Contact
searchSearch
HMP Global

Volume 17, Issue 10, November 2020 - First Report Managed Care

Featured Article

An Expert Look at Presidential Pandemic Plans
11/20/2020
Dean Celia
In the waning days before the election, President Trump and President-elect Biden laid out their thoughts on the pandemic. President Trump touted that COVID was all the media could speak about and added that talk of the virus would disappear...
In the waning days before the election, President Trump and President-elect Biden laid out their thoughts on the pandemic. President Trump touted that COVID was all the media could speak about and added that talk of the virus would disappear...
In the waning days before the...
11/20/2020
First Report Managed Care

Department

Formulary Frontlines®
New Options Available for Treatment-Resistant Depression
11/20/2020
Jeff Craven
Over the past 30 years, few new pharmacologic therapies have been developed for mood disorders, including depression. However, for patients who do not respond to conventional pharmacologic treatments for MDD, new answers for...
Over the past 30 years, few new pharmacologic therapies have been developed for mood disorders, including depression. However, for patients who do not respond to conventional pharmacologic treatments for MDD, new answers for...
Over the past 30 years, few new...
11/20/2020
First Report Managed Care
Conference Insider
Reducing Opioid Utilization, Costs Through Provider Outreach, Coordination
11/20/2020
Study findings from a poster presented at AMCP Nexus 2020 suggest that when providers perform outreach and coordination across both prescribers and patients, opioid utilization and costs are reduced.
Study findings from a poster presented at AMCP Nexus 2020 suggest that when providers perform outreach and coordination across both prescribers and patients, opioid utilization and costs are reduced.
Study findings from a poster...
11/20/2020
First Report Managed Care
Conference Insider
Advancing Health Equity by Addressing SDoH, Health Disparities
11/20/2020
As much as 80% of health outcomes are driven by social determinants of health (SDoH) which are defined as the community-level conditions and environments in which people live, work, learn, worship, and age. 
As much as 80% of health outcomes are driven by social determinants of health (SDoH) which are defined as the community-level conditions and environments in which people live, work, learn, worship, and age. 
As much as 80% of health...
11/20/2020
First Report Managed Care
Conference Insider
Examining Definition Discrepancies for Curative Therapies From a Payer Perspective
11/20/2020
Coverage decisions for curative therapies can vary greatly due to their extended benefit/risk profiles and differing definitions by payers, according to research presented at AMCP Nexus 2020. 
Coverage decisions for curative therapies can vary greatly due to their extended benefit/risk profiles and differing definitions by payers, according to research presented at AMCP Nexus 2020. 
Coverage decisions for curative...
11/20/2020
First Report Managed Care
Conference Insider
Cost vs Utility: Weighing Benefits and Challenges of Gene Therapies
11/20/2020
As gene therapies continue to grow in popularity for the treatment of rare diseases, stakeholders are navigating the benefits and challenges associated with these expensive treatments. 
As gene therapies continue to grow in popularity for the treatment of rare diseases, stakeholders are navigating the benefits and challenges associated with these expensive treatments. 
As gene therapies continue to...
11/20/2020
First Report Managed Care
Managed Care Q&A
Improving Care Quality Through Meaningful Partnerships
11/20/2020
Edan Stanley
Ben Park, MD, president and CEO, American Health Network, part of Optum Care, discusses a recent partnership with Suburban Health Organization that will improve health care quality for Medicare Advantage members and reduce costs, and shares...
Ben Park, MD, president and CEO, American Health Network, part of Optum Care, discusses a recent partnership with Suburban Health Organization that will improve health care quality for Medicare Advantage members and reduce costs, and shares...
Ben Park, MD, president and CEO,...
11/20/2020
First Report Managed Care
Managed Care Q&A
Analyzing What the Health Care System Will Be Like Under a New Administration
11/20/2020
Julie Gould
Ben Isgur, Health Research Institute Leader, PwC, leads PwC’s Health Research Institute, the think tank within the firm that looks at health industry trends that affect pharma, life sciences, payers, providers, and large employers through...
Ben Isgur, Health Research Institute Leader, PwC, leads PwC’s Health Research Institute, the think tank within the firm that looks at health industry trends that affect pharma, life sciences, payers, providers, and large employers through...
Ben Isgur, Health Research...
11/20/2020
First Report Managed Care
Veterans Health Today
VA-Specific Primary Care Clinicians Say E-Consultations Are Valuable, But May Increase Workload
11/20/2020
Julie Gould
In this interview with Veterans Health Today, Joseph Simonetti, MD, MPH, assistant professor of medicine in the Division of Hospital Medicine, University of Colorado School of Medicine, discusses his recent study examining the pros and cons...
In this interview with Veterans Health Today, Joseph Simonetti, MD, MPH, assistant professor of medicine in the Division of Hospital Medicine, University of Colorado School of Medicine, discusses his recent study examining the pros and cons...
In this interview with Veterans...
11/20/2020
First Report Managed Care
Pharmacy Insight
New Walgreens Survey Identifies Flu-Related Knowledge Gaps Among Patient Groups
11/20/2020
Julie Gould
Tasha Polster, BSPharm, vice president, pharmacy quality compliance and patient safety, Walgreens, discusses misconceptions that often keep patients from getting a flu shot, and what age group is often less knowledgeable about the flu and the...
Tasha Polster, BSPharm, vice president, pharmacy quality compliance and patient safety, Walgreens, discusses misconceptions that often keep patients from getting a flu shot, and what age group is often less knowledgeable about the flu and the...
Tasha Polster, BSPharm, vice...
11/20/2020
First Report Managed Care
Integrated Healthcare Executive
Solutions for Organizations Suffering from a Lack of Data Insights
11/20/2020
Julie Gould
Michael Simmons, CEO and founder of andros, explains how the use of technology, including his new solution CredSimple, helps leverage data-enabled learnings and an AI-powered process that streamlines health care organizations’ entire...
Michael Simmons, CEO and founder of andros, explains how the use of technology, including his new solution CredSimple, helps leverage data-enabled learnings and an AI-powered process that streamlines health care organizations’ entire...
Michael Simmons, CEO and founder...
11/20/2020
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

Subscribe and Stay Ahead With Daily Industry Insights

First Report Managed Care Newsletter

Trending Articles

News
Study Finds 9 of 10 Patients Did Not Fill Prescription for Antiobesity Medications
04/25/2023
Jolynn Tumolo
Researchers studied the demographics and clinical characteristics of real-world US patients to identify factors associated with primary nonadherence to obesity therapies.
Researchers studied the demographics and clinical characteristics of real-world US patients to identify factors associated with primary nonadherence to obesity therapies.
Researchers studied the...
04/25/2023
First Report Managed Care
News
One-Fourth of Patients With NrAxSpa Experience No Disease Flare After Stopping Etanercept
05/23/2023
Jolynn Tumolo
Researchers investigate how the current differential diagnosis between radiographic and non-radiographic axial spondyloarthritis affects the prediction of patient outcomes.
Researchers investigate how the current differential diagnosis between radiographic and non-radiographic axial spondyloarthritis affects the prediction of patient outcomes.
Researchers investigate how the...
05/23/2023
First Report Managed Care
Cover Story
Analyzing Policies Designed to Control Specialty Drug Costs
06/20/2023
Dean Celia
ICER’s new white paper addresses white bagging, brown bagging, and site of service policies and offers best practice recommendations. Our panel examines the issue and explains which suggestions will work best.
ICER’s new white paper addresses white bagging, brown bagging, and site of service policies and offers best practice recommendations. Our panel examines the issue and explains which suggestions will work best.
ICER’s new white paper addresses...
06/20/2023
First Report Managed Care
News
Ophthalmic Drop Improves Signs, Symptoms of Dry Eye Disease in Phase 3 Trial
07/17/2023
Jolynn Tumolo
“There are currently no FDA-approved, prescription pharmacologic treatments for dry eye disease associated with meibomian gland dysfunction,” researchers wrote, “and the results of this study suggest that NOV03 may potentially fulfill this...
“There are currently no FDA-approved, prescription pharmacologic treatments for dry eye disease associated with meibomian gland dysfunction,” researchers wrote, “and the results of this study suggest that NOV03 may potentially fulfill this...
“There are currently no...
07/17/2023
First Report Managed Care
News
No Access to CAR-T Therapy Raises Mortality for Louisiana Medicaid Patients With DLBCL 
08/02/2023
Jolynn Tumolo
“The state of Louisiana currently does not have any institution which offers CAR-T therapy. Our Medicaid population is further disadvantaged by the fact that their insurance does not cover out-of-state services,” researchers said.
“The state of Louisiana currently does not have any institution which offers CAR-T therapy. Our Medicaid population is further disadvantaged by the fact that their insurance does not cover out-of-state services,” researchers said.
“The state of Louisiana...
08/02/2023
First Report Managed Care

November 2020 Volume 17 Issue 10

View Issue Archive
Editorial Correspondence

Specialties

Events

Year Round Education

HMP Global Products

HMP Education Logo
HMP Omnimedia Logo
HMP Europe Logo
© 2025 HMP Global. All Rights Reserved.
Cookie Policy Privacy Policy Term of Use