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Feature Story

Coverage Reshuffling Anticipated as Pandemic Policies Unwind

12/07/2023

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

New Legislation in Washington Focuses on Pharmacy Benefit Managers

11/16/2023

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...

11/16/2023

First Report Managed Care

Feature Story

Chronic Disease and Treatment Access Burden Among Incarcerated Persons

11/16/2023

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...

11/16/2023

First Report Managed Care

Feature Story

Payers Bet Big on Home Health Care

06/20/2023

Paul Nicolaus ;

Large health insurers are making multibillion-dollar deals to acquire home health care providers. Here’s why.

Large health insurers are making...

06/20/2023

First Report Managed Care

Cover Story

Analyzing Policies Designed to Control Specialty Drug Costs

06/20/2023

Dean Celia ;

ICER’s new white paper addresses white bagging, brown bagging, and site of service policies and offers best practice recommendations. Our panel examines the issue and explains which suggestions will work best.

ICER’s new white paper addresses...

06/20/2023

First Report Managed Care

Cover Story

Health Trends to Track in 2023

04/13/2023

Dean Celia ;

As a potential recession looms on the heels of the pandemic, it is challenging to predict where the US health care system is headed in 2023. Still, we asked our experts to analyze emerging trends, read the tea leaves, and explain how events...

As a potential recession looms...

04/13/2023

First Report Managed Care

Online Exclusive

Can California Manufacture Its Own Insulin and Will Patients Benefit?

01/03/2023

Dean Celia ;

The price of insulin has risen between 5% and 16% since the turn of the century, prompting states like California to take manufacturing into their own hands.

The price of insulin has risen...

01/03/2023

First Report Managed Care

Cover Story

Analyzing the Inflation Reduction Act’s Drug Provisions

12/22/2022

Dean Celia ;

Pharmaceutical-related measures of the Inflation Reduction Act will be implemented starting in 2023. Will they deliver as promised by the Biden administration and Congressional Democrats? Or will they serve as an impediment to competition,...

Pharmaceutical-related measures...

12/22/2022

First Report Managed Care

Feature

What Will Telehealth Look Like Post Pandemic?

12/22/2022

Paul Nicolaus ;

As the United States and the rest of the world continue to return to normalcy after COVID-19, a question of whether certain pandemic-prompted services may begin to fade away must be addressed.

As the United States and the...

12/22/2022

First Report Managed Care

Feature

Incorporating Real-World Evidence In the Approval Processes

12/05/2022

Mary Beth Nierengarten ;

Health care stakeholders, including regulatory bodies and payers, are increasingly incorporating real-world evidence into their approval processes, prompting the need for formal guidance.

Health care stakeholders,...

12/05/2022

First Report Managed Care

Current Issue

September 2024

Volume 21

Issue 3

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Patient-Reported Outcomes Similarly Impacted By Migraine Treatments

05/17/2019

Researchers recently found that patient-reported outcomes (PROs) were no different among patients treated with calcitonin gene-related peptide (CGRP) antagonists or onabotulinumtoxinA (ONA) for the indication of chronic migraine prophylaxis.

Researchers recently found that...

05/17/2019

First Report Managed Care

News

Cancer`s growing burden: the high cost of care

03/02/2012

First Report Managed Care

Mergers Pave Way for Good Opportunity to Enter Medicare Advantage Market

11/06/2015

While the largest insurance companies await their fate at the hands of federal regulators, other plans and investors should pay close attention to the opportunity to acquire divested plans from the two deals.

While the largest insurance...

11/06/2015

First Report Managed Care

News

Trial to Test CAR T-Cell Therapy for Refractory Progressive MS

03/18/2024

Jolynn Tumolo ;

An autologous, fully human CD19 chimeric antigen receptor (CAR) T-cell product candidate recently received clearance from the US Food and Drug Administration (FDA) as an investigational new drug for the treatment of patients with refractory...

An autologous, fully human CD19...

03/18/2024

First Report Managed Care

News

Cost-Effective Treatment Option for Tremor-Dominant Parkinson Disease

10/13/2020

Magnetic resonance-guided focused ultrasound thalamotomy is more cost-effective than continued medical therapy for patients with tremor-dominant Parkinson disease.

Magnetic resonance-guided...

10/13/2020

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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