Mary Beth Nierengarten

Feature Story
A Better Way to Pay for Primary Care
05/31/2024
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
Federal Oversight of Managed Care a Priority
03/01/2024
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
Cover Story
Navigating Work With PBMs: Negotiations, Misalignments, and Drug Costs
12/07/2023
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
Telehealth Visits for Mental Health Offset Decreased In-Person Services During Pandemic
04/13/2023
In-person mental health services declined by more than 50% after the onset of COVID in March 2020 but were offset by a 16- to 20-fold increase in telehealth services among adults covered by private payers.
In-person mental health services declined by more than 50% after the onset of COVID in March 2020 but were offset by a 16- to 20-fold increase in telehealth services among adults covered by private payers.
In-person mental health services...
04/13/2023
First Report Managed Care
Feature
Incorporating Real-World Evidence In the Approval Processes
12/05/2022
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, 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
Cover Story
Threat of Gun Violence Goes Beyond Individual Health
08/02/2022
With the rise of gun violence across the United States, health care professionals and stakeholders across the continuum of care are calling out for recognition of gun violence as a public health issue.
With the rise of gun violence across the United States, health care professionals and stakeholders across the continuum of care are calling out for recognition of gun violence as a public health issue.
With the rise of gun violence...
08/02/2022
First Report Managed Care
Feature
Countering Misinformation in Medicine
05/20/2022
Medical misinformation is a growing challenge throughout health care, exacerbated by the ubiquitous use of social media that reinforces people’s tendencies to perceive and believe in things supported by other people.
Medical misinformation is a growing challenge throughout health care, exacerbated by the ubiquitous use of social media that reinforces people’s tendencies to perceive and believe in things supported by other people.
Medical misinformation is a...
05/20/2022
First Report Managed Care
Feature
Preparing for Emergencies: Communication, Funding, and Innovation
04/18/2022
With hospitals and health care systems already under constant pressure to be adequately prepared for natural disasters and other emergencies, refining risk assessments and a network of partners with clear communication actively in place has...
With hospitals and health care systems already under constant pressure to be adequately prepared for natural disasters and other emergencies, refining risk assessments and a network of partners with clear communication actively in place has...
With hospitals and health care...
04/18/2022
First Report Managed Care
Cover Story
Addressing Fair Access Barriers: Payers Must Improve Transparency
02/07/2022
The Institute for Clinical and Economic Review (ICER) recently outlined key conclusions from the preliminary stages of its Fair Access initiative in an attempt to create new structures to combat barriers to fair and equal access to...
The Institute for Clinical and Economic Review (ICER) recently outlined key conclusions from the preliminary stages of its Fair Access initiative in an attempt to create new structures to combat barriers to fair and equal access to...
The Institute for Clinical and...
02/07/2022
First Report Managed Care
Feature Story
Helping Primary Care Providers Meet the Mental Health Needs of Children
12/22/2021
Mental health issues among children and adolescents have increased under the ongoing demands of a pandemic which continues to exacerbate risk factors, such as isolation and loneliness, for poor mental health.
Mental health issues among children and adolescents have increased under the ongoing demands of a pandemic which continues to exacerbate risk factors, such as isolation and loneliness, for poor mental health.
Mental health issues among...
12/22/2021
First Report Managed Care

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