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News
ADHD Symptoms Linked to Poor Glycemic Control in Adults With Type 1 Diabetes
02/17/2026
Juliet Gallagher
Adults with type 1 diabetes (T1D) frequently report symptoms of attention-deficit/hyperactivity disorder (ADHD), and these symptoms are associated with worse glycemic control, according to a cross-sectional study conducted at the Joslin...
Adults with type 1 diabetes (T1D) frequently report symptoms of attention-deficit/hyperactivity disorder (ADHD), and these symptoms are associated with worse glycemic control, according to a cross-sectional study conducted at the Joslin...
Adults with type 1 diabetes...
02/17/2026
First Report Managed Care
News
Study Probes Gut Health as Missing Link Between Diet and Rheumatoid Arthritis Activity
02/17/2026
Lisa Kuhns, PhD, MD
A new Arizona-based research project aims to clarify why many people with rheumatoid arthritis (RA) struggle to reach sustained remission by testing whether diet influences disease activity indirectly through gut health and inflammation,...
A new Arizona-based research project aims to clarify why many people with rheumatoid arthritis (RA) struggle to reach sustained remission by testing whether diet influences disease activity indirectly through gut health and inflammation,...
A new Arizona-based research...
02/17/2026
First Report Managed Care
News
Weight and Emotions Scale Validated in US Adults With Obesity
02/13/2026
Juliet Gallagher
A newly developed patient-reported outcome (PRO) instrument—the Weight and Emotions Scale (WES)—demonstrated strong content validity in US adults with obesity or overweight. Developed in alignment with US Food and Drug Administration guidance...
A newly developed patient-reported outcome (PRO) instrument—the Weight and Emotions Scale (WES)—demonstrated strong content validity in US adults with obesity or overweight. Developed in alignment with US Food and Drug Administration guidance...
A newly developed...
02/13/2026
First Report Managed Care
News
Medicare Advantage Overpayments Persist Despite New Efforts to Curb Costs
02/13/2026
Lisa Kuhns, PhD, MD
The federal government is on track to spend tens of billions more on Medicare Advantage (MA) than traditional Medicare this year, reigniting concerns that the privatized program’s payment system rewards insurers more for coding intensity than...
The federal government is on track to spend tens of billions more on Medicare Advantage (MA) than traditional Medicare this year, reigniting concerns that the privatized program’s payment system rewards insurers more for coding intensity than...
The federal government is on...
02/13/2026
First Report Managed Care
News
Rheumatoid Arthritis Mortality Declines Among US Postmenopausal Women
02/11/2026
Grace Taylor, MS, MA
Rheumatoid arthritis (RA) mortality among US postmenopausal women has declined by more than half since 1999, but persistent racial, regional, and age-based disparities—and a pandemic-related spike—highlight ongoing inequities in outcomes.
Rheumatoid arthritis (RA) mortality among US postmenopausal women has declined by more than half since 1999, but persistent racial, regional, and age-based disparities—and a pandemic-related spike—highlight ongoing inequities in outcomes.
Rheumatoid arthritis (RA)...
02/11/2026
First Report Managed Care
News
New Obesity Definition Expands Risk Identification Beyond BMI Alone
02/10/2026
Grace Taylor, MS, MA
A revised obesity framework that goes beyond body mass index (BMI) alone captures a significantly larger share of US adults with elevated risk for metabolic disease, cardiovascular events, and mortality.
A revised obesity framework that goes beyond body mass index (BMI) alone captures a significantly larger share of US adults with elevated risk for metabolic disease, cardiovascular events, and mortality.
A revised obesity framework that...
02/10/2026
First Report Managed Care
News
Kaiser Affiliates Agree to $556M Medicare Advantage Fraud Settlement in US
02/10/2026
Hannah Musick
Kaiser Permanente health plan affiliates agreed to pay $556 million to settle US Department of Justice (DOJ) allegations that they pressured physicians to upcode Medicare Advantage patients to boost federal reimbursement.
Kaiser Permanente health plan affiliates agreed to pay $556 million to settle US Department of Justice (DOJ) allegations that they pressured physicians to upcode Medicare Advantage patients to boost federal reimbursement.
Kaiser Permanente health plan...
02/10/2026
First Report Managed Care
News
Nephrology Care Gaps Drive Vascular Access Disparities for Hispanic Dialysis Patients
02/09/2026
Grace Taylor, MS, MA
A large US Renal Data System (USRDS) study found that disparities in predialysis nephrology care account for nearly one-third of the lower rates of mature vascular access at dialysis initiation among Hispanic patients, highlighting a critical...
A large US Renal Data System (USRDS) study found that disparities in predialysis nephrology care account for nearly one-third of the lower rates of mature vascular access at dialysis initiation among Hispanic patients, highlighting a critical...
A large US Renal Data System...
02/09/2026
First Report Managed Care
News
TrumpRx.gov Launch Targets Lower Prescription Drug Prices in United States
02/06/2026
Juliet Gallagher
The Trump Administration has announced the launch of TrumpRx.gov, a new website designed to provide American patients with access to prescription drug prices aligned with the lowest paid in other developed nations. The initiative applies...
The Trump Administration has announced the launch of TrumpRx.gov, a new website designed to provide American patients with access to prescription drug prices aligned with the lowest paid in other developed nations. The initiative applies...
The Trump Administration has...
02/06/2026
First Report Managed Care
News
Illinois FQHCs Deliver More Guideline-Concordant Kidney Disease Testing, Study Finds
02/03/2026
Grace Taylor, MS, MA
Federally qualified health centers (FQHCs) in Illinois outperformed non-FQHC practices in guideline-recommended kidney disease testing, highlighting the strength of the safety-net model in caring for high-risk populations.
Federally qualified health centers (FQHCs) in Illinois outperformed non-FQHC practices in guideline-recommended kidney disease testing, highlighting the strength of the safety-net model in caring for high-risk populations.
Federally qualified health...
02/03/2026
First Report Managed Care

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

Trending Articles

News
Hospital Costs May Be Higher for Patients With Private Insurance
05/14/2024
Hannah Musick
A recent research report reveals that individuals with private health insurance pay 254% more for hospital procedures than Medicare rates, leading to potentially increased costs for millions of Americans.
A recent research report reveals that individuals with private health insurance pay 254% more for hospital procedures than Medicare rates, leading to potentially increased costs for millions of Americans.
A recent research report reveals...
05/14/2024
First Report Managed Care
News
Fitusiran Prophylaxis Shows Promise for Protection Against Bleeding for Patients With Hemophilia A or B
06/05/2024
Grace Taylor, MS, MA
A phase 3 study evaluated the efficacy and safety of fitusiran in males with hemophilia A or B who were receiving bypassing agent (BPA)/clotting factor concentrate (CFC) prophylaxis.
A phase 3 study evaluated the efficacy and safety of fitusiran in males with hemophilia A or B who were receiving bypassing agent (BPA)/clotting factor concentrate (CFC) prophylaxis.
A phase 3 study evaluated the...
06/05/2024
First Report Managed Care
Infographic
The Efficacy and Safety of an Oral Phosphodiesterase 4B (PDE4B) Inhibitor, BI 1015550, in Patients With Idiopathic Pulmonary Fibrosis (IPF): A Phase 2 Clinical Trial
07/24/2024
This infographic summarizes a recent Phase 2 clinical trial evaluating the efficacy and safety of an oral phosphodiesterase inhibitor in patients with idiopathic pulmonary fibrosis (IPF).
This infographic summarizes a recent Phase 2 clinical trial evaluating the efficacy and safety of an oral phosphodiesterase inhibitor in patients with idiopathic pulmonary fibrosis (IPF).
This infographic summarizes a...
07/24/2024
First Report Managed Care
Jordan Bazinsky
Videos
Addressing Health Disparities and Promoting Equity: The Role of Advanced Imaging Solutions
08/15/2024
Jordan Bazinsky
Guest expert Jordan Bazinsky discusses the challenges facing the medical imaging industry, the potential of AI and emerging technologies, the role of advanced imaging solutions in promoting health equity, and the key trends and challenges...
Guest expert Jordan Bazinsky discusses the challenges facing the medical imaging industry, the potential of AI and emerging technologies, the role of advanced imaging solutions in promoting health equity, and the key trends and challenges...
Guest expert Jordan Bazinsky...
08/15/2024
First Report Managed Care
Conference Coverage
Few Plans Receive 5-Star NCQA Ratings
09/19/2024
Hannah Musick
The National Committee for Quality Assurance (NCQA)'s annual insurance rankings reveal only 5 plans earned a perfect 5-Star Rating, with most plans falling between 3 and 4 Stars, according to Fierce Healthcare. These findings emphasize the...
The National Committee for Quality Assurance (NCQA)'s annual insurance rankings reveal only 5 plans earned a perfect 5-Star Rating, with most plans falling between 3 and 4 Stars, according to Fierce Healthcare. These findings emphasize the...
The National Committee for...
09/19/2024
First Report Managed Care

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