Department

News Connection

CMS, ONC Propose New Requirements to Improve Interoperability

03/20/2019

The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health IT (ONC) proposed new rules to increase interoperability of electronic health care records.

The Centers for Medicare &...

03/20/2019

First Report Managed Care

News Connection

Medicare and Medicaid Spending Growth Slower Than Private Insurers

03/20/2019

According to an analysis published by the Urban Institute, spending growth was slower for those enrolled in Medicare and Medicaid than those enrolled with in a private insurance plan between 2006 and 2017.

According to an analysis...

03/20/2019

First Report Managed Care

News Connection

Praluent US List Price to Be Cut by 60%

03/20/2019

Regeneron and Sanofi revealed in a press release plans to reduce the cost of their cholesterol treatment drug, Praluent (alirocumab), by 60%. This decision is one in a series of choices to make Praluent more available and affordable to...

Regeneron and Sanofi revealed in...

03/20/2019

First Report Managed Care

News Connection

HHS, CMS Innovation Center Announce New Payment Model to Improve Medicare Beneficiaries’ Emergency Needs

03/20/2019

The US Department of Health and Human Services (HHS) and Center for Medicare & Medicaid Innovation Center, “which tests innovative payment and service delivery models to lower costs and improve the quality of care,” launched a new payment...

The US Department of Health and...

03/20/2019

First Report Managed Care

News Connection

Travel, Wait Times Cost $89 Billion Annually for Health Care Service

03/20/2019

According to survey data from the Bureau of Labor Statistics’ American Wait Time Use Survey, spanning 2006 through 2017, travel and wait times were highest for health care services, ranked above legal services, personal care, vehicular...

According to survey data from...

03/20/2019

First Report Managed Care

News Connection

Health Care Spending Growth Projected to Rise to 19.4% of GDP in Next Decade

03/20/2019

According to a report in Health Affairs and information from the Centers for Medicare & Medicaid Services (CMS) Office of the Actuary, national health expenditures are projected to grow at an average annual rate of 5.5% for 2018 to 2027 and...

According to a report in Health...

03/20/2019

First Report Managed Care

News Connection

What Is Driving Medicare Advantage Beneficiaries to Disenroll or Switch Plans?

03/20/2019

Research published in JAMA Internal Medicine concluded that high-need Medicare Advantage (MA) beneficiaries and Medicare-Medicaid eligible enrollees are disenrolling or switching plans at a much higher rate than other enrollees.

Research published in JAMA...

03/20/2019

First Report Managed Care

News Connection

One in 10 Patients Experience Adverse Effects from Post-Surgical Opioids

03/20/2019

Among patients who received opioids for the first time after undergoing surgery, 9.1% experienced a potential adverse effect from the drug, according to a study published online in the Journal of Patient Safety.

Among patients who received...

03/20/2019

First Report Managed Care

Conference Insider

Sesame is Now the 9th Most Common Food Allergy in US

03/20/2019

In a study presented at AAAAI, researchers found that sesame is now the ninth most prevalent food allergy in the United States among both children and adults.

In a study presented at AAAAI,...

03/20/2019

First Report Managed Care

Conference Insider

Peanut Food Equivalents May Help Patient Desensitization

03/20/2019

There are still many questions unanswered about the long-term outcomes of allergy immunotherapy but a new study presented at AAAAI suggests that peanut food equivalents may help patients maintain desensitization after immunotherapy trials.

There are still many questions...

03/20/2019

First Report Managed Care

Current Issue

September 2024

Volume 21

Issue 3

Current Issue

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News

Marketplace Consumers Likely to Find Substantial Premium Hikes This Time Around

11/20/2015

A recent report found that 231 policies were requesting double-digit hikes in premium prices. Of them, 26 policies were requesting a minimum premium hike of ≥40%.

A recent report found that 231...

11/20/2015

First Report Managed Care

News

Dairy, Gluten Show No Major Effect on MS Activity and Quality of Life

02/15/2024

Jolynn Tumolo ;

Dairy and gluten intake had no substantial effects on disease activity and quality of life in a retrospective study of 186 patients with multiple sclerosis (MS). Researchers published their findings online in Multiple Sclerosis Journal –...

Dairy and gluten intake had no...

02/15/2024

First Report Managed Care

News

No Winner for President Yet, Health Care Hangs in the Balance

11/04/2020

With the presidential election still undecided, it is also up in the air whether the federal government will play a stronger role in financing and setting the ground rules for health care coverage or cede more authority to states and the...

With the presidential election...

11/04/2020

First Report Managed Care

News

New regulation seeks to reward hospitals for quality of care

01/10/2011

First Report Managed Care

Conference Insider

Payer Decisions: Patient-Reported Outcomes, Clinical Outcome Assessments Seldom Used

05/17/2019

Within the health care decision-making process, the impact of patient-reported outcomes (PRO) and clinical outcome assessments (COAs) on payers is often low, despite efforts to include the patient voice, according to recent survey results...

Within the health care...

05/17/2019

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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