Skip to main content

Advertisement

ADVERTISEMENT

Feature

Infographic
07/24/2024
This infographic summarizes a recent Phase 2 clinical trial evaluating the efficacy and safety of an oral phosphodiesterase inhibitor in patients with idiopathic pulmonary fibrosis (IPF).
This infographic summarizes a recent Phase 2 clinical trial evaluating the efficacy and safety of an oral phosphodiesterase inhibitor in patients with idiopathic pulmonary fibrosis (IPF).
This infographic summarizes a...
07/24/2024
First Report Managed Care
Feature Story
05/31/2024
Mary Beth Nierengarten
A push for a hybrid payment model for primary care is gaining momentum, with advocates urging the CMS to implement changes to increase funding and improve outcomes for patients.
A push for a hybrid payment model for primary care is gaining momentum, with advocates urging the CMS to implement changes to increase funding and improve outcomes for patients.
A push for a hybrid payment...
05/31/2024
First Report Managed Care
Cover Story
05/27/2024
Hunter Sinclair, VP of Government Markets, Teladoc Health
Discover how whole-person virtual care can revolutionize Medicare Advantage plans, improving member satisfaction, Star ratings, and financial outcomes in an increasingly competitive market.
Discover how whole-person virtual care can revolutionize Medicare Advantage plans, improving member satisfaction, Star ratings, and financial outcomes in an increasingly competitive market.
Discover how whole-person...
05/27/2024
First Report Managed Care

Advertisement

Cover Story
03/01/2024
Mary Beth Nierengarten
In 2022, Medicare Advantage plans covered 50% of Medicare enrollees, costing the federal government $403 billion, while 81% of Medicaid enrollees received care through managed care for $254 billion. The Health and Human Services Office of...
In 2022, Medicare Advantage plans covered 50% of Medicare enrollees, costing the federal government $403 billion, while 81% of Medicaid enrollees received care through managed care for $254 billion. The Health and Human Services Office of...
In 2022, Medicare Advantage...
03/01/2024
First Report Managed Care
Feature Story
03/01/2024
Paul Nicolaus
PwC's Health Research Institute surveyed health plan actuaries covering nearly 100 million employer-sponsored and 10 million Affordable Care Act marketplace members to project medical cost trends for 2023-2024, highlighting factors like...
PwC's Health Research Institute surveyed health plan actuaries covering nearly 100 million employer-sponsored and 10 million Affordable Care Act marketplace members to project medical cost trends for 2023-2024, highlighting factors like...
PwC's Health Research Institute...
03/01/2024
First Report Managed Care
Sponsored
02/28/2024
On behalf of Teva Pharmaceuticals, we are pleased to present The Teva Biosimilars Trend Report, Vol. I. This report examines current developments in the rapidly evolving biosimilars market from the perspective of managed care professionals,...
On behalf of Teva Pharmaceuticals, we are pleased to present The Teva Biosimilars Trend Report, Vol. I. This report examines current developments in the rapidly evolving biosimilars market from the perspective of managed care professionals,...
On behalf of Teva...
02/28/2024
First Report Managed Care

Advertisement

Cover Story
12/07/2023
Mary Beth Nierengarten
Ignoring the appropriate use of drugs is equally harmful when negotiating with PBMs, as it can and does result in the wrong drugs getting on a formulary with the obvious downstream effect on patient care, costs, and outcomes.
Ignoring the appropriate use of drugs is equally harmful when negotiating with PBMs, as it can and does result in the wrong drugs getting on a formulary with the obvious downstream effect on patient care, costs, and outcomes.
Ignoring the appropriate use of...
12/07/2023
First Report Managed Care
Feature Story
12/07/2023
Paul Nicolaus
The COVID-19 pandemic and policies initiated in response to it have altered the landscape of health insurance coverage, and recent projections indicate that there could be another significant shift taking place as these temporary policies...
The COVID-19 pandemic and policies initiated in response to it have altered the landscape of health insurance coverage, and recent projections indicate that there could be another significant shift taking place as these temporary policies...
The COVID-19 pandemic and...
12/07/2023
First Report Managed Care
Cover Story
11/16/2023

By Dean Celia

By Dean Celia
At least 7 bills targeting PBMs have been introduced this year. Our managed care panel assesses the legislation’s ability to reduce health care costs, as well as prospects for passage.
At least 7 bills targeting PBMs have been introduced this year. Our managed care panel assesses the legislation’s ability to reduce health care costs, as well as prospects for passage.
At least 7 bills targeting PBMs...
11/16/2023
First Report Managed Care

Advertisement

Feature Story
11/16/2023

By Mary Beth Nierengarten

By Mary Beth Nierengarten
Among those who are incarcerated, a recent study identified the use of medications for chronic conditions in jails and state prisons was substantially lower compared with the nonincarcerated population.
Among those who are incarcerated, a recent study identified the use of medications for chronic conditions in jails and state prisons was substantially lower compared with the nonincarcerated population.
Among those who are...
11/16/2023
First Report Managed Care

Advertisement