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Medicare Advantage Plans See Enrollment Boosts During Pandemic

02/12/2021

Survey data collected by MedicareAdvantagePlans.org shows that Medicare Advantage (MA) plans are seeing increased enrollment amid the pandemic.

Survey data collected by...

02/12/2021

First Report Managed Care

News Connection

Aetna, CVS Health Expand Transgender Surgery Coverage Offerings

02/12/2021

Aetna, a CVS Health company, announced recently that it is updating policies to expand coverage offerings of gender-affirming surgery to include breast augmentation for transfeminine beneficiaries.

Aetna, a CVS Health company,...

02/12/2021

First Report Managed Care

News Connection

Lower Health Care Costs: Survey Shows Consumers Are Not Optimistic

02/12/2021

Prior to the inauguration of President Biden, West Health and Gallup conducted a survey to better understand how Americans feel about the state of health care and the new administration’s promises of reform, but results show that most...

Prior to the inauguration of...

02/12/2021

First Report Managed Care

News Connection

ACA Fee Increase Effect on Primary Care Access for Dual-Eligible Beneficiaries

02/12/2021

In an effort to accommodate potential increases in demand for care under the Affordable Care Act (ACA), a fee bump was implemented in 2013 and 2014, increasing Medicaid payments to Medicare levels for certain services for primary care...

In an effort to accommodate...

02/12/2021

First Report Managed Care

News Connection

High Drug Costs Could Lead to Increased Medicare Beneficiary Deaths

12/18/2020

Increased costs of medications could result in reduced adherence, and in turn, cause more than 1.1 million deaths of Medicare beneficiaries in the next 10 years, according to a report published by West Health.

Increased costs of medications...

12/18/2020

First Report Managed Care

News Connection

Physician Membership in Health Systems Linked With Higher Patient Costs

12/18/2020

Commercially insured patients had higher average costs from primary care physicians who were members of health systems compared with primary care physicians not in health systems, according to findings published online in Health Services...

Commercially insured patients...

12/18/2020

First Report Managed Care

News Connection

Association Between the ACA, Hospital Episode Spending

12/18/2020

According to recently published data, the policy reforms introduced under the US Patient Protection and Affordable Care Act (ACA) are associated with significant reductions in US hospital episode spending for acute inpatient hospitalizations.

According to recently published...

12/18/2020

First Report Managed Care

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...

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...

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...

11/20/2020

First Report Managed Care

Current Issue

September 2024

Volume 21

Issue 3

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Depression and Anxiety Linked to Higher Hospital Readmission Rates

04/02/2015

Depression, anxiety, and dementia are associated with higher 30-day readmissions after hospitalization for heart failure, acute myocardial infarction, and pneumonia.

Depression, anxiety, and...

04/02/2015

First Report Managed Care

News

Trump Vows to End Surprise Billing for Health Care Services

05/10/2019

Patients are often hit with surprise bills after seeking emergency care due to being treated by out-of-network physicians, and on Thursday, President Trump issued a call to action pushing lawmakers to find a solution.

Patients are often hit with...

05/10/2019

First Report Managed Care

News

Employers Push Costs for Health on Workers

09/03/2010

First Report Managed Care

Conference Insider

Neurologist Shortage Throughout the United States

08/30/2017

According to data presented at the AAIC 2017, a severe shortage of neurologists is currently affecting several regions throughout the United States and could cause significant issues as Alzheimers disease and other dementia-related disease...

According to data presented at...

08/30/2017

First Report Managed Care

News

What Every Baby Boomer Should Know About Medicare

01/29/2012

First Report Managed Care

Video Insights

Videos

Bridging the Gaps in Prior Authorization: Challenges, Solutions, and Collaboration for Better Patient Care

11/13/2024

David Sand, MD, MBA, chief medical officer at ZeOmega, discusses the challenges of prior authorization, emphasizing the need for transparency, evidence-based standards, collaboration between payers and providers, and the potential for...

David Sand, MD, MBA, chief...

11/13/2024

First Report Managed Care

Videos

The Evolving Role of CGRP-targeting Therapies in Migraine Prevention

10/31/2024

Richard Lipton, MD, provides insights on the American Headache Society’s position statement update on calcitonin gene-related peptide (CGRP)-targeting therapies as a first-line option for the prevention of migraine.

Richard Lipton, MD, provides...

10/31/2024

First Report Managed Care

Videos

Unmet Needs in the Treatment and Management of Non–Small Cell Lung Cancer

09/26/2024

Alexander Spira , MD, PhD;

Alexander I. Spira, MD, PhD, discusses significant unmet needs in the treatment and management of non–small cell lung cancer (NSCLC).

Alexander I. Spira, MD, PhD,...

09/26/2024

First Report Managed Care

Videos

Treatment Options for NSCLC: A Discussion on Coverage, Clinical Outcomes, and Payer Perspectives

09/25/2024

Learn about research developments in 1L therapy for NSCLC patients with EGFR mutations and how outcomes may impact coverage and reimbursement decisions for insurers.

Learn about research...

09/25/2024

First Report Managed Care

Videos

Addressing the Root Cause of a Common Ocular Condition: A Virtual Roundtable

09/04/2024

View a roundtable discussion on Demodex blepharitis, a prevalent ocular condition that often goes undiagnosed in patients.

View a roundtable discussion on...

09/04/2024

First Report Managed Care

Videos

Addressing Health Disparities and Promoting Equity: The Role of Advanced Imaging Solutions

08/15/2024

Guest expert Jordan Bazinsky discusses the challenges facing the medical imaging industry, the potential of AI and emerging technologies, the role of advanced imaging solutions in promoting health equity, and the key trends and challenges...

Guest expert Jordan Bazinsky...

08/15/2024

First Report Managed Care

Videos

Promising Therapies and Clinical Trials for Chronic Lymphocytic Leukemia

08/14/2024

Farrukh T. Awan , MD;

Farrukh Awan, MD, highlights promising therapies and clinical trials within the field of chronic lymphocytic leukemia (CLL).

Farrukh Awan, MD, highlights...

08/14/2024

Journal of Clinical Pathways

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.

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