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Interviews

Interview

Leveraging Pharmacists to Resolve Social Determinants of Health Barriers and Improve Patient Outcomes

05/24/2024

Meron Gartner, PharmD, Senior Product Manager, Payer Products, Outcomes

Guest expert and AMCP 2024 presenter Meron Gartner, PharmD, elaborates on how pharmacists play a crucial role in addressing social determinants of health by engaging with patients, identifying barriers, and connecting them to resources for...

Guest expert and AMCP 2024...

05/24/2024

First Report Managed Care

Interview

Improving Patient Engagement in Managed Care Pharmacy Through Collaboration

05/21/2024

Sarah Emond, MPP, President and Chief Executive Officer, ICER

Patient perspectives play a crucial role in shaping healthcare decisions, and AMCP 2024 session speaker Sarah Emond discusses the importance of patient engagement in drug value assessments within the managed care framework, providing examples...

Patient perspectives play a...

05/21/2024

First Report Managed Care

Interview

Exploring Future Possibilities of AI in Managed Care Pharmacy Practice

05/20/2024

Joseph Honcz, RPh, MBA

Guest expert and AMCP 2024 session presenter Joseph Honcz, RPh, MBA, explores the current role of AI in managed care, barriers to implementation, and strategies for collaborating with managed care leadership to advance the testing of AI...

Guest expert and AMCP 2024...

05/20/2024

First Report Managed Care

Interview

AI's Impact on Value-Based Care Outcomes

05/07/2024

Jay Ackerman, President & CEO, Reveleer

Artificial intelligence (AI)-powered workflows and prospective analytics are advancing value-based care by improving patient outcomes and reducing costs. In a recent interview, an expert emphasizes that leveraging AI technologies enables...

Artificial intelligence...

05/07/2024

First Report Managed Care

Interview

A Comprehensive Analysis of MLTSS Programs: Challenges, Opportunities, and Best Practices

04/04/2024

Featuring Gary Jessee, senior vice president at Sellers Dorsey

Featuring Gary Jessee, senior vice pr...

Learn about how states are grappling with finding the balance between expanding and optimizing MLTSS programs while navigating recent health care reforms and tightening budget constraints in this recent interview with guest expert Gary...

Learn about how states are...

04/04/2024

First Report Managed Care

Interview

Green Lighting Solutions to Address Barriers in Health Care Prior Authorizations

03/05/2024

Featuring Brian Covino, MD, CMO, Cohere Health

Featuring Brian Covino, MD, CMO, Cohe...

There are several barriers to adopting electronic prior authorization in health care. With financial incentives and standardized processes, there is still room for improvement. An expert introduces the concept of green lighting, a data-driven...

There are several barriers to...

03/05/2024

First Report Managed Care

Interview

Overcoming Challenges in Value-Based Care and Population Health Management

03/04/2024

Featuring John Fryer, chief revenue officer at Lumeris

Featuring John Fryer, chief revenue o...

Learn about the benefits, challenges, and measurement of effective value-based care programs, emphasizing the role of artificial intelligence in driving improved patient outcomes and cost reduction in this interview with John Fryer, CRO at...

Learn about the benefits,...

03/04/2024

First Report Managed Care

Interview

The Role of Electronic Visit Verification in Enhancing Quality, Efficiency, and Medicaid Integrity

02/29/2024

Featuring Stephen Vaccaro, president, HHAeXchange

Featuring Stephen Vaccaro, president,...

In this interview, an expert discusses the importance of Electronic Visit Verification (EVV) in homecare services. EVV ensures accurate documentation of homecare visits, leading to improved patient outcomes and quality of care. Medicaid has a...

In this interview, an expert...

02/29/2024

First Report Managed Care

Interview

Revolutionizing Health Care With ACOs: Vytalize Health's Role in Value-Based Care

01/24/2024

Featuring Faris Ghawi, co-founder and CEO, Vytalize Health

Featuring Faris Ghawi, co-founder and...

Vytalize Health, as an ACO REACH entity, assumes full risk for the cost and quality of care, sharing upside incentives with primary and nonprimary care providers based on predefined metrics. Faris Ghawi offers insights into how ACOs like...

Vytalize Health, as an ACO REACH...

01/24/2024

First Report Managed Care

Interview

Rimidi CEO Discusses Innovative Partnership With Brighter Day Health Foundation to Tackle Chronic Care in Underserved Communities

01/24/2024

Featuring Lucienne Ide, MD, PhD, founder and CEO of Rimidi

Featuring Lucienne Ide, MD, PhD, foun...

Rimidi has partnered with the Brighter Day Health Foundation to bring chronic disease management to underserved populations through church-based wellness clinics, providing remote patient monitoring supported by Medicare reimbursement and...

Rimidi has partnered with the...

01/24/2024

First Report Managed Care

Current Issue

June 2024

Volume 21

Issue 2

Current Issue

Issue Archive

What's Trending?

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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