Department

News Connection

CVS, Aetna Expand Social Determinants of Health Initiatives, Announce New Platform

09/18/2019

Part of their “Building Healthier Communities” initiative, CVS and Aetna recently announced a collaboration project with Unite Us, a social care coordination platform, as one of the first of a series of business programs focused on addressing...

Part of their “Building...

09/18/2019

First Report Managed Care

News Connection

FDA, HHS Share Proposed Action Plan for Safe Drug Importation

09/18/2019

In a joint effort, the US Department of Health and Human Services (HHS) and the US Food and Drug Administration (FDA) have announced the Safe Importation Action Plan, a project designed to lower out-of-pocket costs, which defines two possible...

In a joint effort, the US...

09/18/2019

First Report Managed Care

News Connection

Lowered Spending Among Providers Participating in ACOs in Rural, Underserved Areas

09/18/2019

According to study results published in the New England Journal of Medicine, Medicare spending was lower among providers serving in rural and underserved areas who also participated in ACO shared savings contracts.

According to study results...

09/18/2019

First Report Managed Care

News Connection

CMS Rule Finalized, CAR-T Therapy Covered By Medicare

09/18/2019

CAR-T therapy, a cancer treatment that uses a patient’s own genetically-modified immune cells to fight the disease, will now be covered nationwide by Medicare, according to a final decision released by the Centers for Medicare & Medicaid...

CAR-T therapy, a cancer...

09/18/2019

First Report Managed Care

News Connection

Surprise Billing on the Rise in Emergency Departments and Inpatient Services

09/18/2019

According to a study published in JAMA Internal Medicine, out-of-network is occurring more frequently and becoming more costly in both emergency department (ED) and inpatient settings.

According to a study published...

09/18/2019

First Report Managed Care

Formulary Frontlines®

Innovations in Managing Hemophilia

08/26/2019

Eileen Koutnik-Fotopoulos ;

Although hemophilia is designated an orphan disease by the FDA because it affects fewer than 200,000 people in the United States, it imposes a significant financial and burden on patients, caregivers, and society.

Although hemophilia is...

08/26/2019

First Report Managed Care

Managed Care Q&A

Discussing Biosimilars: Barriers and Cost Effectiveness, Part 1

08/26/2019

Edan Stanley ;

Scott Vogel, partner and PBM executive, Confidio, recently spoke about the many challenges biosimilars face coming to market and where the market might be heading.

Scott Vogel, partner and PBM...

08/26/2019

First Report Managed Care

Managed Care Q&A

Discussing Biosimilars: Barriers and Cost Effectiveness, Part 2

08/26/2019

Edan Stanley ;

Sonja Quale, PharmD, chief clinical officer and vice president of informatics, Confidio, recently spoke about the many challenges biosimilars face coming to market and where the market might be heading

Sonja Quale, PharmD, chief...

08/26/2019

First Report Managed Care

Conference Insider

PBMI Specialty Rx Forum: Getting the Most from Your Specialty Contract

08/26/2019

Edan Stanley ;

Gregory O Callahan, MBA, consultant, and Brian N Anderson, MBA, principal, both from Milliman, a consulting and actuarial firm, offer expertise on how to maximize the effectiveness of specialty contracts.

Gregory O Callahan, MBA,...

08/26/2019

First Report Managed Care

Conference Insider

Preparing Payers for the New Therapies in the Pipeline

08/26/2019

Edan Stanley ;

Susan Trieu, PharmD, director of enterprise specialty clinical solutions at MedImpact Health Systems, discusses new therapies in the pipeline and what payers should focus on.

Susan Trieu, PharmD, director of...

08/26/2019

First Report Managed Care

Current Issue

September 2024

Volume 21

Issue 3

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In Reversal, Florida to Take Health Law’s Medicaid Expansion

02/21/2013

First Report Managed Care

News

Alemtuzumab Reduces Disability From Relapsing-Remitting Multiple Sclerosis

10/21/2016

Alemtuzumab reduces preexisting disability in patients with active relapsing-remitting multiple sclerosis (RRMS), compared with subcutaneous interferon, according to results from the CARE-MS II study.

Alemtuzumab reduces preexisting...

10/21/2016

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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