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Delivering Excellence in Value-Based Asthma Care: How Four Steps Can Improve Patient, Practice Outcomes

02/20/2019

Barbara Yawn, MD, MSc, FAAFP, family physician researcher, explains how four steps allow primary care clinicians to work together with asthma patients in order to achieve better outcomes and move towards closing the current gap that exists in...

Barbara Yawn, MD, MSc, FAAFP,...

02/20/2019

First Report Managed Care

Viewpoint

In 2019: TeleHealth Becomes a Standard of Care

12/21/2018

Mark Luck Olson, CEO, Trainer Rx

Mark Luck Olson, CEO, Trainer Rx ...

After decades of trial and careful use, the time has come for “telemedicine” to complete its transformation to “telehealth.” By the end of 2019, we foresee that telehealth will begin to approach mainstream use as a standard of care.

After decades of trial and...

12/21/2018

First Report Managed Care

Viewpoint

Off the Sidelines: How Consumers, Employers, and the Government Are Driving Payer-Provider Collaboration

08/30/2018

Emad Rizk, MD, president and chief executive officer of Cotiviti

Emad Rizk, MD, president and chief ex...

True alignment between payers and providers is the most critical success factor in securing improvements in both the cost and the quality of care. Over the last decade, progress toward this alignment has occurred, observable primarily in the...

True alignment between payers...

08/30/2018

First Report Managed Care

Viewpoint

Adding Real Value: How Specialty Pharmacies Deliver on Value-Based Care

07/20/2018

Brandon Tom, PharmD, vice president of commercial services at Biologics Inc, a McKesson company.

Brandon Tom, PharmD, vice president o...

For specialty pharmacies who are excelling at high-touch, white glove, patient care—now is the time to take these conversations forward and be the ones who bring together each of the spokes on the wheel, including biopharma partners, payers,...

For specialty pharmacies who are...

07/20/2018

First Report Managed Care

Viewpoint

Know Your Members: Identifying and Addressing Social Determinants of Health in Low-Income Populations

07/05/2018

Jennifer Forster, MPA, director of Medicaid Strategy at HMS Eliza

Jennifer Forster, MPA, director of Me...

According to a report from the Kaiser Family Foundation, social determinants of health are “the structural determinants and conditions in which people are born, grow, live, work, and age.”

According to a report from the...

07/05/2018

First Report Managed Care

Viewpoint

Using Predictive Analytics to Address Social Determinants of Health

05/31/2018

Virginia Gurley, MD, MPH, Chief Medical Officer at AxisPoint Health

Virginia Gurley, MD, MPH, Chief Medic...

Recognizing the importance of social determinants of health, many health plans are expanding their care management capabilities to help members overcome nonmedical barriers.

Recognizing the importance of...

05/31/2018

First Report Managed Care

Viewpoint

Understanding Changes to the Medicare Advantage 2019 Risk Adjustment Model

05/07/2018

By Jay Baker, Senior Vice President, Quality and Risk Adjustment Solutions, Advantmed, LLC

By Jay Baker, Senior Vice President, ...

In this Viewpoint, Jay Baker, Senior Vice President, Quality and Risk Adjustment Solutions, Advantmed, LLC, discusses the significant and complex proposed changes to the Medicare Advantage model which will require health plans to make...

In this Viewpoint, Jay Baker,...

05/07/2018

First Report Managed Care

Viewpoint

How Integrated Communication Platforms Can Drive Value for Payers

03/02/2018

Lee Horner, CEO of Synzi

Lee Horner explains how payers can invest in technology solutions that return investment and result in long-term gains.

Lee Horner explains how payers...

03/02/2018

First Report Managed Care

Viewpoint

Information Asymmetry Impedes Value-Based Care Contracts

12/20/2017

Value-based care contracts have the potential to significantly improve care and reduce costs, but conflicting priorities sometimes make payer-provider contracts untenable.

Value-based care contracts have...

12/20/2017

First Report Managed Care

Viewpoint

Selling Health Insurance Across State Lines Is Not the Change We Need

11/28/2017

By Greg Borca co-founder of SKYGEN USA

By Greg Borca co-founder of SKYGEN US...

Greg Borca, co-founder of SKYGEN USA, discusses the future competition that will enable full coverage and drive down costs following President Donald Trump's executive order to allow health insurance to be sold across state lines.

Greg Borca, co-founder of SKYGEN...

11/28/2017

First Report Managed Care

Current Issue

June 2024

Volume 21

Issue 2

Current Issue

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Determining the Necessary Care to Prevent Readmission for Heart Failure

07/22/2014

Sarah O'Brien

In the United States, heart failure is a leading cause of hospitalization, as 25% of patients hospitalized for heart failure are readmitted within 30 days. A recent systematic review was conducted for the Effective Health Care Program of the...

In the United States, heart...

07/22/2014

First Report Managed Care

News

Hospitals Look For Disney Magic To Make Customers Happy

07/22/2011

First Report Managed Care

News

Less Than Half of Doctors in Insurance Directories May be Available

10/30/2014

(Reuters Health) - More than half the dermatologists in Medicare Advantage plan directories were either dead, retired, not accepting new patients or specialized only in specific conditions, researchers found when they tried making...

(Reuters Health) - More than...

10/30/2014

First Report Managed Care

News

Lobbies Keep Drug Pricing Reform Out of Federal Legislation

09/27/2017

So far in 2017, a number of health reform bills were proposed and debated in Congress; however, none of them addressed drug pricing reform.

So far in 2017, a number of...

09/27/2017

First Report Managed Care

News

Spectrum says FDA asks for more data on cancer drug

01/25/2010

First Report Managed Care

Video Insights

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...

07/31/2024

First Report Managed Care

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...

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...

05/24/2024

First Report Managed Care

Videos

Navigating Payment Models in the CGT Landscape: Insights and Innovations

05/21/2024

Joe DePinto, Head of Cell, Gene, and Advanced Therapies, McKesson

An expert discusses the evolution and challenges of payment models in the cell and gene therapy (CGT) space reviewed during his session at Asembia 2024.

An expert discusses the...

05/21/2024

First Report Managed Care

Jennifer L. Mathieu Senior Vice President, Professional and Government Affairs at AMCP

Videos

Unlocking the Future of Managed Care Pharmacy: A Deep Dive into Federal Legislation and Regulations

05/15/2024

Jennifer L. Mathieu Senior Vice President, Professional and Government Affairs, AMCP

Learn about developments in federal legislation and regulations within the pharmacy landscape shaping the future of managed care in an interview with a session presenter from AMCP 2024.

Learn about developments in...

05/15/2024

First Report Managed Care

Videos

Personalizing Weight Loss Management With GLP-1 Agonists

04/05/2024

Featuring Tejaswi Kompala, MD, head of cardiometabolic clinical strategy, Teladoc

Featuring Tejaswi Kompala, MD, head o...

Delve into the rising demand for anti-obesity medications, the complexities of obesity management, and the importance of personalized approaches in improving cardiometabolic health in this insightful interview.

Delve into the rising demand for...

04/05/2024

First Report Managed Care

Videos

Integrating Behavioral Health Services to Reduce ED Visits: Substance Use Disorder and Social Determinants of Health

03/27/2024

Featuring Tom Zaubler, MD, MPH, CMO at NeuroFlow

Featuring Tom Zaubler, MD, MPH, CMO a...

Join us for the continuation of an engaging two-part series showcasing an expert dedicated to reducing emergency department visits through the integration of behavioral health practices. Dr Zaubler will share invaluable insights into...

Join us for the continuation of...

03/27/2024

First Report Managed Care

Videos

Integrating Behavioral Health Services to Reduce ED Visits: Suicide Prevention and Preemptive Primary Care

03/25/2024

Featuring Tom Zaubler, MD, MPH, CMO at NeuroFlow

Featuring Tom Zaubler, MD, MPH, CMO a...

Come join us for the first installment of a captivating two-part series featuring an expert committed to minimizing emergency department visits through the implementation of behavioral health integrations. Dr Zaubler will offer valuable...

Come join us for the first...

03/25/2024

First Report Managed Care

Videos

Navigating the Evolution of Digital Solutions in Health Care

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...

02/27/2024

First Report Managed Care

Videos

Advancements and Challenges in Diabetes Management

02/27/2024

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

Featuring Mansur Shomali, MD, chief m...

Learn about the state of digital therapeutics for disease management such as diabetes care in terms of cost, outcomes, integration, and more with Dr Mansur Shomali, CMO at Welldoc.

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