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Health Care Policy and Legislation

Regulatory Insights
Making Sense of the Federal Budget Process for Managed Care
02/27/2025
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
Cover Story
What’s Next for Health Care Policy in the US?
11/25/2024
With new faces and shifting power dynamics in Washington, concerns about health care policy in 2025 are rising, including potential reform of PBMs, the 340B program, and the IRA, as well as the push for expanded access to innovative therapies...
With new faces and shifting power dynamics in Washington, concerns about health care policy in 2025 are rising, including potential reform of PBMs, the 340B program, and the IRA, as well as the push for expanded access to innovative therapies...
With new faces and shifting...
11/25/2024
First Report Managed Care
News
FDA Grants Accelerated Approval for Asciminib as First-Line Treatment in Ph+CML-CP
11/01/2024
Novartis received accelerated approval by the US Food and Drug Administration (FDA) for asciminib, a medication for adult patients with newly diagnosed Philadelphia chromosome-positive chronic myeloid leukemia in chronic phase (Ph+CML-CP).
Novartis received accelerated approval by the US Food and Drug Administration (FDA) for asciminib, a medication for adult patients with newly diagnosed Philadelphia chromosome-positive chronic myeloid leukemia in chronic phase (Ph+CML-CP).
Novartis received accelerated...
11/01/2024
First Report Managed Care
News
HHS Faces Legal Action From 10 Hospitals Over 2023 Medicare Advantage Rule and Reimbursement Calculations
10/30/2024
Ten hospitals sued the US Department of Health and Human Services (HHS), claiming that they were underpaid Medicare reimbursements for serving low-income patients.
Ten hospitals sued the US Department of Health and Human Services (HHS), claiming that they were underpaid Medicare reimbursements for serving low-income patients.
Ten hospitals sued the US...
10/30/2024
First Report Managed Care
Conference Coverage
State-Level Initiatives in Drug Pricing, PBM Reform, and Utilization Management
10/16/2024
Discover the latest state-level pharmacy policy trends, including pharmacy benefit manager (PBM) regulations and utilization management practices, from the eye-opening AMCP Nexus 2024 session.
Discover the latest state-level pharmacy policy trends, including pharmacy benefit manager (PBM) regulations and utilization management practices, from the eye-opening AMCP Nexus 2024 session.
Discover the latest state-level...
10/16/2024
First Report Managed Care
News
HHS Unveils Comprehensive Healthcare Reforms to Boost Equity and Quality
09/13/2024
The US Department of Health and Human Services (HHS) has announced updates to Medicare payments and policies to improve healthcare accessibility, equity, and quality for millions of Americans, according to a press release by the HHS.
The US Department of Health and Human Services (HHS) has announced updates to Medicare payments and policies to improve healthcare accessibility, equity, and quality for millions of Americans, according to a press release by the HHS.
The US Department of Health and...
09/13/2024
First Report Managed Care
News
Ryan White HIV/AIDS Program to Improve Access to HIV Care for Women, Children, and Youth
08/09/2024
The Biden-Harris Administration has announced more than $68 million in funding to improve access to HIV care for women, infants, children, and youth through the Ryan White HIV/AIDS Program.
The Biden-Harris Administration has announced more than $68 million in funding to improve access to HIV care for women, infants, children, and youth through the Ryan White HIV/AIDS Program.
The Biden-Harris Administration...
08/09/2024
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
Blog
An IRA Progress Report: What We Know (and Don’t Know) Two Years in
07/09/2024
In this blog the HMP Market Access Intelligence team breaks down the knowns and unknowns of the Inflation Reduction Act's impact on drug price negotiations and what the future may hold.
In this blog the HMP Market Access Intelligence team breaks down the knowns and unknowns of the Inflation Reduction Act's impact on drug price negotiations and what the future may hold.
In this blog the HMP Market...
07/09/2024
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

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