Interviews

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

Interview

Navigating Coding Changes and Rare Disease Genetic Testing Challenges

01/19/2024

Featuring Jason Bush, PhD, executive vice president of product at Avalon Healthcare Solutions

Featuring Jason Bush, PhD, executive ...

The rapid growth of genetic testing, the challenges it presents for the rare disease community, clinicians, and payers, and the impact on coding practices are explored with Jason Bush, executive vice president of product at Avalon Healthcare...

The rapid growth of genetic...

01/19/2024

First Report Managed Care

Interview

Exploring Automation for Hospital-at-Home Care Coordination

01/19/2024

Featuring Cindy Gaines, MSN, RN, chief clinical transformation officer at Lumeon

Featuring Cindy Gaines, MSN, RN, chie...

The health care industry increasingly focuses on hospital-at-home and alternative care models due to bed shortages and staffing issues. Hospital-at-home care, existing since 1995, gained recent attention as organizations struggle with patient...

The health care industry...

01/19/2024

First Report Managed Care

Interview

Ventric Health Unveils Vivio®, a Non-Invasive Revolutionary Device Designed to Detect Early Signs of Heart Failure

01/12/2024

Sean Brady, CEO and co-founder of Ventric Health

Sean Brady, CEO and co-founder of Ven...

"I think what's unique about Vivio is that we're able to accurately, non-invasively, and easily fit into existing workflows to measure this LVEDP, which is really the gold standard—the diagnostic piece of information for diagnosing heart...

"I think what's unique about...

01/12/2024

First Report Managed Care

Interview

Navigating Medicare Advantage Risk Adjustment Plan Changes

01/09/2024

Featuring Calum Yacoubian, MD, director of NLP Healthcare Strategy at IQVIA

Featuring Calum Yacoubian, MD, direct...

Learn about significant changes in the Medicare Advantage Risk Adjustment model (transitioning from version 24 to 28) for payers and providers and the importance of accurate coding and the use of technologies like AI and natural language...

Learn about significant changes...

01/09/2024

First Report Managed Care

Interview

Understanding the Implications of Medicare Advantage Growth

11/30/2023

Featuring Michael Gould, Associate Vice President of Interoperability Strategy at ZeOmega, and Cindy Henry, PMP, Director of Population Health Informatics at ZeOmega

Featuring Michael Gould, Associate Vi...

Learn about the growth of Medicare Advantage and its impact on the health care industry. Michael Gould and Cindy Henry discuss the popularity of Medicare Advantage plans, the potential effects of new regulations, and the importance of strong...

Learn about the growth of...

11/30/2023

First Report Managed Care

Current Issue

June 2024

Volume 21

Issue 2

Current Issue

Issue Archive

What's Trending?

News

After Capping Insulin Copays, Colorado Lawmakers Seek to Address EpiPen Costs

02/28/2023

Helen Santoro, Kaiser Health News

Helen Santoro, Kaiser Health News ...

The proposed law would make Colorado one of the first states to cap out-of-pocket copayments for EpiPens.

The proposed law would make...

02/28/2023

First Report Managed Care

Commentary

Expanding Access to Life-Saving Cardiac Care

07/01/2024

More than 6 million Americans are living with heart failure (HF), the leading cause of hospitalization among adults 65 and older. In this commentary, Chris Darland, CEO, Peerbridge Health, discusses emerging technologies, such as AI-enabled...

More than 6 million Americans...

07/01/2024

First Report Managed Care

News

HAVEN 7 Trial Evaluates Emicizumab Prophylaxis in Infants With Hemophilia A

06/19/2024

Grace Taylor, MS, MA

A study evaluated the efficacy, safety, pharmacokinetics, and pharmacodynamics of emicizumab in infants from birth to age ≤12 months who have hemophilia A without factor VIII inhibitors.

A study evaluated the efficacy,...

06/19/2024

First Report Managed Care

News

Preliminary Study Finds RSV Symptom Questionnaire Satisfactory

07/01/2024

The Respiratory Syncytial Virus (RSV) Infection Intensity and Impact Questionnaire (RSV-iiiQ) may be useful for assessing symptom severity and impact of acute RSV infection, suggests a study in the journal Health and Quality of Life Outcomes.

The Respiratory Syncytial Virus...

07/01/2024

First Report Managed Care

Commentary

Making Contract Management Work in a Value-Based Care Environment

06/12/2024

Lynn Carroll, Chief Operating Officer, HSBlox

David Wolf, Vice President of Product Management, MedeAnalytics

Value-based care (VBC) models aim improve clinical outcomes and reduce health care costs by proactively focusing on patient wellness. To make this preventive approach to individual and population care work, patients, providers, payers, and...

Value-based care (VBC) models...

06/12/2024

First Report Managed Care

Video Insights

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.

Learn about the state of digital...

02/27/2024

First Report Managed Care

Videos

Costs and Benefits: How a New Cholesterol-Lowering Drug Compares to Others

10/24/2023

Featuring Kevin Cowart, PharmD, MPH, BCACP, CDCES

Featuring Kevin Cowart, PharmD, MPH, ...

Dr Kevin Cowart, assistant professor at the University of South Florida College of Pharmacy, discusses inclisiran, a new non-statin treatment for high cholesterol.

Interviews

Current Issue

What's Trending?

Video Insights

Subscribe to our eNewsletters!

Specialties

Events

Year Round Education

HMP Global Products