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09/13/2023

Featuring Daniel Sontupe, Todd Prewitt, MD, and Yash Prajapati

Featuring Daniel Sontupe, Todd Prewit...
In this roundtable, Daniel Sontupe, managing director, The Bloc Value Builders, moderates a conversation with Todd Prewitt, MD, corporate medical director, value-based health strategies, Humana, and Yash Prajapati, consultant, ZS, about...
In this roundtable, Daniel Sontupe, managing director, The Bloc Value Builders, moderates a conversation with Todd Prewitt, MD, corporate medical director, value-based health strategies, Humana, and Yash Prajapati, consultant, ZS, about...
In this roundtable, Daniel...
09/13/2023
First Report Managed Care
Headshot of Courtney Quinn, Navitus Health Solutions
Interview
04/13/2023
Maria Asimopoulos
Courtney Quinn, PharmD, PGY1 pharmacy resident, Navitus Health Solutions, examined potential cost saving trends if individuals enrolled in 4 large commercial health plans switched from reference product insulin glargine to biosimilars.
Courtney Quinn, PharmD, PGY1 pharmacy resident, Navitus Health Solutions, examined potential cost saving trends if individuals enrolled in 4 large commercial health plans switched from reference product insulin glargine to biosimilars.
Courtney Quinn, PharmD, PGY1...
04/13/2023
First Report Managed Care
News
01/26/2023
Maria Asimopoulos
If the price cap had been implemented in 2020, it would have resulted in significant savings for Medicare Part B and Part D beneficiaries over the course of the year, the report suggests.
If the price cap had been implemented in 2020, it would have resulted in significant savings for Medicare Part B and Part D beneficiaries over the course of the year, the report suggests.
If the price cap had been...
01/26/2023
First Report Managed Care
Headshot of Ann Latner, JD
Commentary
01/17/2023
Ann W Latner, JD
Ann Latner shares details from a complaint which alleged several drug manufacturers and pharmacy benefit managers raised the prices of insulin in violation of Kansas's Consumer Protection Act.
Ann Latner shares details from a complaint which alleged several drug manufacturers and pharmacy benefit managers raised the prices of insulin in violation of Kansas's Consumer Protection Act.
Ann Latner shares details from a...
01/17/2023
Pharmacy Learning Network
From Pharmacy Learning Network
News
01/13/2023

Angela Hart and Samantha Young, Kaiser Health News

Angela Hart and Samantha Young, Kaise...
The complaint alleges 3 pharmaceutical companies and 3 pharmacy benefit managers are violating California law by increasing the cost of insulin.
The complaint alleges 3 pharmaceutical companies and 3 pharmacy benefit managers are violating California law by increasing the cost of insulin.
The complaint alleges 3...
01/13/2023
First Report Managed Care
News
06/08/2022

Angela Hart, Kaiser Health News

Angela Hart, Kaiser Health News ...
Governor Gavin Newsom has asked lawmakers in California to fund CalRx, a state-owned generic drug label that would produce its own brand of insulin and other drugs to lower prices for consumers.
Governor Gavin Newsom has asked lawmakers in California to fund CalRx, a state-owned generic drug label that would produce its own brand of insulin and other drugs to lower prices for consumers.
Governor Gavin Newsom has asked...
06/08/2022
First Report Managed Care
News
03/04/2022

Michael McAuliff, Kaiser Health News

Michael McAuliff, Kaiser Health News ...
Even though there is bipartisan and public support for a price cap on insulin, complications among Democrats and Republicans could delay legislation.
Even though there is bipartisan and public support for a price cap on insulin, complications among Democrats and Republicans could delay legislation.
Even though there is bipartisan...
03/04/2022
First Report Managed Care
News
01/17/2022
Maria Asimopoulos
Medicaid-eligible patients with diabetes experienced lower total costs and higher utilization rates compared to those covered by Marketplace plans in Colorado.
Medicaid-eligible patients with diabetes experienced lower total costs and higher utilization rates compared to those covered by Marketplace plans in Colorado.
Medicaid-eligible patients with...
01/17/2022
First Report Managed Care
News
12/22/2021
Jolynn Tumolo
Recent findings indicated that dapagliflozin reduced the incidence of new-onset type 2 diabetes in patients who had conditions linked to insulin resistance.
Recent findings indicated that dapagliflozin reduced the incidence of new-onset type 2 diabetes in patients who had conditions linked to insulin resistance.
Recent findings indicated that...
12/22/2021
First Report Managed Care
News
12/20/2021
Jolynn Tumolo
Researchers compared various sodium glucose cotransporter 2 inhibitors and glucagon-like peptide 1 receptor agonists to determine their relative efficacy in improving cardiorenal outcomes in patients with type 2 diabetes.
Researchers compared various sodium glucose cotransporter 2 inhibitors and glucagon-like peptide 1 receptor agonists to determine their relative efficacy in improving cardiorenal outcomes in patients with type 2 diabetes.
Researchers compared various...
12/20/2021
First Report Managed Care
News
11/24/2021
Jolynn Tumolo
“[Glucokinase activators] could be an attractive choice for the treatment of type 2 diabetes mellitus,” researchers wrote, adding that continued research was needed to understand long-term safety and efficacy.
“[Glucokinase activators] could be an attractive choice for the treatment of type 2 diabetes mellitus,” researchers wrote, adding that continued research was needed to understand long-term safety and efficacy.
“[Glucokinase activators] could...
11/24/2021
First Report Managed Care

Newsfeed

News
01/26/2023
Maria Asimopoulos
If the price cap had been implemented in 2020, it would have resulted in significant savings for Medicare Part B and Part D beneficiaries over the course of the year, the report suggests.
If the price cap had been implemented in 2020, it would have resulted in significant savings for Medicare Part B and Part D beneficiaries over the course of the year, the report suggests.
If the price cap had been...
01/26/2023
First Report Managed Care
News
01/13/2023

Angela Hart and Samantha Young, Kaiser Health News

Angela Hart and Samantha Young, Kaise...
The complaint alleges 3 pharmaceutical companies and 3 pharmacy benefit managers are violating California law by increasing the cost of insulin.
The complaint alleges 3 pharmaceutical companies and 3 pharmacy benefit managers are violating California law by increasing the cost of insulin.
The complaint alleges 3...
01/13/2023
First Report Managed Care
News
06/08/2022

Angela Hart, Kaiser Health News

Angela Hart, Kaiser Health News ...
Governor Gavin Newsom has asked lawmakers in California to fund CalRx, a state-owned generic drug label that would produce its own brand of insulin and other drugs to lower prices for consumers.
Governor Gavin Newsom has asked lawmakers in California to fund CalRx, a state-owned generic drug label that would produce its own brand of insulin and other drugs to lower prices for consumers.
Governor Gavin Newsom has asked...
06/08/2022
First Report Managed Care
News
03/04/2022

Michael McAuliff, Kaiser Health News

Michael McAuliff, Kaiser Health News ...
Even though there is bipartisan and public support for a price cap on insulin, complications among Democrats and Republicans could delay legislation.
Even though there is bipartisan and public support for a price cap on insulin, complications among Democrats and Republicans could delay legislation.
Even though there is bipartisan...
03/04/2022
First Report Managed Care
News
01/17/2022
Maria Asimopoulos
Medicaid-eligible patients with diabetes experienced lower total costs and higher utilization rates compared to those covered by Marketplace plans in Colorado.
Medicaid-eligible patients with diabetes experienced lower total costs and higher utilization rates compared to those covered by Marketplace plans in Colorado.
Medicaid-eligible patients with...
01/17/2022
First Report Managed Care
News
12/22/2021
Jolynn Tumolo
Recent findings indicated that dapagliflozin reduced the incidence of new-onset type 2 diabetes in patients who had conditions linked to insulin resistance.
Recent findings indicated that dapagliflozin reduced the incidence of new-onset type 2 diabetes in patients who had conditions linked to insulin resistance.
Recent findings indicated that...
12/22/2021
First Report Managed Care
News
12/20/2021
Jolynn Tumolo
Researchers compared various sodium glucose cotransporter 2 inhibitors and glucagon-like peptide 1 receptor agonists to determine their relative efficacy in improving cardiorenal outcomes in patients with type 2 diabetes.
Researchers compared various sodium glucose cotransporter 2 inhibitors and glucagon-like peptide 1 receptor agonists to determine their relative efficacy in improving cardiorenal outcomes in patients with type 2 diabetes.
Researchers compared various...
12/20/2021
First Report Managed Care
News
11/24/2021
Jolynn Tumolo
“[Glucokinase activators] could be an attractive choice for the treatment of type 2 diabetes mellitus,” researchers wrote, adding that continued research was needed to understand long-term safety and efficacy.
“[Glucokinase activators] could be an attractive choice for the treatment of type 2 diabetes mellitus,” researchers wrote, adding that continued research was needed to understand long-term safety and efficacy.
“[Glucokinase activators] could...
11/24/2021
First Report Managed Care
News
11/15/2021
Jolynn Tumolo
“These findings support that people with diabetes, hypertension, [and] obesity should be prioritized for vaccination in order to limit the higher death rates in hospital,” researchers wrote.
“These findings support that people with diabetes, hypertension, [and] obesity should be prioritized for vaccination in order to limit the higher death rates in hospital,” researchers wrote.
“These findings support that...
11/15/2021
First Report Managed Care
News
11/09/2021
Jolynn Tumolo
“The disproportionate burden of obesity and type 2 diabetes on racial and ethnic minority communities signals an urgent need to accelerate the implementation and coordination of the MDPP,” researchers wrote. 
“The disproportionate burden of obesity and type 2 diabetes on racial and ethnic minority communities signals an urgent need to accelerate the implementation and coordination of the MDPP,” researchers wrote. 
“The disproportionate burden of...
11/09/2021
First Report Managed Care
News
08/07/2024
The American Hospital Association (AHA) expressed deep concern in response to long-term care (LTC) hospital payment updates finalized by the Centers for Medicare & Medicaid (CMS) on August 1, 2024.
The American Hospital Association (AHA) expressed deep concern in response to long-term care (LTC) hospital payment updates finalized by the Centers for Medicare & Medicaid (CMS) on August 1, 2024.
The American Hospital...
08/07/2024
First Report Managed Care
News
08/05/2024
A recent study published in Nature Cardiovascular Research highlighted the significant impact of severe obesity on myocardial ultrastructure in patients with heart failure with preserved ejection fraction (HFpEF), revealing potential...
A recent study published in Nature Cardiovascular Research highlighted the significant impact of severe obesity on myocardial ultrastructure in patients with heart failure with preserved ejection fraction (HFpEF), revealing potential...
A recent study published in...
08/05/2024
First Report Managed Care
News
08/05/2024
Patients with relapsed/refractory follicular lymphoma tend to have a poorer response and shortened progression-free survival with each subsequent treatment, but new treatment options are emerging.
Patients with relapsed/refractory follicular lymphoma tend to have a poorer response and shortened progression-free survival with each subsequent treatment, but new treatment options are emerging.
Patients with...
08/05/2024
First Report Managed Care
News
07/30/2024
High sun exposure in warmer months may protect against the development of follicular lymphoma, according to a study published in the journal Cancer Epidemiology, Biomarkers & Prevention.
High sun exposure in warmer months may protect against the development of follicular lymphoma, according to a study published in the journal Cancer Epidemiology, Biomarkers & Prevention.
High sun exposure in warmer...
07/30/2024
First Report Managed Care
News
07/29/2024
The Center for Disease Control and Prevention (CDC) vaccine advisory group updated its recommendation for the use of the respiratory syncytial virus (RSV) vaccine in older adults so that people ages 60 to 74 with certain underlying conditions...
The Center for Disease Control and Prevention (CDC) vaccine advisory group updated its recommendation for the use of the respiratory syncytial virus (RSV) vaccine in older adults so that people ages 60 to 74 with certain underlying conditions...
The Center for Disease Control...
07/29/2024
First Report Managed Care
News
07/26/2024
A recent systematic review and meta-analysis spanning 12.4 million patients found a significant bidirectional association between psoriasis and asthma. Researchers published their findings online in BMC Pulmonary Medicine.
A recent systematic review and meta-analysis spanning 12.4 million patients found a significant bidirectional association between psoriasis and asthma. Researchers published their findings online in BMC Pulmonary Medicine.
A recent systematic review and...
07/26/2024
First Report Managed Care
News
07/24/2024
As HIV rates continue to rise among Latino gay and bisexual men, health policy advocates stress the need for more federal assistance for HIV treatment and prevention in this community.
As HIV rates continue to rise among Latino gay and bisexual men, health policy advocates stress the need for more federal assistance for HIV treatment and prevention in this community.
As HIV rates continue to rise...
07/24/2024
First Report Managed Care
News
07/22/2024
FTC to sue the largest pharmacy-benefit managers (PBMs) over drug price negotiation tactics for insulin to make health care more affordable.
FTC to sue the largest pharmacy-benefit managers (PBMs) over drug price negotiation tactics for insulin to make health care more affordable.
FTC to sue the largest...
07/22/2024
First Report Managed Care
News
07/19/2024
The jump in respiratory syncytial virus (RSV) cases after COVID-19-era social distancing and masking eased was partly due to increased testing in outpatient settings as well as changes to the RSV genome, according to a study published online...
The jump in respiratory syncytial virus (RSV) cases after COVID-19-era social distancing and masking eased was partly due to increased testing in outpatient settings as well as changes to the RSV genome, according to a study published online...
The jump in respiratory...
07/19/2024
First Report Managed Care
News
07/18/2024
Research published in Gynecologic Oncology reveals how social determinants of health (SDOH) impact the well-being of Black and Hispanic patients who survived ovarian cancer compared to White survivors, emphasizing the need for targeted...
Research published in Gynecologic Oncology reveals how social determinants of health (SDOH) impact the well-being of Black and Hispanic patients who survived ovarian cancer compared to White survivors, emphasizing the need for targeted...
Research published in...
07/18/2024
First Report Managed Care

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Headshots
Videos
09/13/2023

Featuring Daniel Sontupe, Todd Prewitt, MD, and Yash Prajapati

Featuring Daniel Sontupe, Todd Prewit...
In this roundtable, Daniel Sontupe, managing director, The Bloc Value Builders, moderates a conversation with Todd Prewitt, MD, corporate medical director, value-based health strategies, Humana, and Yash Prajapati, consultant, ZS, about...
In this roundtable, Daniel Sontupe, managing director, The Bloc Value Builders, moderates a conversation with Todd Prewitt, MD, corporate medical director, value-based health strategies, Humana, and Yash Prajapati, consultant, ZS, about...
In this roundtable, Daniel...
09/13/2023
First Report Managed Care
Headshot of Courtney Quinn, Navitus Health Solutions
Interview
04/13/2023
Maria Asimopoulos
Courtney Quinn, PharmD, PGY1 pharmacy resident, Navitus Health Solutions, examined potential cost saving trends if individuals enrolled in 4 large commercial health plans switched from reference product insulin glargine to biosimilars.
Courtney Quinn, PharmD, PGY1 pharmacy resident, Navitus Health Solutions, examined potential cost saving trends if individuals enrolled in 4 large commercial health plans switched from reference product insulin glargine to biosimilars.
Courtney Quinn, PharmD, PGY1...
04/13/2023
First Report Managed Care
Headshot of Ann Latner, JD
Commentary
01/17/2023
Ann W Latner, JD
Ann Latner shares details from a complaint which alleged several drug manufacturers and pharmacy benefit managers raised the prices of insulin in violation of Kansas's Consumer Protection Act.
Ann Latner shares details from a complaint which alleged several drug manufacturers and pharmacy benefit managers raised the prices of insulin in violation of Kansas's Consumer Protection Act.
Ann Latner shares details from a...
01/17/2023
Pharmacy Learning Network
Headshot of German Hernandez, fellow of the American Society of Nephrology
Commentary
11/18/2021

German Hernandez, MD, FASN contributor

German Hernandez, MD, FASN contributo...
German Hernandez, MD, provides nutrition tips for patients living with autosomal dominant polycystic kidney disease and stresses that “incorporating them into a patient’s routine as soon as diagnosis is confirmed may make a difference in...
German Hernandez, MD, provides nutrition tips for patients living with autosomal dominant polycystic kidney disease and stresses that “incorporating them into a patient’s routine as soon as diagnosis is confirmed may make a difference in...
German Hernandez, MD, provides...
11/18/2021
First Report Managed Care
Improved Reimbursement Options Needed for National Diabetes Prevention Program Providers
Interview
03/17/2020
Jennifer Torres Mosst, PhD, program manager of Diabetes Strategies at the Division of Chronic Disease and Injury Prevention, explain why billing and reimbursement approaches play a critical role in the types of programs that can be...
Jennifer Torres Mosst, PhD, program manager of Diabetes Strategies at the Division of Chronic Disease and Injury Prevention, explain why billing and reimbursement approaches play a critical role in the types of programs that can be...
Jennifer Torres Mosst, PhD,...
03/17/2020
First Report Managed Care
Among Diabetes Patients, Cost Increases Linked With Guideline Non-Compliance
Interview
03/10/2020
Swapnil Rajpathak, executive director cardiometabolic team, Center for Observational Real World Evidence, Merck & Co, Inc, discusses the importance of adherence to evidence-based care guidelines to improve health outcomes and reduce costs.
Swapnil Rajpathak, executive director cardiometabolic team, Center for Observational Real World Evidence, Merck & Co, Inc, discusses the importance of adherence to evidence-based care guidelines to improve health outcomes and reduce costs.
Swapnil Rajpathak, executive...
03/10/2020
First Report Managed Care
Interview
07/09/2019
Kiersten Combs, vice president of US Cardiovascular & Metabolic Disease, and Jim McDermott, vice president of US Medical Affairs and Metabolism, both at AstraZeneca, highlight how the use of Farxiga and other SGLT2 inhibitors impact payers...
Kiersten Combs, vice president of US Cardiovascular & Metabolic Disease, and Jim McDermott, vice president of US Medical Affairs and Metabolism, both at AstraZeneca, highlight how the use of Farxiga and other SGLT2 inhibitors impact payers...
Kiersten Combs, vice president...
07/09/2019
First Report Managed Care
Interview
04/17/2019
Christina Nguyen, senior research analyst, and Mary Beth Landrum, PhD, professor of health care policy, both at Harvard Medical School, explain why inadequate risk adjustment could counterproductively reduce payments to groups whose patient...
Christina Nguyen, senior research analyst, and Mary Beth Landrum, PhD, professor of health care policy, both at Harvard Medical School, explain why inadequate risk adjustment could counterproductively reduce payments to groups whose patient...
Christina Nguyen, senior...
04/17/2019
First Report Managed Care

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