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First Report Managed Care

News

News
08/05/2026
Rebecca Amrick
Researchers found that removing coverage for obesity medications was associated with worse employee morale, higher rates of burnout, and decreased job satisfaction and productivity.
Researchers found that removing coverage for obesity medications was associated with worse employee morale, higher rates of burnout, and decreased job satisfaction and productivity.
Researchers found that removing...
08/05/2026
First Report Managed Care
News
08/03/2026
Rebecca Amrick
A study found that waiving the Medicare Savings Program (MSP) asset test could help newly enrolled Medicare beneficiaries retain Medicaid coverage, but variations in state-level coverage and suboptimal rates of enrollment raise concerns about...
A study found that waiving the Medicare Savings Program (MSP) asset test could help newly enrolled Medicare beneficiaries retain Medicaid coverage, but variations in state-level coverage and suboptimal rates of enrollment raise concerns about...
A study found that waiving the...
08/03/2026
First Report Managed Care
Behind the Bill
07/31/2026
Hannah Musick
A federal court has allowed CMS' new Medicaid work requirement rule to move forward while a multistate legal challenge continues, setting the stage for a broader debate over how the landmark eligibility changes will be implemented nationwide.
A federal court has allowed CMS' new Medicaid work requirement rule to move forward while a multistate legal challenge continues, setting the stage for a broader debate over how the landmark eligibility changes will be implemented nationwide.
A federal court has allowed CMS'...
07/31/2026
First Report Managed Care
News
07/28/2026
Rebecca Amrick
A study found that glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are the more common treatment option for obesity among adolescents and young adults compared to bariatric surgery.
A study found that glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are the more common treatment option for obesity among adolescents and young adults compared to bariatric surgery.
A study found that glucagon-like...
07/28/2026
First Report Managed Care
News
07/28/2026
Grace Taylor, MS, MA
A large US electronic health record analysis found that only 1 in 10 patients referred for kidney transplantation ultimately received a transplant, highlighting substantial attrition before waitlisting and identifying key patient- and...
A large US electronic health record analysis found that only 1 in 10 patients referred for kidney transplantation ultimately received a transplant, highlighting substantial attrition before waitlisting and identifying key patient- and...
A large US electronic health...
07/28/2026
First Report Managed Care
News
07/27/2026
Rebecca Amrick
A study found that among patients who underwent lumbar fusions, those covered by Medicare Advantage had longer lengths of stay and higher rates of home discharges than those covered by Medicare Fee-For-Service, illustrating gaps in episode of...
A study found that among patients who underwent lumbar fusions, those covered by Medicare Advantage had longer lengths of stay and higher rates of home discharges than those covered by Medicare Fee-For-Service, illustrating gaps in episode of...
A study found that among...
07/27/2026
First Report Managed Care
News
07/24/2026
Grace Taylor, MS, MA
A large US cohort study found that only 3% of adults newly diagnosed with obesity underwent metabolic bariatric surgery within one year, with provider type, body mass index, sex, and other clinical factors strongly influencing access to...
A large US cohort study found that only 3% of adults newly diagnosed with obesity underwent metabolic bariatric surgery within one year, with provider type, body mass index, sex, and other clinical factors strongly influencing access to...
A large US cohort study found...
07/24/2026
First Report Managed Care
Behind the Bill
07/23/2026
Hannah Musick
A federal court has temporarily blocked several key provisions of Centers for Medicare & Medicaid Services' (CMS') 2027 Affordable Care Act (ACA) Marketplace rule, setting up a high-stakes legal battle over federal authority, Marketplace...
A federal court has temporarily blocked several key provisions of Centers for Medicare & Medicaid Services' (CMS') 2027 Affordable Care Act (ACA) Marketplace rule, setting up a high-stakes legal battle over federal authority, Marketplace...
A federal court has temporarily...
07/23/2026
First Report Managed Care
News
07/23/2026
Grace Taylor, MS, MA
The Centers for Medicare & Medicaid Services (CMS) has proposed sweeping changes to Medicaid provider tax regulations that would establish new indirect hold harmless thresholds, expand reporting requirements, and reshape state health...
The Centers for Medicare & Medicaid Services (CMS) has proposed sweeping changes to Medicaid provider tax regulations that would establish new indirect hold harmless thresholds, expand reporting requirements, and reshape state health...
The Centers for Medicare &...
07/23/2026
First Report Managed Care
News
07/22/2026
Rebecca Amrick
The US Food and Drug Administration (FDA) recently approved Fabhalta (iptacopan) to slow kidney function decline in patients with immunoglobulin A nephropathy (IgAN).
The US Food and Drug Administration (FDA) recently approved Fabhalta (iptacopan) to slow kidney function decline in patients with immunoglobulin A nephropathy (IgAN).
The US Food and Drug...
07/22/2026
First Report Managed Care

KOL Insights

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
MANAGED CARE Q&A
06/25/2026
Joe DePinto
This interview explores the structural, operational, and reimbursement challenges limiting access to cell and gene therapies, highlighting the importance of stakeholder collaboration, innovative payment models, real-world evidence, and...
This interview explores the structural, operational, and reimbursement challenges limiting access to cell and gene therapies, highlighting the importance of stakeholder collaboration, innovative payment models, real-world evidence, and...
This interview explores the...
06/25/2026
First Report Managed Care
Commentary
06/25/2026
Chris Terrone; Cynthia Miller; Mitch DeKoven
As regulators and payers place growing emphasis on real-world evidence, new survey findings reveal what managed care decision-makers value most—and how manufacturers can generate and communicate evidence that meaningfully influences coverage...
As regulators and payers place growing emphasis on real-world evidence, new survey findings reveal what managed care decision-makers value most—and how manufacturers can generate and communicate evidence that meaningfully influences coverage...
As regulators and payers place...
06/25/2026
First Report Managed Care
Commentary
06/25/2026
Patty Hayward; David Lareau; Jeanne Cohen; Alexandria Foley, MSN, RN; Kevin Ritter; Payam Zamani, MD; Eugene Gonsiorek; Mike Camacho; Joseph Kleiman; Bill Kerr, MD
To mark the 20th anniversary of value-based care, health care innovation and value-based care leaders reflect on how the industry has evolved—and why success over the next 20 years will depend on moving from payment reform to the...
To mark the 20th anniversary of value-based care, health care innovation and value-based care leaders reflect on how the industry has evolved—and why success over the next 20 years will depend on moving from payment reform to the...
To mark the 20th anniversary of...
06/25/2026
First Report Managed Care
Commentary
06/25/2026
Chandra Y. Osborn, PhD, MPH
As managed care shifts toward outcomes-based performance, health plans are discovering that identifying at-risk members is no longer enough—the real competitive advantage lies in driving sustained behavior change to improve medication...
As managed care shifts toward outcomes-based performance, health plans are discovering that identifying at-risk members is no longer enough—the real competitive advantage lies in driving sustained behavior change to improve medication...
As managed care shifts toward...
06/25/2026
First Report Managed Care
Regulatory Insights
06/25/2026
Adam Colborn, JD
Although major legislative activity has slowed following pharmacy benefit manager (PBM) reform, ongoing congressional scrutiny of drug patents, price transparency, broker compensation, and the future of Medicare Star Ratings signals that...
Although major legislative activity has slowed following pharmacy benefit manager (PBM) reform, ongoing congressional scrutiny of drug patents, price transparency, broker compensation, and the future of Medicare Star Ratings signals that...
Although major legislative...
06/25/2026
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