October/November/December Volume 21, Issue 4, First Report Managed Care
Cover Story
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
Feature
Feature Story
11/27/2024
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
Department
Managed Care Q&A
11/27/2024
In this interview, Julie Frey of Wolters Kluwer Health discusses the importance of integrating mental health into primary care, the barriers faced by providers, the long-term costs of untreated mental health conditions, and successful...
In this interview, Julie Frey of Wolters Kluwer Health discusses the importance of integrating mental health into primary care, the barriers faced by providers, the long-term costs of untreated mental health conditions, and successful...
In this interview, Julie Frey of...
11/27/2024
First Report Managed Care
Managed Care Q&A
11/26/2024
In an interview with guest expert Sipra Laddha, MD, she discusses the pressing issues facing women's mental health during pregnancy and postpartum, highlighting the lack of resources and the need for enhanced screening by OB-GYNs to support...
In an interview with guest expert Sipra Laddha, MD, she discusses the pressing issues facing women's mental health during pregnancy and postpartum, highlighting the lack of resources and the need for enhanced screening by OB-GYNs to support...
In an interview with guest...
11/26/2024
First Report Managed Care
Insights
Commentary
11/25/2024
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
