face in accessing CGRP therapies for migraines, strategies to streamline treatment effectiveness, and the crucial role of health care providers in navigating access barriers and aligning clinical guidelines...
Explore the challenges patients face in accessing CGRP therapies for migraines, strategies to streamline treatment effectiveness, and the crucial role of health care providers in navigating access barriers and aligning clinical guidelines...
Explore the challenges patients...
12/12/2024
First Report Managed Care
LMW
Podcasts
11/22/2024
Explore the latest advancements in migraine research, treatment options, cost-effectiveness, and the role of technology in managing migraines in this informative episode.
Explore the latest advancements in migraine research, treatment options, cost-effectiveness, and the role of technology in managing migraines in this informative episode.
Explore the latest advancements...
11/22/2024
First Report Managed Care
Ed
Podcasts
11/15/2024
Join our in-depth discussion about the challenges of HIV treatment, the importance of adherence to antiretroviral therapy, and how long-acting ART can improve treatment outcomes.
Join our in-depth discussion about the challenges of HIV treatment, the importance of adherence to antiretroviral therapy, and how long-acting ART can improve treatment outcomes.
Join our in-depth discussion...
11/15/2024
First Report Managed Care
Sid Devarakonda
Podcasts
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
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

Department

Managed Care Q&A
11/27/2024
In this interview, Julie Frey of Wolters Kluwer Health discusses the importance of integrating mental health into primary care, the barriers faced by providers, the long-term costs of untreated mental health conditions, and successful...
In this interview, Julie Frey of Wolters Kluwer Health discusses the importance of integrating mental health into primary care, the barriers faced by providers, the long-term costs of untreated mental health conditions, and successful...
In this interview, Julie Frey of...
11/27/2024
First Report Managed Care
Managed Care Q&A
11/26/2024
In an interview with guest expert Sipra Laddha, MD, she discusses the pressing issues facing women's mental health during pregnancy and postpartum, highlighting the lack of resources and the need for enhanced screening by OB-GYNs to support...
In an interview with guest expert Sipra Laddha, MD, she discusses the pressing issues facing women's mental health during pregnancy and postpartum, highlighting the lack of resources and the need for enhanced screening by OB-GYNs to support...
In an interview with guest...
11/26/2024
First Report Managed Care
Managed Care Q&A
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
05/30/2024
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
05/29/2024
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

Columns

Surgical Pearls
10/18/2022
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
06/06/2022
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
05/28/2021
"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
04/12/2021
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
08/31/2020
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 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

ISI Block