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April 2011 - FRMC

News Connection
China Study Identifies Few Serious AEs with H1N1 Vaccine
05/13/2011
Eileen Koutnik-Fotopoulos
The outbreak of the pandemic influenza A (H1N1) virus in 2009 led nations around the world to produce a vaccine against the virus.
The outbreak of the pandemic influenza A (H1N1) virus in 2009 led nations around the world to produce a vaccine against the virus.
The outbreak of the pandemic...
05/13/2011
First Report Managed Care
Feature
Efficacy of Quadrivalent HPV Vaccine against HPV Infection and Disease in Males
05/13/2011
Kevin L. Carter
Although the human papillomavirus causes infections among males and females, there is a significantly higher occurrence of HPV-caused cancer among males than there is among females, chiefly of the penis, anus, and oropharynx. 
Although the human papillomavirus causes infections among males and females, there is a significantly higher occurrence of HPV-caused cancer among males than there is among females, chiefly of the penis, anus, and oropharynx. 
Although the human...
05/13/2011
First Report Managed Care
Feature
Cost and Consumption of Duloxetine
05/13/2011
Tim Casey
The cost and consumption of duloxetine was lower for patients taking the drug for pain compared with patients taking the medication for major depressive disorder.
The cost and consumption of duloxetine was lower for patients taking the drug for pain compared with patients taking the medication for major depressive disorder.
The cost and consumption of...
05/13/2011
First Report Managed Care
Conference Insider
Improving Outcomes by Measuring and Analyzing Data
05/13/2011
Tim Casey
During a session at the AAPM meeting titled Using Outcomes Data to Improve Patient Care, healthcare professionals emphasized that utilizing the data in an effective manner can help decrease errors, cut costs, and lead to medical advances.
During a session at the AAPM meeting titled Using Outcomes Data to Improve Patient Care, healthcare professionals emphasized that utilizing the data in an effective manner can help decrease errors, cut costs, and lead to medical advances.
During a session at the AAPM...
05/13/2011
First Report Managed Care
Feature
Abuse Potential in Extended-Release Oxymorphone and Controlled-Release Oxycodone
05/13/2011
Tim Casey
A study found that healthy, nondependent, recreational opioid users who took single oral doses of extended-release oxymorphone may be at a lower risk for potentially abusing opioids than those who took equal doses of controlled-release...
A study found that healthy, nondependent, recreational opioid users who took single oral doses of extended-release oxymorphone may be at a lower risk for potentially abusing opioids than those who took equal doses of controlled-release...
A study found that healthy,...
05/13/2011
First Report Managed Care
News Connection
Using a Fixed OR Team to Perform Consecutive Similar Surgeries
05/13/2011
Tori Socha
Efficient use of surgical resources includes effective scheduling of procedures, but surgical scheduling is complicated by variation and uncertainty in procedure times. According to researchers, if variation in procedure time could be...
Efficient use of surgical resources includes effective scheduling of procedures, but surgical scheduling is complicated by variation and uncertainty in procedure times. According to researchers, if variation in procedure time could be...
Efficient use of surgical...
05/13/2011
First Report Managed Care
Feature
Use of Hospice among Men Dying of Prostate Cancer
05/13/2011
Tori Socha
End-of-life care using the hospice model seeks to control pain, promote patient and family-centered care and autonomy, and address spiritual needs as death nears. Since hospice care was added as a Medicare entitlement in 1983, the proportion...
End-of-life care using the hospice model seeks to control pain, promote patient and family-centered care and autonomy, and address spiritual needs as death nears. Since hospice care was added as a Medicare entitlement in 1983, the proportion...
End-of-life care using the...
05/13/2011
First Report Managed Care
News Connection
Fidaxomicin Comparable to Vancomycin and Provides More Durable Disease Resolution
05/13/2011
Mary Beth Nierengarten
Results of a prospective, multicenter, randomized clinical trial [N Engl J Med. 2011;364 (5):422-431] show that fidaxomicin confers similar rates of clinical cure compared with vancomycin in patients with Clostridium difficile infection,...
Results of a prospective, multicenter, randomized clinical trial [N Engl J Med. 2011;364 (5):422-431] show that fidaxomicin confers similar rates of clinical cure compared with vancomycin in patients with Clostridium difficile infection,...
Results of a prospective,...
05/13/2011
First Report Managed Care
News Connection
Elevated Myocardial Enzymes after CABG Are Associated with Increased Mortality Risk, Study Says
05/13/2011
Jill Sederstorm
A new analysis of creatine kinase (CK-MB) and troponin levels in patients who received coronary artery bypass graft (CABG) surgery found that elevated levels of the myocardial enzymes within 24 hours after surgery were associated with an...
A new analysis of creatine kinase (CK-MB) and troponin levels in patients who received coronary artery bypass graft (CABG) surgery found that elevated levels of the myocardial enzymes within 24 hours after surgery were associated with an...
A new analysis of creatine...
05/13/2011
First Report Managed Care
Feature
End-of-Life Costs among Patients with Heart Failure in Canada
05/13/2011
Tori Socha
In 2004-2005, heart failure (HF) was the fourth most expensive medical condition in hospital costs in Canada. 
In 2004-2005, heart failure (HF) was the fourth most expensive medical condition in hospital costs in Canada. 
In 2004-2005, heart failure (HF)...
05/13/2011
First Report Managed Care
News Connection
Study Identifies Strategies to Improve Cardiac Rehabilitation Referral Rates in Coronary Artery Disease
05/13/2011
Kristina Woodworth
A Canadian study of patients hospitalized with coronary artery disease has reported that a combination of automatic referral for cardiac rehabilitation upon hospital discharge and liaison referral through healthcare providers improved...
A Canadian study of patients hospitalized with coronary artery disease has reported that a combination of automatic referral for cardiac rehabilitation upon hospital discharge and liaison referral through healthcare providers improved...
A Canadian study of patients...
05/13/2011
First Report Managed Care
News Connection
Hospice Profit Status and Patient Diagnosis/Utilization Profile
05/13/2011
Trisha Lee
During the past decade, for-profit hospice agencies soared in number, while the number of nonprofit hospices remained virtually unchanged.
During the past decade, for-profit hospice agencies soared in number, while the number of nonprofit hospices remained virtually unchanged.
During the past decade,...
05/13/2011
First Report Managed Care
News Connection
Carotid Artery Stenting Compared with Carotid Endarterectomy
05/13/2011
Tori Socha
Guidelines from the American Heart Association/American Stroke Association endorse carotid artery stenting (CAS) as a reasonable alternative to carotid endarterectomy (CEA) for the treatment of carotid artery occlusive disease. The guidelines...
Guidelines from the American Heart Association/American Stroke Association endorse carotid artery stenting (CAS) as a reasonable alternative to carotid endarterectomy (CEA) for the treatment of carotid artery occlusive disease. The guidelines...
Guidelines from the American...
05/13/2011
First Report Managed Care
News Connection
Utilization of Resources and Characteristics of Patients with Recurrent Readmissions to Children’s Hospitals
05/13/2011
Sylvia Jenkins
Hospital readmission is increasingly considered an indicator of quality care and a factor in rising healthcare costs. Children routinely cared for at children’s hospitals are at risk for readmission if they have complex chronic conditions.
Hospital readmission is increasingly considered an indicator of quality care and a factor in rising healthcare costs. Children routinely cared for at children’s hospitals are at risk for readmission if they have complex chronic conditions.
Hospital readmission is...
05/13/2011
First Report Managed Care
Feature
Screening for Skin Cancer by Dermatologists, Internists, and Family Practitioners
05/13/2011
Tori Socha
The most frequently diagnosed cancer in the United States is skin cancer. The most common forms of the disease are basal cell carcinoma and squamous cell carcinoma; together the 2 forms account for >1 million new cases each year. The most...
The most frequently diagnosed cancer in the United States is skin cancer. The most common forms of the disease are basal cell carcinoma and squamous cell carcinoma; together the 2 forms account for >1 million new cases each year. The most...
The most frequently diagnosed...
05/13/2011
First Report Managed Care
News Connection
Association of Outcomes with Time to Transfer among Trauma Patients
05/13/2011
Tori Socha
Trauma systems are designed to achieve the best outcomes for injured patients by establishing triage procedures to assign patients to appropriate levels of care, defining patterns for transport both prehospital and interhospital, and...
Trauma systems are designed to achieve the best outcomes for injured patients by establishing triage procedures to assign patients to appropriate levels of care, defining patterns for transport both prehospital and interhospital, and...
Trauma systems are designed to...
05/13/2011
First Report Managed Care
News Connection
Aspirin Less Costly than No Treatment; Proton Pump Inhibitors Not Cost-Effective
05/13/2011
Jill Sederstorm
A new cost-utility analysis investigating the use of aspirin and proton pump inhibitors (PPIs) in coronary heart disease (CHD) prevention found that treatment with aspirin was less costly and more effective than no treatment at all for...
A new cost-utility analysis investigating the use of aspirin and proton pump inhibitors (PPIs) in coronary heart disease (CHD) prevention found that treatment with aspirin was less costly and more effective than no treatment at all for...
A new cost-utility analysis...
05/13/2011
First Report Managed Care
Feature
Disparities in Care and Survival for Patients with Early-Stage HCC
05/13/2011
Tori Socha
In recent years, there has been an increasing incidence of hepatocellular carcinoma (HCC) in the United States. Survival in patients with advanced HCC has an overall 5-year rate of 5%; patients diagnosed in the early stages of HCC have the...
In recent years, there has been an increasing incidence of hepatocellular carcinoma (HCC) in the United States. Survival in patients with advanced HCC has an overall 5-year rate of 5%; patients diagnosed in the early stages of HCC have the...
In recent years, there has been...
05/13/2011
First Report Managed Care
Feature
Follow-Up in Older Adults after Fecal Occult Blood Test
05/13/2011
Tori Socha
Mortality rates from colorectal cancer can be reduced with utilization of fecal occult blood testing (FOBT). The low-risk test is only effective when patients who have an abnormal result are followed up with a complete evaluation with a...
Mortality rates from colorectal cancer can be reduced with utilization of fecal occult blood testing (FOBT). The low-risk test is only effective when patients who have an abnormal result are followed up with a complete evaluation with a...
Mortality rates from colorectal...
05/13/2011
First Report Managed Care
News Connection
Inpatient Operating Room Procedures in Hospitals in the United States in 2007
05/13/2011
Tori Socha
Because operating room procedures are highly invasive and expensive, understanding OR procedures provides information about how healthcare resources are used.
Because operating room procedures are highly invasive and expensive, understanding OR procedures provides information about how healthcare resources are used.
Because operating room...
05/13/2011
First Report Managed Care
Conference Insider
Topical Diclofenac Sodium 1% Gel Has Favorable Tolerability Profile
04/18/2011
Tim Casey
National Harbor, Maryland—Patients with knee or hand osteoarthritis (OA) generally tolerated topical diclofenac sodium 1% gel (DSG) and had only mild adverse events (AEs) that did not require additional treatment, according to a pooled...
National Harbor, Maryland—Patients with knee or hand osteoarthritis (OA) generally tolerated topical diclofenac sodium 1% gel (DSG) and had only mild adverse events (AEs) that did not require additional treatment, according to a pooled...
National Harbor,...
04/18/2011
First Report Managed Care
Feature
Effectively Managing Chronic Pain
04/18/2011
Tim Casey
When treating patients who suffer from chronic pain, clinicians must consider biologic, psychological, and social factors that contribute to the condition. 
When treating patients who suffer from chronic pain, clinicians must consider biologic, psychological, and social factors that contribute to the condition. 
When treating patients who...
04/18/2011
First Report Managed Care
Feature
Opioids and Other Treatments to Manage Osteoarthritis
04/18/2011
Tim Casey
National Harbor, Maryland—Although there is no known cure for osteoarthritis (OA), there are several pharmacologic and nonpharmacologic treatments used to manage the disease and its symptoms. At the AAPM meeting, researchers discussed the...
National Harbor, Maryland—Although there is no known cure for osteoarthritis (OA), there are several pharmacologic and nonpharmacologic treatments used to manage the disease and its symptoms. At the AAPM meeting, researchers discussed the...
National Harbor,...
04/18/2011
First Report Managed Care
Conference Insider
Long-Term Care Requires a Coordinated Long-Term Support Program
04/18/2011
Christina Loguidice
Arlington, Virginia—Providing long-term care (LTC) services to the aging population will become increasingly challenging as 76 million baby boomers approach retirement age. The Urban Institute estimates that 21 million of these individuals...
Arlington, Virginia—Providing long-term care (LTC) services to the aging population will become increasingly challenging as 76 million baby boomers approach retirement age. The Urban Institute estimates that 21 million of these individuals...
Arlington, Virginia—Providing...
04/18/2011
First Report Managed Care
Feature
Cancer Services for Medicaid Patients in District of Columbia
04/18/2011
Tim Casey
Arlington, Virginia—To address oncology services issues in communities involving Medicaid and other low-income patients, stakeholders must work together to identify problems and offer solutions, according to healthcare professionals at the...
Arlington, Virginia—To address oncology services issues in communities involving Medicaid and other low-income patients, stakeholders must work together to identify problems and offer solutions, according to healthcare professionals at the...
Arlington, Virginia—To address...
04/18/2011
First Report Managed Care
Conference Insider
New Jersey’s Medicaid Managed Care Plans Adapt to New Regulations
04/18/2011
Tim Casey
In New Jersey, 75% of the state’s Medicaid beneficiaries are enrolled in 1 of 4 managed care plans. Since the enactment of the Affordable Care Act (ACA) in March 2010, the state and plans have worked together to understand the law’s...
In New Jersey, 75% of the state’s Medicaid beneficiaries are enrolled in 1 of 4 managed care plans. Since the enactment of the Affordable Care Act (ACA) in March 2010, the state and plans have worked together to understand the law’s...
In New Jersey, 75% of the...
04/18/2011
First Report Managed Care
Conference Insider
Money Follows the Person Program and Reduced Medicaid Costs
04/18/2011
Tim Casey
Since Money Follows the Person (MFP) began 6 years ago, 42 states and the District of Columbia have participated in the program and received $1.7 billion in funding to develop home- and community-based services (HCBS) for the Medicaid...
Since Money Follows the Person (MFP) began 6 years ago, 42 states and the District of Columbia have participated in the program and received $1.7 billion in funding to develop home- and community-based services (HCBS) for the Medicaid...
Since Money Follows the Person...
04/18/2011
First Report Managed Care
Medicaid Health Plans and ACOs
04/18/2011
Tim Casey
Arlington, Virginia—Medicaid health plans and providers could benefit with the formation and potential proliferation of accountable care organizations (ACOs) in the next few years, according to Bob Wychulis, chief executive officer of...
Arlington, Virginia—Medicaid health plans and providers could benefit with the formation and potential proliferation of accountable care organizations (ACOs) in the next few years, according to Bob Wychulis, chief executive officer of...
Arlington, Virginia—Medicaid...
04/18/2011
First Report Managed Care
Conference Insider
Healthcare Fraud and Abuse
04/18/2011
Tim Casey
Arlington, Virginia—In 2009, the Centers for Medicare & Medicaid Services (CMS) lost an estimated $24.1 billion (7.8%) of the claims it paid to healthcare waste, fraud, and abuse, which helped prompt the government to place more emphasis on...
Arlington, Virginia—In 2009, the Centers for Medicare & Medicaid Services (CMS) lost an estimated $24.1 billion (7.8%) of the claims it paid to healthcare waste, fraud, and abuse, which helped prompt the government to place more emphasis on...
Arlington, Virginia—In 2009, the...
04/18/2011
First Report Managed Care
Conference Insider
Electronic Health Records in the Medicaid Population
04/18/2011
Tim Casey
For the past few years, information technology (IT) initiatives have become a hot topic in the healthcare industry, with advocates pointing out the benefits of using technology to improve care and run more efficient practices.
For the past few years, information technology (IT) initiatives have become a hot topic in the healthcare industry, with advocates pointing out the benefits of using technology to improve care and run more efficient practices.
For the past few years,...
04/18/2011
First Report Managed Care
News Connection
Racial Disparities in Odds of 30-Day Hospital Readmission in a Medicare Population
04/18/2011
Tori Socha
It has been well documented that racial disparities exist in healthcare, but little is known about disparities in rates of hospital readmissions between black patients and white patients. Reducing readmissions has gained attention as a policy...
It has been well documented that racial disparities exist in healthcare, but little is known about disparities in rates of hospital readmissions between black patients and white patients. Reducing readmissions has gained attention as a policy...
It has been well documented that...
04/18/2011
First Report Managed Care
Feature
Screening Mammography in Women with a Personal History of Breast Cancer
04/18/2011
Tori Socha
Women with a personal history of breast cancer (PHBC) are at risk of developing second breast cancers. The second cancers can be ipsilateral (in-breast recurrence or new ipsilateral cancer) or contralateral. The risk of a second breast cancer...
Women with a personal history of breast cancer (PHBC) are at risk of developing second breast cancers. The second cancers can be ipsilateral (in-breast recurrence or new ipsilateral cancer) or contralateral. The risk of a second breast cancer...
Women with a personal history of...
04/18/2011
First Report Managed Care
Feature
Breast Cancer Treatment with SLND Alone Shows Similar Survival Rates to ALND
04/18/2011
Mary Mihalovic
Among women with invasive breast cancer and sentinel node metastasis, the use of sentinel lymph node dissection (SLND) alone was shown to be noninferior in terms of survival compared with the standard treatment, axillary lymph node dissection...
Among women with invasive breast cancer and sentinel node metastasis, the use of sentinel lymph node dissection (SLND) alone was shown to be noninferior in terms of survival compared with the standard treatment, axillary lymph node dissection...
Among women with invasive breast...
04/18/2011
First Report Managed Care
Feature
Cost-Effectiveness of Supportive Counseling with Smoking Cessation Interventions
04/18/2011
Tori Socha
There are approximately 440,000 deaths due to coronary heart disease (CHD) each year in the United States, and smoking is the most preventable risk factor in the development of CHD. The association of smoking with acute myocardial infarction...
There are approximately 440,000 deaths due to coronary heart disease (CHD) each year in the United States, and smoking is the most preventable risk factor in the development of CHD. The association of smoking with acute myocardial infarction...
There are approximately 440,000...
04/18/2011
First Report Managed Care
News Connection
Latest Tracking Poll Shows Little Change in Views of Healthcare Reform Law
04/18/2011
The Patient Protection and Affordable Care Act was signed into law in March 2010. The latest tracking poll conducted by the Henry J. Kaiser Family Foundation found that despite ongoing efforts by the federal government to educate the American...
The Patient Protection and Affordable Care Act was signed into law in March 2010. The latest tracking poll conducted by the Henry J. Kaiser Family Foundation found that despite ongoing efforts by the federal government to educate the American...
The Patient Protection and...
04/18/2011
First Report Managed Care
Feature
Medicaid Beneficiaries and Serious Mental Illness
04/18/2011
Tim Casey
Arlington, Virginia—Medicaid patients with serious mental illness are less inclined to adhere to their medications, visit providers, and undergo preventive services. Many also have chronic conditions and risk factors such as smoking, poor...
Arlington, Virginia—Medicaid patients with serious mental illness are less inclined to adhere to their medications, visit providers, and undergo preventive services. Many also have chronic conditions and risk factors such as smoking, poor...
Arlington, Virginia—Medicaid...
04/18/2011
First Report Managed Care
Conference Insider
Medicaid Enrollment Expected to Increase by 16 Million in 8 Years
04/18/2011
Tim Casey
The Congressional Budget Office and other forecasters estimate that by 2019 an additional 16 million people in the United States will enroll in Medicaid, thanks to provisions included in the Patient Protection and Affordable Care Act. As a...
The Congressional Budget Office and other forecasters estimate that by 2019 an additional 16 million people in the United States will enroll in Medicaid, thanks to provisions included in the Patient Protection and Affordable Care Act. As a...
The Congressional Budget Office...
04/18/2011
First Report Managed Care

Pipeline Projections

PIPELINE PROJECTIONS
Emerging Therapies Reshaping Atopic Dermatitis Care
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
Pipe
Pipeline Projections
Emerging Migraine Treatments Challenge a Mature Market
11/20/2025
Roy Moore
Roy Moore of Clarivate’s market access team discussed the evolving migraine treatment landscape, highlighting the maturation of the acute and prophylactic markets, the emergence of new therapies such as triptan-COX-2 combinations, gepants,...
Roy Moore of Clarivate’s market access team discussed the evolving migraine treatment landscape, highlighting the maturation of the acute and prophylactic markets, the emergence of new therapies such as triptan-COX-2 combinations, gepants,...
Roy Moore of Clarivate’s market...
11/20/2025
First Report Managed Care
Pipeline Projections
Pipeline Projections
Redefining Asthma Management With Emerging Anti-Inflammatories
10/01/2025
Roy Moore
Roy Moore, a market access expert, discusses the evolving asthma drug pipeline, highlighting upcoming therapies—including Breztri, depemokimab, and masitinib—their potential to improve adherence and outcomes, payer considerations around cost...
Roy Moore, a market access expert, discusses the evolving asthma drug pipeline, highlighting upcoming therapies—including Breztri, depemokimab, and masitinib—their potential to improve adherence and outcomes, payer considerations around cost...
Roy Moore, a market access...
10/01/2025
First Report Managed Care
Pipeline Projections
The Shift in MS Care as Biologics and BTK Inhibitors Advance
07/25/2025
Roy Moore
In this edition of Pipeline Projections, Roy Moore breaks down the rapidly evolving landscape of multiple sclerosis treatments—highlighting the shift from injectables to orals, the rise of monoclonal antibodies, and the promise of innovative...
In this edition of Pipeline Projections, Roy Moore breaks down the rapidly evolving landscape of multiple sclerosis treatments—highlighting the shift from injectables to orals, the rise of monoclonal antibodies, and the promise of innovative...
In this edition of Pipeline...
07/25/2025
First Report Managed Care
Pipeline Projections
How Biosimilars Are Shaping RA Treatment and Reimbursement Strategies
04/29/2025
Roy Moore
In this episode of Pipeline Projections, Roy Moore—Senior Healthcare Research & Data Analyst at Clarivate—discusses the expanding biosimilar pipeline for autoimmune diseases. He highlights recent FDA approvals, formulary and pricing...
In this episode of Pipeline Projections, Roy Moore—Senior Healthcare Research & Data Analyst at Clarivate—discusses the expanding biosimilar pipeline for autoimmune diseases. He highlights recent FDA approvals, formulary and pricing...
In this episode of Pipeline...
04/29/2025
First Report Managed Care

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Behind the Bill

Behind the Bill
HHS Hits Reset on 340B Rebate Model After Court Setbacks
02/11/2026
Juliet Gallagher
The US Department of Health and Human Services (HHS) has formally scrapped its 340B Rebate Model Pilot Program following a series of court rulings that blocked its implementation—signaling a significant pause in one of the most closely...
The US Department of Health and Human Services (HHS) has formally scrapped its 340B Rebate Model Pilot Program following a series of court rulings that blocked its implementation—signaling a significant pause in one of the most closely...
The US Department of Health and...
02/11/2026
First Report Managed Care
Behind the Bill
Funding Package Extends Medicare Telehealth, Enacts PBM Reforms, and Updates Hospital Oversight
02/05/2026
Juliet Gallagher
On February 3, 2026, President Donald Trump signed a broad government funding package that includes multi-year extensions for Medicare teleath and hospital-at-home programs, new oversight requirements for pharmacy benefit managers (PBMs), and...
On February 3, 2026, President Donald Trump signed a broad government funding package that includes multi-year extensions for Medicare teleath and hospital-at-home programs, new oversight requirements for pharmacy benefit managers (PBMs), and...
On February 3, 2026, President...
02/05/2026
First Report Managed Care
Behind the Bill
The Senate’s $3 Trillion Deal. Tax Relief Now, Medicaid Coverage Loss Later?
07/02/2025
Katie Hayes, MJ
The Senate has done it. After weeks of behind-the-scenes wrangling and last-minute amendments, lawmakers have passed a sprawling tax-and-spending megabill that makes good on a long-standing Republican goal: making the 2017 Trump tax cuts...
The Senate has done it. After weeks of behind-the-scenes wrangling and last-minute amendments, lawmakers have passed a sprawling tax-and-spending megabill that makes good on a long-standing Republican goal: making the 2017 Trump tax cuts...
The Senate has done it. After...
07/02/2025
First Report Managed Care
Behind the Bill
When a Cap Isn’t Just a Cap: How a Provider Tax Proposal Could Reshape Medicaid Financing
06/25/2025
Katie Hayes, MJ
In Washington, the most consequential policies are often buried in the fine print. One such detail in the Senate Finance Committee’s latest tax and spending proposal would gradually cap provider taxes—a core funding tool states use to pull in...
In Washington, the most consequential policies are often buried in the fine print. One such detail in the Senate Finance Committee’s latest tax and spending proposal would gradually cap provider taxes—a core funding tool states use to pull in...
In Washington, the most...
06/25/2025
First Report Managed Care
Behind the Bill
Rewriting the Safety Net? Inside the Senate’s Changes to Medicaid and the ACA
06/18/2025
Katie Hayes, MJ
Over the past few weeks, I’ve been following the progress of the One Big Beautiful Bill Act (OBBBA), which started in the House with sweeping tax reforms and some eye-catching health care proposals. Now, the Senate has released its (highly...
Over the past few weeks, I’ve been following the progress of the One Big Beautiful Bill Act (OBBBA), which started in the House with sweeping tax reforms and some eye-catching health care proposals. Now, the Senate has released its (highly...
Over the past few weeks, I’ve...
06/18/2025
First Report Managed Care
Behind the Bill
How States Might Respond to the One Big Beautiful Bill Act
06/11/2025
Katie Hayes, MJ
With the One Big Beautiful Bill Act (OBBBA) still in the hands of the Senate, much of the national conversation has centered on what this legislation would do to federal coverage programs. But regardless of how the federal process unfolds,...
With the One Big Beautiful Bill Act (OBBBA) still in the hands of the Senate, much of the national conversation has centered on what this legislation would do to federal coverage programs. But regardless of how the federal process unfolds,...
With the One Big Beautiful Bill...
06/11/2025
First Report Managed Care
Behind the Bill
Is the Affordable Care Act on the Chopping Block? What the One Big Beautiful Bill Act Tells Us.
06/04/2025
Katie Hayes, MJ
It’s been weeks of headline-grabbing debate over Medicaid work requirements, and the “One Big Beautiful Bill Act” remains in the Senate as they deliberate over several health care provisions. While the Medicaid provisions sparked most of the...
It’s been weeks of headline-grabbing debate over Medicaid work requirements, and the “One Big Beautiful Bill Act” remains in the Senate as they deliberate over several health care provisions. While the Medicaid provisions sparked most of the...
It’s been weeks of...
06/04/2025
First Report Managed Care
Behind the Bill
From House to Senate: The Journey of Cutting Medicaid
05/28/2025
Katie Hayes, MJ
Last week, the House of Representatives narrowly passed the One Big Beautiful Bill Act (HR 1, 119th Congress) by a single vote, sending the sweeping tax and spending reconciliation package, backed by President Trump, to the Senate. With its...
Last week, the House of Representatives narrowly passed the One Big Beautiful Bill Act (HR 1, 119th Congress) by a single vote, sending the sweeping tax and spending reconciliation package, backed by President Trump, to the Senate. With its...
Last week, the House of...
05/28/2025
First Report Managed Care
Behind the Bill
Eligibility, Paperwork, and Penalties: The Not-So-Hidden Costs of Medicaid ‘Reform’
05/21/2025
Katie Hayes, MJ
It’s been another eventful week in health policy—a phrase that’s quickly becoming routine. This time, House Republicans advanced a sweeping budget reconciliation bill, designed to implement elements of the March budget resolution, with a...
It’s been another eventful week in health policy—a phrase that’s quickly becoming routine. This time, House Republicans advanced a sweeping budget reconciliation bill, designed to implement elements of the March budget resolution, with a...
It’s been another eventful week...
05/21/2025
First Report Managed Care
Behind the Bill
A Busy Week in Drug Pricing Policy: Aligning US Drug Prices With Global Standards?
05/14/2025
Katie Hayes, MJ
It’s been a busy few days for drug pricing policy. While I’d love to dig into the details of both President Trump’s latest executive order and the newest Republican bill that would cut Medicaid spending, we don’t have the time—and this isn’t...
It’s been a busy few days for drug pricing policy. While I’d love to dig into the details of both President Trump’s latest executive order and the newest Republican bill that would cut Medicaid spending, we don’t have the time—and this isn’t...
It’s been a busy few days for...
05/14/2025
First Report Managed Care

April 2011 Volume 8 Issue 4

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