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Behind the Bill
To the Letter of the Law: Health Agencies in a Textualist Era
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
Behind the Bill
The Battle for the House: The Last Piece of the Political Puzzle
11/06/2024
With Donald Trump securing the presidency and Republicans taking control of the Senate, all eyes are now on the House of Representatives—the final undetermined piece of federal power. Control of the House remains too close to call, with over...
With Donald Trump securing the presidency and Republicans taking control of the Senate, all eyes are now on the House of Representatives—the final undetermined piece of federal power. Control of the House remains too close to call, with over...
With Donald Trump securing the...
11/06/2024
First Report Managed Care
Behind the Bill
The Supreme Court’s Latest Election Plot Twist
10/30/2024
Two major election-related cases landed at the Supreme Court on Monday—Republican National Committee v Genser (Pennsylvania) and Beals v Virginia Coalition for Immigrant Rights. With just 6 days until the November 5th election, these cases...
Two major election-related cases landed at the Supreme Court on Monday—Republican National Committee v Genser (Pennsylvania) and Beals v Virginia Coalition for Immigrant Rights. With just 6 days until the November 5th election, these cases...
Two major election-related cases...
10/30/2024
First Report Managed Care
Behind the Bill
Unpredictable Polls and Uncharted Policies in the 2024 Elections
10/23/2024
With the 2024 elections just 13 days away, everyone has one question: What happens next? The stakes are particularly high for health policy, but there’s a cloud of uncertainty hanging over the predictions—especially when it comes to polling...
With the 2024 elections just 13 days away, everyone has one question: What happens next? The stakes are particularly high for health policy, but there’s a cloud of uncertainty hanging over the predictions—especially when it comes to polling...
With the 2024 elections just 13...
10/23/2024
First Report Managed Care
Behind the Bill
We’re Done Talking About Medicare for All Now, Right?
10/16/2024
As we approach the final stretch of the 2024 election, Medicare for All is once again part of the health care conversation. But here’s the reality: even some of its previous champions, like Vice President Kamala Harris, have moved on. Harris...
As we approach the final stretch of the 2024 election, Medicare for All is once again part of the health care conversation. But here’s the reality: even some of its previous champions, like Vice President Kamala Harris, have moved on. Harris...
As we approach the final stretch...
10/16/2024
First Report Managed Care
Behind the Bill
VP Debate Leaves Health Care Questions Unanswered
10/09/2024
VP debate sidestepped key health care reforms like prescription drug prices, systemic reforms, and affordability.
VP debate sidestepped key health care reforms like prescription drug prices, systemic reforms, and affordability.
VP debate sidestepped key health...
10/09/2024
First Report Managed Care
Behind the Bill
Everything You Didn't (Want to) Know About the Filibuster
10/02/2024
Navigating the murky waters of Senate procedures, including the filibuster, is crucial for understanding why health care reform proposals struggle to become reality in the US.
Navigating the murky waters of Senate procedures, including the filibuster, is crucial for understanding why health care reform proposals struggle to become reality in the US.
Navigating the murky waters of...
10/02/2024
First Report Managed Care
Behind the Bill
The Shaky Ground of Copay Accumulator Programs
09/18/2024
The aftermath of legal challenges and state legislation continues to reshape the landscape of copay accumulator programs, forcing payers and manufacturers to adapt their strategies.
The aftermath of legal challenges and state legislation continues to reshape the landscape of copay accumulator programs, forcing payers and manufacturers to adapt their strategies.
The aftermath of legal...
09/18/2024
First Report Managed Care
Blog
Software as Medicine: The Rise of Digital Technology in Modern Health Care
09/10/2024
First Report Managed Care is thrilled to introduce Andy Molnar, CEO of the Digital Therapeutics Alliance (DTA), as he launches a monthly blog series. As the leader of the premier global organization for the digital therapeutics industry, Andy...
First Report Managed Care is thrilled to introduce Andy Molnar, CEO of the Digital Therapeutics Alliance (DTA), as he launches a monthly blog series. As the leader of the premier global organization for the digital therapeutics industry, Andy...
First Report Managed Care is...
09/10/2024
First Report Managed Care
Behind the Bill
Streamlining Biosimilars: FDA's Draft Guidance Signals Big Changes (Part 2)
09/04/2024
This is a continuation of our Behind the Bill on the FDA’s new guidance for biosimilar interchangeability.
This is a continuation of our Behind the Bill on the FDA’s new guidance for biosimilar interchangeability.
This is a continuation of our...
09/04/2024
First Report Managed Care
Behind the Bill
Streamlining Biosimilars: FDA's Draft Guidance Signals Big Changes (Part 1)
08/28/2024
FDA eases biosimilar interchangeability rules, dropping switching studies. New guidance and legislation aim to boost access and lower costs.
FDA eases biosimilar interchangeability rules, dropping switching studies. New guidance and legislation aim to boost access and lower costs.
FDA eases biosimilar...
08/28/2024
First Report Managed Care

More From First Report Managed Care

Videos
Bridging the Gaps in Prior Authorization: Challenges, Solutions, and Collaboration for Better Patient Care
11/13/2024
David Sand, MD, MBA, chief medical officer at ZeOmega, discusses the challenges of prior authorization, emphasizing the need for transparency, evidence-based standards, collaboration between payers and providers, and the potential for...
David Sand, MD, MBA, chief medical officer at ZeOmega, discusses the challenges of prior authorization, emphasizing the need for transparency, evidence-based standards, collaboration between payers and providers, and the potential for...
David Sand, MD, MBA, chief...
11/13/2024
First Report Managed Care
Behind the Bill
To the Letter of the Law: Health Agencies in a Textualist Era
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
News
Using Deep Learning to Measure MS-Specific Brain Damage Beyond Aging
11/11/2024
A new study published in Neurology aimed to differentiate age-related brain changes from multiple sclerosis (MS)-specific neurodegeneration using MRI.
A new study published in Neurology aimed to differentiate age-related brain changes from multiple sclerosis (MS)-specific neurodegeneration using MRI.
A new study published in...
11/11/2024
First Report Managed Care
News
Adverse Event Data Suggest Selective β1-blockers Pose Asthma Risk
11/11/2024
The risks of asthma and asthma-like adverse events appear to be higher with selective β1-blockers than with nonselective blockers and α- and β-blockers.
The risks of asthma and asthma-like adverse events appear to be higher with selective β1-blockers than with nonselective blockers and α- and β-blockers.
The risks of asthma and...
11/11/2024
First Report Managed Care
News
RNAi Therapies Offer New Hope for Patients With Hereditary Transthyretin Amyloidosis
11/08/2024
RNA interference (RNAi)-based treatments for hereditary transthyretin amyloidosis (ATTR) have shown remarkable promise, offering new hope for patients with this rare but devastating genetic disorder.
RNA interference (RNAi)-based treatments for hereditary transthyretin amyloidosis (ATTR) have shown remarkable promise, offering new hope for patients with this rare but devastating genetic disorder.
RNA interference (RNAi)-based...
11/08/2024
First Report Managed Care
News
Revolutionary Single-Dose Gene Therapy Offers New Hope for Adults with Hemophilia B
11/08/2024
A groundbreaking gene therapy for hemophilia B has shown remarkable success in reducing bleeding episodes and improving the quality of life for adult patients, according to a recent international phase III clinical trial.
A groundbreaking gene therapy for hemophilia B has shown remarkable success in reducing bleeding episodes and improving the quality of life for adult patients, according to a recent international phase III clinical trial.
A groundbreaking gene therapy...
11/08/2024
First Report Managed Care
Jason Oswald Headshot
Commentary
The Impact of AI on Health Carrier Underwriting: Insights From Industry Experts
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
News
Real-World Evidence Supports Efficacy and Safety of Selexipag in Patients With Pulmonary Arterial Hypertension
11/07/2024
Real-world data shows selexipag effectively improves functional class and risk category outcomes in patients with pulmonary arterial hypertension, regardless of maintenance dose.
Real-world data shows selexipag effectively improves functional class and risk category outcomes in patients with pulmonary arterial hypertension, regardless of maintenance dose.
Real-world data shows selexipag...
11/07/2024
First Report Managed Care
Behind the Bill
The Battle for the House: The Last Piece of the Political Puzzle
11/06/2024
With Donald Trump securing the presidency and Republicans taking control of the Senate, all eyes are now on the House of Representatives—the final undetermined piece of federal power. Control of the House remains too close to call, with over...
With Donald Trump securing the presidency and Republicans taking control of the Senate, all eyes are now on the House of Representatives—the final undetermined piece of federal power. Control of the House remains too close to call, with over...
With Donald Trump securing the...
11/06/2024
First Report Managed Care
News
Clinical Predictors of One-Year Seizure Freedom After SLAH
11/06/2024
A study published in Annals of Clinical and Translational Neurology aimed to predict 1-year seizure freedom for patients undergoing stereotactic laser amygdalohippocampotomy (SLAH) for mesial temporal lobe epilepsy (MTLE) using a set of...
A study published in Annals of Clinical and Translational Neurology aimed to predict 1-year seizure freedom for patients undergoing stereotactic laser amygdalohippocampotomy (SLAH) for mesial temporal lobe epilepsy (MTLE) using a set of...
A study published in Annals of...
11/06/2024
First Report Managed Care
News
Efficacy and Outcomes of Neoadjuvant Immunotherapy in Lung Cancer
11/05/2024
A meta-analysis of 43 studies suggests that neoadjuvant chemoimmunotherapy may benefit patients with resectable NSCLC and low tumor PD-L1 levels for event-free survival, showing superior outcomes compared to neoadjuvant chemotherapy.
A meta-analysis of 43 studies suggests that neoadjuvant chemoimmunotherapy may benefit patients with resectable NSCLC and low tumor PD-L1 levels for event-free survival, showing superior outcomes compared to neoadjuvant chemotherapy.
A meta-analysis of 43 studies...
11/05/2024
First Report Managed Care

First Reports

Weekly Dose of Hemophilia Factor VIII Therapy Delivers Significant Bleed Protection
Pegloticase Benefit Enhanced When Combined With Methotrexate for Patients With Chronic Gout
HCRU Burden of Chronic vs Episodic Migraine and Effect of Early vs Late Nonoral Triptan Use
Zanubrutinib Exhibits Superior Overall Response Rate for Adult Patients With Chronic Lymphocytic Leukemia
Access to Acute Treatments for Migraine Can Reduce Costs for Employers, Health Care System
Addition of Daratumumab to a Treatment Plan for Transplant Ineligible Patients With Multiple Myeloma Proves Beneficial
Atezolizumab Demonstrates Positive Disease-free Survival Benefit Among Patients With NSCLC
Data Supports Progression-Free Survival, Overall Survival for Long-Term CLL/SLL Treatment
ICER Report Ranks Value, Clinical Effectiveness of Dupilumab and Other AD Treatments
Dupilumab Reduces Type 2 Inflammation, May Offer Clinical Benefits for Multiple Comorbid Diseases

Commentary

Jason Oswald Headshot
Commentary
The Impact of AI on Health Carrier Underwriting: Insights From Industry Experts
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
Beyond Medical Cost Savings: Optimizing Payment Integrity Value
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
Transforming Health Care Payer Operations With AI
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
How Capitation Contracts Can Benefit Provider and Payer Population Health Initiatives
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
Unlocking Value in Payment Integrity: A New Paradigm for Health Insurers
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
Shannon Smith, RN, BSN
Commentary
Navigating the CY 2025 CMS Physician Fee Schedule Proposals: Strategic Insights for Health Care Leaders
09/30/2024
The Centers for Medicare & Medicaid Services (CMS) has released its calendar year (CY) 2025 physician fee schedule proposals. In this commentary, an expert breaks down the key components and their implications for health care organizations.
The Centers for Medicare & Medicaid Services (CMS) has released its calendar year (CY) 2025 physician fee schedule proposals. In this commentary, an expert breaks down the key components and their implications for health care organizations.
The Centers for Medicare &...
09/30/2024
First Report Managed Care
Noel Felipe
Commentary
Providers Can Reduce Administrative Burden and Improve Productivity With AI Tools to Mitigate Labor Shortages
09/30/2024
As labor shortages continue to plague the health care industry, providers are turning to artificial intelligence tools to streamline administrative tasks, enhance patient care, and improve staff satisfaction, offering a glimpse into the...
As labor shortages continue to plague the health care industry, providers are turning to artificial intelligence tools to streamline administrative tasks, enhance patient care, and improve staff satisfaction, offering a glimpse into the...
As labor shortages continue to...
09/30/2024
First Report Managed Care
Commentary
Enhancing Provider Experience Through Electronic Prior Authorization
08/13/2024
Each year the American Medical Association (AMA) surveys its membership to ascertain their feedback concerning prior authorizations (PAs) and the impact of this service on their practice. Reliably, AMA members say that PAs are disruptive to...
Each year the American Medical Association (AMA) surveys its membership to ascertain their feedback concerning prior authorizations (PAs) and the impact of this service on their practice. Reliably, AMA members say that PAs are disruptive to...
Each year the American Medical...
08/13/2024
First Report Managed Care
Commentary
Payer-Provider Synergy: Aligning at the Fulcrum Points
08/05/2024
Payer-provider collaboration represents a crucial opportunity to bridge the gap between those who provide care and those who finance it. In this commentary, experts delve into strategies to help foster a collaborative relationship between...
Payer-provider collaboration represents a crucial opportunity to bridge the gap between those who provide care and those who finance it. In this commentary, experts delve into strategies to help foster a collaborative relationship between...
Payer-provider collaboration...
08/05/2024
First Report Managed Care
Commentary
Easing the Nursing Shortage Burden With Wins on Quality, Cost, Scale
07/10/2024
Already challenged with cost, care, and administrative pressures, health care organizations are now staring down a daunting talent supply-and-demand gap. This shortage will negatively affect affordability and access to care for consumers and...
Already challenged with cost, care, and administrative pressures, health care organizations are now staring down a daunting talent supply-and-demand gap. This shortage will negatively affect affordability and access to care for consumers and...
Already challenged with cost,...
07/10/2024
First Report Managed Care

Interviews

Trushar Dungarani, MD
Interview
The Role of High-Quality Data in Population Health Initiatives
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
Homecare Insights Survey Offers Glimpse at Caregiver Motivations, Perspectives and Priorities
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
Integrating AI Advancements Into Clinical Care
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
Maximizing Efficiency and Patient Care With Generative AI
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
The Impact of Labor Shortages on Long-Term Care and Homecare
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
Strategies for Managing Duplicate Discounts Under the 340B Drug Discount Program
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
Insights on the 2024 Medicare Physician Fee Schedule: Implications and Opportunities for Virtual Care Management Services
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
Breaking Down Barriers: Understanding the Impact of Social Determinants of Health (Part 2)
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
Ryan Bosch
Interview
Breaking Down Barriers: Understanding the Impact of Social Determinants of Health (Part 1)
07/09/2024
Discover how social determinants of health have historically been overlooked in healthcare, 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 healthcare, the obstacles preventing professionals from addressing them, and the potential consequences of reducing policy support in this eye-opening interview...
Discover how social determinants...
07/09/2024
First Report Managed Care
Brian Esterly
Interview
Navigating the Future of Virtual Chronic Care Management
06/28/2024
Learn about the impact of the 2024 Medicare Physician Fee Schedule, the importance of virtual care management services in chronic care, and how organizations like TimeDoc can help providers navigate the changing health care landscape.
Learn about the impact of the 2024 Medicare Physician Fee Schedule, the importance of virtual care management services in chronic care, and how organizations like TimeDoc can help providers navigate the changing health care landscape.
Learn about the impact of the...
06/28/2024
First Report Managed Care

Podcasts

Sid Devarakonda
Podcasts
Frontline Treatment Landscape Advancements for Non-Small Cell Lung Cancer
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
Understanding the Impact of Formulary Exclusions on Medication Adherence
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
Prajapati Podcast
Podcasts
Standardizing the Field of Digital Medicine: Insights from an Industry Expert
02/27/2024

Featuring Yash Prajapati, consultant at ZS Associates 

Featuring Yash Prajapati, consultant ...
Join us in exploring the challenges and opportunities in the development, approval, and integration of digital therapeutic solutions with ZS Associates Consultant Yash Prajapati.
Join us in exploring the challenges and opportunities in the development, approval, and integration of digital therapeutic solutions with ZS Associates Consultant Yash Prajapati.
Join us in exploring the...
02/27/2024
First Report Managed Care
Shomali Podcast
Podcasts
Expanding Diabetes Care
02/27/2024

Featuring Mansur Shomali, MD, chief medical officer at Welldoc, endocrinologist at MedStar Health 

Featuring Mansur Shomali, MD, chief m...
Discover how digital therapeutics are revolutionizing disease management, patient care, reducing health care costs, and more with Dr Mansur Shomali, CMO at Welldoc.
Discover how digital therapeutics are revolutionizing disease management, patient care, reducing health care costs, and more with Dr Mansur Shomali, CMO at Welldoc.
Discover how digital...
02/27/2024
First Report Managed Care
Larry Hsu Headshot
Podcasts
Expert Insights into Value-Based Care for Polymyalgia Rheumatica
01/11/2024
A doctor and expert in value-based care offers insights into treatment costs and treatment regimens for patients with polymyalgia rheumatica.
A doctor and expert in value-based care offers insights into treatment costs and treatment regimens for patients with polymyalgia rheumatica.
A doctor and expert in...
01/11/2024
First Report Managed Care

Department

Managed Care Q&A
Insights and Strategies for Success for 2025 Medicare Advantage Open Enrollment
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
CMS Unveils New AHEAD Model Aimed at State Populations
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
Navigating the Inflation Reduction Act's Impact on Drug Pricing and Health Care
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
Managed Care Q&A
Prioritizing Patient Voices in Drug Development and Coverage
05/27/2024
Jasmine Patel, Senior Principal, Patient Advocacy, Strategic Consulting at Envision Pharma Group
Jessica Krauser, Marketing Advisor, Envision Pharma Group; Founder of 5kforJK
In this interview, guest experts discuss the importance of incorporating patient voices into health care decision-making, highlighting opportunities for collaboration and enhancement in drug development and patient coverage.
In this interview, guest experts discuss the importance of incorporating patient voices into health care decision-making, highlighting opportunities for collaboration and enhancement in drug development and patient coverage.
In this interview, guest experts...
05/27/2024
First Report Managed Care
IPF letters
Formulary Frontlines®
New Therapies in Development for Idiopathic Pulmonary Fibrosis (IPF) Address Existing Challenges With Diagnosis and Management
05/13/2024

Reviewed by Elizabeth Volkmann, MD, MS

Reviewed by Elizabeth Volkmann, MD, M...
IPF is a chronic, progressive interstitial lung disease that presents a significant burden to ~3 million patients worldwide. Despite ongoing challenges with IPF diagnosis and management, new therapies in development are showing promise.
IPF is a chronic, progressive interstitial lung disease that presents a significant burden to ~3 million patients worldwide. Despite ongoing challenges with IPF diagnosis and management, new therapies in development are showing promise.
IPF is a chronic, progressive...
05/13/2024
First Report Managed Care

Columns

Surgical Pearls
Surgical Therapies for Vitiligo
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
A Payer Expert Analyzes Rare Disease Drug Policy
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
Predictions for US Health Care Information Technology in 2021
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
Five Trends Driving Adoption of Holistic Strategies: Focusing on Revenue Integrity
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
Three Steps to Identify and Address Social Determinants of Health
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
Kindred Hospitals’ Complex Wound Care Can Reduce Readmissions and Length of Stay
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
How Payers Can Gain the Full Benefits of Medical AI
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
Sponsored
Kindred Hospitals: A Critical Level of Care
08/27/2024
The authors explore the advantages of timely transfers of critically ill patients to Kindred Hospitals, a national network of long-term acute care hospitals (LTACHs), providing insights into key aspects of their intensive care units (ICUs).
The authors explore the advantages of timely transfers of critically ill patients to Kindred Hospitals, a national network of long-term acute care hospitals (LTACHs), providing insights into key aspects of their intensive care units (ICUs).
The authors explore the...
08/27/2024
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
Feature Story
A Better Way to Pay for Primary Care
05/31/2024
A push for a hybrid payment model for primary care is gaining momentum, with advocates urging the CMS to implement changes to increase funding and improve outcomes for patients.
A push for a hybrid payment model for primary care is gaining momentum, with advocates urging the CMS to implement changes to increase funding and improve outcomes for patients.
A push for a hybrid payment...
05/31/2024
First Report Managed Care
FRMC Volume 21, Issue 3

Current Issue

September 2024
Volume 21
Issue 3
Current Issue
Issue Archive

What's Trending?

News
Biotechnology Initial Public Offerings Soar in 2013
02/13/2014
New York—After several poor years, the biotechnology industry rebounded in 2013 with 45 initial public offerings (IPOs) of biotechnology companies and more money flowing into the sector. It was the most activity in the sector since 2000, and...
New York—After several poor years, the biotechnology industry rebounded in 2013 with 45 initial public offerings (IPOs) of biotechnology companies and more money flowing into the sector. It was the most activity in the sector since 2000, and...
New York—After several poor...
02/13/2014
First Report Managed Care
News
Study: Pediatric Patients Benefit From PCMH Utilization
03/22/2017
Researchers argue that public funding efforts should be invested in improving the use of patient centered medical homes for children covered under public insurance, or those who have no insurance at all.
Researchers argue that public funding efforts should be invested in improving the use of patient centered medical homes for children covered under public insurance, or those who have no insurance at all.
Researchers argue that public...
03/22/2017
First Report Managed Care
News
High Deductible Health Plans Associated With No Change in Asthma Care
10/26/2021
Authors noted that enrollment in high deductible health plans “was associated with minimal or no reductions in controller medication use for children and adults and no change in asthma exacerbations,” suggesting a potential benefit from...
Authors noted that enrollment in high deductible health plans “was associated with minimal or no reductions in controller medication use for children and adults and no change in asthma exacerbations,” suggesting a potential benefit from...
Authors noted that enrollment in...
10/26/2021
First Report Managed Care
Cancer Screening Cessation for Older Adults
06/26/2013
There are many educational efforts designed to increase the rates of screening for cancer, which is an important part of standard medical care. However, the balance of the risks and benefits of screening are affected by situations such as...
There are many educational efforts designed to increase the rates of screening for cancer, which is an important part of standard medical care. However, the balance of the risks and benefits of screening are affected by situations such as...
There are many educational...
06/26/2013
First Report Managed Care
News
Mylan gets approval for generic Effexor XR
06/08/2011
06/08/2011
First Report Managed Care

Video Insights

Videos
Bridging the Gaps in Prior Authorization: Challenges, Solutions, and Collaboration for Better Patient Care
11/13/2024
David Sand, MD, MBA, chief medical officer at ZeOmega, discusses the challenges of prior authorization, emphasizing the need for transparency, evidence-based standards, collaboration between payers and providers, and the potential for...
David Sand, MD, MBA, chief medical officer at ZeOmega, discusses the challenges of prior authorization, emphasizing the need for transparency, evidence-based standards, collaboration between payers and providers, and the potential for...
David Sand, MD, MBA, chief...
11/13/2024
First Report Managed Care
Richard Lipton, MD
Videos
The Evolving Role of CGRP-targeting Therapies in Migraine Prevention
10/31/2024
Richard Lipton, MD, provides insights on the American Headache Society’s position statement update on calcitonin gene-related peptide (CGRP)-targeting therapies as a first-line option for the prevention of migraine.
Richard Lipton, MD, provides insights on the American Headache Society’s position statement update on calcitonin gene-related peptide (CGRP)-targeting therapies as a first-line option for the prevention of migraine.
Richard Lipton, MD, provides...
10/31/2024
First Report Managed Care
Alexander Spira, MD, PhD
Videos
Unmet Needs in the Treatment and Management of Non–Small Cell Lung Cancer
09/26/2024
Alexander I. Spira, MD, PhD, discusses significant unmet needs in the treatment and management of non–small cell lung cancer (NSCLC).
Alexander I. Spira, MD, PhD, discusses significant unmet needs in the treatment and management of non–small cell lung cancer (NSCLC).
Alexander I. Spira, MD, PhD,...
09/26/2024
First Report Managed Care
Videos
Treatment Options for NSCLC: A Discussion on Coverage, Clinical Outcomes, and Payer Perspectives
09/25/2024
Learn about research developments in 1L therapy for NSCLC patients with EGFR mutations and how outcomes may impact coverage and reimbursement decisions for insurers.
Learn about research developments in 1L therapy for NSCLC patients with EGFR mutations and how outcomes may impact coverage and reimbursement decisions for insurers.
Learn about research...
09/25/2024
First Report Managed Care
Title Card
Videos
Addressing the Root Cause of a Common Ocular Condition: A Virtual Roundtable
09/04/2024
View a roundtable discussion on Demodex blepharitis, a prevalent ocular condition that often goes undiagnosed in patients.
View a roundtable discussion on Demodex blepharitis, a prevalent ocular condition that often goes undiagnosed in patients.
View a roundtable discussion on...
09/04/2024
First Report Managed Care
Jordan Bazinsky
Videos
Addressing Health Disparities and Promoting Equity: The Role of Advanced Imaging Solutions
08/15/2024
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
Farrukh Awan, MD
Videos
Promising Therapies and Clinical Trials for Chronic Lymphocytic Leukemia
08/14/2024
Farrukh Awan, MD, highlights promising therapies and clinical trials within the field of chronic lymphocytic leukemia (CLL).
Farrukh Awan, MD, highlights promising therapies and clinical trials within the field of chronic lymphocytic leukemia (CLL).
Farrukh Awan, MD, highlights...
08/14/2024
Journal of Clinical Pathways
Hayward
Videos
Evolving Health Care Contact Centers Into Drivers of Value-Based Care
07/31/2024
Discover how health care contact centers can transform into drivers of value-based care through AI, automation, upskilling agents, and rethinking workflows and metrics to improve patient outcomes and population health.
Discover how health care contact centers can transform into drivers of value-based care through AI, automation, upskilling agents, and rethinking workflows and metrics to improve patient outcomes and population health.
Discover how health care contact...
07/31/2024
First Report Managed Care
Lucille Accetta Headshot
Videos
Enhancing Patient Medication Adherence: Insights and Strategies From Asembia 2024
06/11/2024
Lucille Accetta, PharmD, MBA, MSPH, Senior Vice President of CVS Specialty Operations
Key stakeholders in the health care industry gathered to discuss prevalent topics at this year's Asembia annual summit. Medication adherence emerged as one of the most talked-about issues. In a session led by Lucille Accetta, PharmD, MBA,...
Key stakeholders in the health care industry gathered to discuss prevalent topics at this year's Asembia annual summit. Medication adherence emerged as one of the most talked-about issues. In a session led by Lucille Accetta, PharmD, MBA,...
Key stakeholders in the health...
06/11/2024
First Report Managed Care
Melissa Andel, Principal, CommonHealth Solutions, LLC
Videos
Navigating the Impact of the Inflation Reduction Act: Implications for Payers, Patients, and Manufacturers
05/24/2024
Melissa Andel, Principal, CommonHealth Solutions, LLC
Learn about the impacts of the Inflation Reduction Act on payers and patients, highlighting the changes in Medicare benefits and drug coverage coming in 2025 and 2026.
Learn about the impacts of the Inflation Reduction Act on payers and patients, highlighting the changes in Medicare benefits and drug coverage coming in 2025 and 2026.
Learn about the impacts of the...
05/24/2024
First Report Managed Care

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