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First Report Managed Care

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News
Autoimmune Disease Impact on Health and Productivity of US Employees
03/26/2025
Grace Taylor, MS, MA
Chronic autoimmune conditions are emerging as a major, underrecognized burden on employers, driving up health care costs and disability claims across the US workforce.
Chronic autoimmune conditions are emerging as a major, underrecognized burden on employers, driving up health care costs and disability claims across the US workforce.
Chronic autoimmune conditions...
03/26/2025
First Report Managed Care
News
Initiating Cariprazine as First Adjunctive Therapy Linked to Lower Mental Health Costs in MDD
03/25/2025
Hannah Musick
Initiating cariprazine as the first adjunctive therapy in major depressive disorder (MDD) is associated with significantly lower mental health-related health care utilization and costs compared to using it after other adjunctive treatments.
Initiating cariprazine as the first adjunctive therapy in major depressive disorder (MDD) is associated with significantly lower mental health-related health care utilization and costs compared to using it after other adjunctive treatments.
Initiating cariprazine as the...
03/25/2025
First Report Managed Care
News
Study Flags Risk of Selection Bias in Evaluating Medicaid Health Plans
03/24/2025
Hannah Musick
A new study reveals that selection bias, not plan performance, may drive observed racial disparities in Medicaid care, challenging the validity of using these metrics for payment or public reporting.
A new study reveals that selection bias, not plan performance, may drive observed racial disparities in Medicaid care, challenging the validity of using these metrics for payment or public reporting.
A new study reveals that...
03/24/2025
First Report Managed Care
News
Emerging Treatments Improve Outcomes for Patients With Relapsed/Refractory Follicular Lymphoma
03/21/2025
Lisa Kuhns, PhD, MD
Recent advancements in bispecific antibodies (BsAbs) and chimeric antigen receptor (CAR) T-cell therapies are revolutionizing the treatment landscape for patients with relapsed or refractory follicular lymphoma (RR-FL), offering new hope for...
Recent advancements in bispecific antibodies (BsAbs) and chimeric antigen receptor (CAR) T-cell therapies are revolutionizing the treatment landscape for patients with relapsed or refractory follicular lymphoma (RR-FL), offering new hope for...
Recent advancements in...
03/21/2025
First Report Managed Care
News
Biosimilars Gain Market Traction but Adoption Varies by Demographics and Other Factors
03/18/2025
Grace Taylor, MS, MA
Biosimilars are gaining market share and reducing drug costs, but patient adoption varies based on demographics, care settings, and payer policies.
Biosimilars are gaining market share and reducing drug costs, but patient adoption varies based on demographics, care settings, and payer policies.
Biosimilars are gaining market...
03/18/2025
First Report Managed Care
News
Patients With Vitiligo Face Elevated Risk of Cardiovascular Disease, Study Finds
03/14/2025
Grace Taylor, MS, MA
Individuals with vitiligo have an increased risk of major cardiovascular events, including stroke and venous thromboembolism, according to researchers.
Individuals with vitiligo have an increased risk of major cardiovascular events, including stroke and venous thromboembolism, according to researchers.
Individuals with vitiligo have...
03/14/2025
First Report Managed Care
News
Unlocking Cost-Efficiency and Access With Biosimilar Bevacizumab in Medicare
03/13/2025
Hannah Musick
New research shows significant cost savings and potential for expanded access to biosimilar bevacizumab in Medicare for patients with metastatic colorectal and non-small cell lung cancer.
New research shows significant cost savings and potential for expanded access to biosimilar bevacizumab in Medicare for patients with metastatic colorectal and non-small cell lung cancer.
New research shows significant...
03/13/2025
First Report Managed Care
News
Study Finds Limited Benefit of Common MS Fatigue Medications
03/12/2025
Grace Taylor, MS, MA
Commonly used medications for multiple sclerosis-related fatigue offer minimal clinical benefit and are more likely to cause treatment discontinuation due to side effects, according to a systematic review and meta-analysis published in...
Commonly used medications for multiple sclerosis-related fatigue offer minimal clinical benefit and are more likely to cause treatment discontinuation due to side effects, according to a systematic review and meta-analysis published in...
Commonly used medications for...
03/12/2025
First Report Managed Care
News
Bridging the Gap: Mental Health Support for Individuals With Skin Conditions
03/07/2025
Hannah Musick
A recently published review explores the impact of skin diseases on mental health, emphasizing the need for culturally sensitive approaches and digital health technologies to support individuals with skin conditions.
A recently published review explores the impact of skin diseases on mental health, emphasizing the need for culturally sensitive approaches and digital health technologies to support individuals with skin conditions.
A recently published review...
03/07/2025
First Report Managed Care
News
Bispecific Antibody Therapy Achieves Sustained Remissions in Follicular Lymphoma
03/06/2025
Juliet Gallagher
A 3-year follow-up of a phase 1/2 study confirms that mosunetuzumab, a CD20×CD3 bispecific antibody, provides durable remissions, high response rates, and a favorable safety profile in relapsed or refractory follicular lymphoma, reinforcing...
A 3-year follow-up of a phase 1/2 study confirms that mosunetuzumab, a CD20×CD3 bispecific antibody, provides durable remissions, high response rates, and a favorable safety profile in relapsed or refractory follicular lymphoma, reinforcing...
A 3-year follow-up of a phase...
03/06/2025
First Report Managed Care

KOL Insights

Osborn Headshot
Commentary
Want to Engage Health Plan Members? First, Build Trust
03/27/2025
Chandra Y. Osborn, PhD, MPH
Trust in health plans is critically low—especially among those in poor health—but by leading with empathy, removing barriers to care, and using data-driven, personalized strategies rooted in behavioral science, plans can rebuild trust,...
Trust in health plans is critically low—especially among those in poor health—but by leading with empathy, removing barriers to care, and using data-driven, personalized strategies rooted in behavioral science, plans can rebuild trust,...
Trust in health plans is...
03/27/2025
First Report Managed Care
Cowen Headshot
Commentary
Improving Value-Based Care With Contract Lifecycle Management
03/20/2025
Tom Cowen
Effective value-based contracts require clear definitions, structured data, and automation through contract lifecycle management (CLM) solutions to streamline negotiation, ensure transparency, and adapt to evolving health care policies and...
Effective value-based contracts require clear definitions, structured data, and automation through contract lifecycle management (CLM) solutions to streamline negotiation, ensure transparency, and adapt to evolving health care policies and...
Effective value-based contracts...
03/20/2025
First Report Managed Care
Author Image
Commentary
Equitable Health Care in 2025: Experts Share a Vision for Inclusive and Accessible Care
01/23/2025
Experts weigh in on how advancements in AI, smart technology, and innovative care models will drive equitable health care in 2025 by improving access, reducing disparities, and enhancing patient outcomes across underserved populations.
Experts weigh in on how advancements in AI, smart technology, and innovative care models will drive equitable health care in 2025 by improving access, reducing disparities, and enhancing patient outcomes across underserved populations.
Experts weigh in on how...
01/23/2025
First Report Managed Care
Headshots
Commentary
How to Maximize the Value of GLP-1 Drugs While Improving Health Equity
01/14/2025
Julie Schulz, MD, MPH; Michael Dovidio, PharmD
GLP-1 drugs present significant financial and health equity challenges, offering transformative benefits for obesity and cardiometabolic disorders while requiring data-driven strategies for cost-effective and equitable access.
GLP-1 drugs present significant financial and health equity challenges, offering transformative benefits for obesity and cardiometabolic disorders while requiring data-driven strategies for cost-effective and equitable access.
GLP-1 drugs present significant...
01/14/2025
First Report Managed Care
DeMarrais Headshot
Commentary
How Health Systems Can Meet the Expanding Needs of Specialty Pharmacies
01/03/2025
Health systems must adapt to the growing demand for specialty pharmacies by scaling services, embracing technology, and collaborating with experts to improve patient outcomes, reduce administrative burdens, and navigate regulatory challenges.
Health systems must adapt to the growing demand for specialty pharmacies by scaling services, embracing technology, and collaborating with experts to improve patient outcomes, reduce administrative burdens, and navigate regulatory challenges.
Health systems must adapt to the...
01/03/2025
First Report Managed Care
Varshney Headshot
Interview
Transforming Drug Development Through Real-World Evidence and Artificial Intelligence
01/03/2025
Jo Varshney, DVM, PhD
In this interview, Dr Jo Varshney, founder and CEO of VeriSIM Life, discusses the complexities of drug development, the role of AI in accelerating discovery, the integration of real-world evidence, and strategies to reduce costs while...
In this interview, Dr Jo Varshney, founder and CEO of VeriSIM Life, discusses the complexities of drug development, the role of AI in accelerating discovery, the integration of real-world evidence, and strategies to reduce costs while...
In this interview, Dr Jo...
01/03/2025
First Report Managed Care
KOL Headshots
Commentary
2024 Trends and 2025 Predictions: Insights From Health Care Leaders on Advancing Medicare, AI Solutions, and Clinical Data Utilization
12/27/2024
In this exclusive commentary for First Report Managed Care, health experts and business leaders explore how advancements in Medicare Advantage, ambient intelligence, generative AI, cybersecurity, risk adjustment, precision oncology, and AI...
In this exclusive commentary for First Report Managed Care, health experts and business leaders explore how advancements in Medicare Advantage, ambient intelligence, generative AI, cybersecurity, risk adjustment, precision oncology, and AI...
In this exclusive commentary for...
12/27/2024
First Report Managed Care
Interview
Nontraditional Players in Health Care Highlight the Need to Balance Quality and Cost-Effectiveness With Convenience and Accessibility
12/03/2024
Lucienne Ide, MD, PhD
In this interview, Dr Lucienne Ide discusses the challenges nontraditional players face in health care, the critical role of trust, and the need for innovative, collaborative solutions to improve access, outcomes, and cost-effectiveness.
In this interview, Dr Lucienne Ide discusses the challenges nontraditional players face in health care, the critical role of trust, and the need for innovative, collaborative solutions to improve access, outcomes, and cost-effectiveness.
In this interview, Dr Lucienne...
12/03/2024
First Report Managed Care
Commentary
Navigating the Decline of Medicare Advantage Star Ratings in 2025: Six Need-to-Knows
11/25/2024
Cindy Henry
The 2025 Medicare Advantage Star Ratings present a new landscape for MA plans, with fewer achieving high ratings due to changes in methodology, utilization patterns, ongoing litigation, and potential impacts of recent election outcomes. Learn...
The 2025 Medicare Advantage Star Ratings present a new landscape for MA plans, with fewer achieving high ratings due to changes in methodology, utilization patterns, ongoing litigation, and potential impacts of recent election outcomes. Learn...
The 2025 Medicare Advantage Star...
11/25/2024
First Report Managed Care
Jason Oswald Headshot
Commentary
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

Issue Features

Sponsored
The Teva Biosimilars Trend Report, Second Edition: Perspectives from Managed Care, Providers & Employers
03/27/2025
On behalf of Teva Pharmaceuticals, we are pleased to present the second edition of The Teva Biosimilars Trend Report. This report examines the latest issues, challenges, and developments in the rapidly evolving biosimilars market from the...
On behalf of Teva Pharmaceuticals, we are pleased to present the second edition of The Teva Biosimilars Trend Report. This report examines the latest issues, challenges, and developments in the rapidly evolving biosimilars market from the...
On behalf of Teva...
03/27/2025
First Report Managed Care
Regulatory Insights
Making Sense of the Federal Budget Process for Managed Care
02/27/2025
Adam Colborn, JD
The Inflation Reduction Act (IRA) of 2022 was passed as a reconciliation bill. This year, we may have two or more overlapping budget bills. They’re likely to contain some of the most significant legislation of 2025. But how are they...
The Inflation Reduction Act (IRA) of 2022 was passed as a reconciliation bill. This year, we may have two or more overlapping budget bills. They’re likely to contain some of the most significant legislation of 2025. But how are they...
The Inflation Reduction Act...
02/27/2025
First Report Managed Care
Feature Story
Enhancing Program Administration in Health Care
02/19/2025
Lynn Carroll; Rahul Sharma
Guest experts share the need for health care organizations to focus on effective program administration to succeed in value-based care models, utilizing artificial intelligence (AI) and data-driven decision-making to optimize care delivery...
Guest experts share the need for health care organizations to focus on effective program administration to succeed in value-based care models, utilizing artificial intelligence (AI) and data-driven decision-making to optimize care delivery...
Guest experts share the need for...
02/19/2025
First Report Managed Care
Sponsored by ViiV Healthcare
Provider Account With CABENUVA (cabotegravir, rilpivirine)
12/09/2024
In this video, a provider details coverage considerations for CABENUVA. Dr. Farabi has been compensated by ViiV Healthcare. Click here for full Prescribing Information.
In this video, a provider details coverage considerations for CABENUVA. Dr. Farabi has been compensated by ViiV Healthcare. Click here for full Prescribing Information.
In this video, a provider...
12/09/2024
First Report Managed Care
Feature Story
Prior Authorization in 2025: Key Trends Shaping the Future of Health Care
11/27/2024
Brian Covino, MD
In 2025, prior authorization undergoes a transformative evolution driven by regulatory changes, artificial intelligence enhancements, proactive utilization forecasting, and the integration of clinical nudges, all aimed at improving care...
In 2025, prior authorization undergoes a transformative evolution driven by regulatory changes, artificial intelligence enhancements, proactive utilization forecasting, and the integration of clinical nudges, all aimed at improving care...
In 2025, prior authorization...
11/27/2024
First Report Managed Care

Interactive Features

Poll
Adapting Medicare Advantage Plans to Star Ratings in 2025
01/10/2025
With Medicare Advantage under increased scrutiny and Star Ratings impacting payments, how do you think plans will adapt in 2025?
With Medicare Advantage under increased scrutiny and Star Ratings impacting payments, how do you think plans will adapt in 2025?
With Medicare Advantage under...
01/10/2025
First Report Managed Care
Poll
Lumbar Disc Herniation Treatment Potential
01/07/2025
Do you believe that condoliase has the potential to fill a crucial treatment gap between conservative care and surgical options for patients with lumbar disc herniation?
Do you believe that condoliase has the potential to fill a crucial treatment gap between conservative care and surgical options for patients with lumbar disc herniation?
Do you believe that condoliase...
01/07/2025
First Report Managed Care
Poll
Treatment Timing for HIV Antiretroviral Therapy
12/09/2024
Do you believe that immediate initiation of antiretroviral therapy (ART) following an HIV diagnosis, as opposed to delaying treatment, significantly benefits individuals and communities?
Do you believe that immediate initiation of antiretroviral therapy (ART) following an HIV diagnosis, as opposed to delaying treatment, significantly benefits individuals and communities?
Do you believe that immediate...
12/09/2024
First Report Managed Care
Poll
Opinions on RSV Mutations
07/29/2024
Are you concerned about the impact of RSV mutations on the effectiveness of current therapeutics in preventing the virus from spreading?
Are you concerned about the impact of RSV mutations on the effectiveness of current therapeutics in preventing the virus from spreading?
Are you concerned about the...
07/29/2024
First Report Managed Care
Quiz
COPD and RSV Infection Incidences
07/23/2024
Hannah Musick
True or False: Patients with chronic obstructive pulmonary disease (COPD) have a lower incidence of RSV infection compared to the general population because treatments for COPD also alleviate the symptoms of RSV.
True or False: Patients with chronic obstructive pulmonary disease (COPD) have a lower incidence of RSV infection compared to the general population because treatments for COPD also alleviate the symptoms of RSV.
True or False: Patients with...
07/23/2024
First Report Managed Care

Behind the Bill

Behind the Bill
SCOTUS Takes on the Nondelegation Doctrine: Surprising Reactions and What They Mean for Agency Power
04/02/2025
Katie Hayes, MJ
The Supreme Court recently heard arguments in Federal Communication Commission (FCC) v Consumers’ Research, a case that I covered in February and one that could dramatically reshape federal agency authority through the nondelegation...
The Supreme Court recently heard arguments in Federal Communication Commission (FCC) v Consumers’ Research, a case that I covered in February and one that could dramatically reshape federal agency authority through the nondelegation...
The Supreme Court recently heard...
04/02/2025
First Report Managed Care
Behind the Bill
Dr Oz’s Prescription for Making Medicaid “Viable at Every Level”
03/26/2025
Katie Hayes, MJ
On Tuesday, March 25, 2025, the Senate Finance Committee voted to advance Dr Mehmet Oz in his confirmation as the next head of the Centers for Medicare and Medicaid Services (CMS).1 The full Senate vote is expected “soon” (whatever that...
On Tuesday, March 25, 2025, the Senate Finance Committee voted to advance Dr Mehmet Oz in his confirmation as the next head of the Centers for Medicare and Medicaid Services (CMS).1 The full Senate vote is expected “soon” (whatever that...
On Tuesday, March 25, 2025, the...
03/26/2025
First Report Managed Care
Behind the Bill
The $880 Billion Question Continues: Dr Oz's Confirmation and the Future of Medicaid
03/19/2025
Katie Hayes, MJ
Last week, I explored the $880 billion question facing Congress—whether lawmakers could achieve their budget goals without cutting Medicaid. This week, that question took center stage as Dr Mehmet Oz, President Trump's nominee to lead the...
Last week, I explored the $880 billion question facing Congress—whether lawmakers could achieve their budget goals without cutting Medicaid. This week, that question took center stage as Dr Mehmet Oz, President Trump's nominee to lead the...
Last week, I explored the $880...
03/19/2025
First Report Managed Care
Behind the Bill
The $880 Billion Question: Can Congress Cut Spending Without Touching Medicaid?
03/12/2025
Katie Hayes, MJ
I’d like to step away from administrative law for a moment to provide a quick update on Medicaid. With news coming from all sides, what does the future of Medicaid actually look like? The House of Representatives narrowly passed a budget...
I’d like to step away from administrative law for a moment to provide a quick update on Medicaid. With news coming from all sides, what does the future of Medicaid actually look like? The House of Representatives narrowly passed a budget...
I’d like to step away from...
03/12/2025
First Report Managed Care
Behind the Bill
RFK Jr’s Public Comment Ban: The Silent Shift in Health Care Rulemaking
03/05/2025
Katie Hayes, MJ
The erosion of administrative law continues, and with it, the dismantling of decades-long precedent. In June, the Supreme Court overturned a 40-year-old doctrine that allowed federal agencies to interpret their own ambiguous statutes. Later...
The erosion of administrative law continues, and with it, the dismantling of decades-long precedent. In June, the Supreme Court overturned a 40-year-old doctrine that allowed federal agencies to interpret their own ambiguous statutes. Later...
The erosion of administrative...
03/05/2025
First Report Managed Care
Behind the Bill
Prevention Over Pills? The First 2 Weeks of Health Care’s New Direction
02/26/2025
Katie Hayes, MJ
The dust has barely settled from Robert F Kennedy Jr’s confirmation as Secretary of Health and Human Services (HHS), but the changes are already coming fast and furious—a key theme of the Trump Administration’s actions within the last several...
The dust has barely settled from Robert F Kennedy Jr’s confirmation as Secretary of Health and Human Services (HHS), but the changes are already coming fast and furious—a key theme of the Trump Administration’s actions within the last several...
The dust has barely settled from...
02/26/2025
First Report Managed Care
Behind the Bill
The Nondelegation Doctrine: The Next Constitutional Showdown (Part 2)
02/19/2025
Katie Hayes, MJ
Last week, I explored the potential revival of the nondelegation doctrine through Federal Communication Commission v Consumers’ Research. Today, I want to examine what this could mean for health care regulation by considering the parallels...
Last week, I explored the potential revival of the nondelegation doctrine through Federal Communication Commission v Consumers’ Research. Today, I want to examine what this could mean for health care regulation by considering the parallels...
Last week, I explored the...
02/19/2025
First Report Managed Care
Behind the Bill
The Nondelegation Doctrine: The Next Constitutional Showdown (Part 1)
02/12/2025
Katie Hayes, MJ
Just when you thought the dust had settled from the Chevron decision, the Supreme Court is gearing up to hear arguments in Federal Communications Commission v Consumers' Research next month, potentially reviving the long-dormant nondelegation...
Just when you thought the dust had settled from the Chevron decision, the Supreme Court is gearing up to hear arguments in Federal Communications Commission v Consumers' Research next month, potentially reviving the long-dormant nondelegation...
Just when you thought the dust...
02/12/2025
First Report Managed Care
Behind the Bill
No, President Trump Did Not Actually Sign an Executive Order That Would Increase Drug Costs for Beneficiaries
02/05/2025
Katie Hayes, MJ
On inauguration day, President Trump issued an executive order rescinding several Biden-era health care initiatives, including 3 experimental drug pricing models developed by the Center for Medicare and Medicaid Innovation (CMMI). Oh boy did...
On inauguration day, President Trump issued an executive order rescinding several Biden-era health care initiatives, including 3 experimental drug pricing models developed by the Center for Medicare and Medicaid Innovation (CMMI). Oh boy did...
On inauguration day, President...
02/05/2025
First Report Managed Care
Behind the Bill
Robert F. Kennedy Jr’s Confirmation and the Unexpected Turn in the Drug Pricing Debate
01/29/2025
Katie Hayes, MJ
The Plot Thickens in Drug Pricing Drama Just when you thought the drug pricing debate couldn't get more interesting, Robert F. Kennedy Jr adds an unexpected twist. During closed-door Senate meetings, President Trump’s US Department of...
The Plot Thickens in Drug Pricing Drama Just when you thought the drug pricing debate couldn't get more interesting, Robert F. Kennedy Jr adds an unexpected twist. During closed-door Senate meetings, President Trump’s US Department of...
The Plot Thickens in Drug...
01/29/2025
First Report Managed Care

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Trending Articles

News
Vaccine Protects Against RSV-Mediated Lower Respiratory Tract Disease in Older Adults
04/26/2023
Jolynn Tumolo
Researchers evaluated the Ad26.RSV.pre-F vaccine's efficacy in a proof-of-concept study involving several thousand older adults.
Researchers evaluated the Ad26.RSV.pre-F vaccine's efficacy in a proof-of-concept study involving several thousand older adults.
Researchers evaluated the...
04/26/2023
First Report Managed Care
News
Subcutaneous Therapy Boosts Health-Related Quality of Life in Patients With Overweight, Obesity
05/25/2023
Jolynn Tumolo
Using data from four phase 3 clinical trials, researchers analyzed the impact of subcutaneous semaglutide, administered once weekly, on participants' health-related quality of life. 
Using data from four phase 3 clinical trials, researchers analyzed the impact of subcutaneous semaglutide, administered once weekly, on participants' health-related quality of life. 
Using data from four phase 3...
05/25/2023
First Report Managed Care
Conference Insider
Conference Insider: AMCP 2023
06/20/2023
Hannah Musick; Maria Asimopoulos; Edan Stanley
The Academy of Managed Care Pharmacy occurred March 21-24, 2023 in San Antonio, Texas.
The Academy of Managed Care Pharmacy occurred March 21-24, 2023 in San Antonio, Texas.
The Academy of Managed Care...
06/20/2023
First Report Managed Care
Eddie Martucci
Interview
Understanding Innovations and Challenges in Prescription Digital Therapeutics: An Insider's Perspective
07/18/2023
Eddie Martucci, PhD
Eddie Martucci, PhD, cofounder and CEO of Akili Interactive, offers insight into the evolving prescription digital therapeutics (PDTs) landscape. 
Eddie Martucci, PhD, cofounder and CEO of Akili Interactive, offers insight into the evolving prescription digital therapeutics (PDTs) landscape. 
Eddie Martucci, PhD, cofounder...
07/18/2023
First Report Managed Care
News
Connecting Lifestyle Modifications to HCRU, Costs in Patients With Diabetes Mellitus
08/08/2023
Hannah Musick
A recent study examined the health care use and costs associated with lifestyle modifications in patients with diabetes; specifically comparing the effectiveness of different nonpharmacological interventions and assessing sociodemographic and...
A recent study examined the health care use and costs associated with lifestyle modifications in patients with diabetes; specifically comparing the effectiveness of different nonpharmacological interventions and assessing sociodemographic and...
A recent study examined the...
08/08/2023
First Report Managed Care

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