Department

News Connection

Amazon Ends Joint Health Care Venture With Berkshire Hathaway, JP Morgan

02/12/2021

Amazon, Berkshire Hathaway, and JPMorgan Chase & Co, announced plans to dissolve their joint health care venture, Haven, a firm launched in January 2018, focused on finding solutions to a range of problematic health care trends.

Amazon, Berkshire Hathaway, and...

02/12/2021

First Report Managed Care

News Connection

CMS, Part D Capping Out-of-Pocket Insulin Spend Could Improve Adherence

02/12/2021

The Centers for Medicare & Medicaid Services (CMS) recently launched the Senior Savings Model through Part D, which caps insulin out-of-pocket spend at no more than $35 per month for beneficiaries. Researchers of a recent JAMA Network Open...

The Centers for Medicare &...

02/12/2021

First Report Managed Care

News Connection

Medicare Advantage Plans See Enrollment Boosts During Pandemic

02/12/2021

Survey data collected by MedicareAdvantagePlans.org shows that Medicare Advantage (MA) plans are seeing increased enrollment amid the pandemic.

Survey data collected by...

02/12/2021

First Report Managed Care

News Connection

Aetna, CVS Health Expand Transgender Surgery Coverage Offerings

02/12/2021

Aetna, a CVS Health company, announced recently that it is updating policies to expand coverage offerings of gender-affirming surgery to include breast augmentation for transfeminine beneficiaries.

Aetna, a CVS Health company,...

02/12/2021

First Report Managed Care

News Connection

Lower Health Care Costs: Survey Shows Consumers Are Not Optimistic

02/12/2021

Prior to the inauguration of President Biden, West Health and Gallup conducted a survey to better understand how Americans feel about the state of health care and the new administration’s promises of reform, but results show that most...

Prior to the inauguration of...

02/12/2021

First Report Managed Care

News Connection

ACA Fee Increase Effect on Primary Care Access for Dual-Eligible Beneficiaries

02/12/2021

In an effort to accommodate potential increases in demand for care under the Affordable Care Act (ACA), a fee bump was implemented in 2013 and 2014, increasing Medicaid payments to Medicare levels for certain services for primary care...

In an effort to accommodate...

02/12/2021

First Report Managed Care

News Connection

High Drug Costs Could Lead to Increased Medicare Beneficiary Deaths

12/18/2020

Increased costs of medications could result in reduced adherence, and in turn, cause more than 1.1 million deaths of Medicare beneficiaries in the next 10 years, according to a report published by West Health.

Increased costs of medications...

12/18/2020

First Report Managed Care

News Connection

Physician Membership in Health Systems Linked With Higher Patient Costs

12/18/2020

Commercially insured patients had higher average costs from primary care physicians who were members of health systems compared with primary care physicians not in health systems, according to findings published online in Health Services...

Commercially insured patients...

12/18/2020

First Report Managed Care

News Connection

Association Between the ACA, Hospital Episode Spending

12/18/2020

According to recently published data, the policy reforms introduced under the US Patient Protection and Affordable Care Act (ACA) are associated with significant reductions in US hospital episode spending for acute inpatient hospitalizations.

According to recently published...

12/18/2020

First Report Managed Care

Formulary Frontlines®

New Options Available for Treatment-Resistant Depression

11/20/2020

Jeff Craven

Over the past 30 years, few new pharmacologic therapies have been developed for mood disorders, including depression. However, for patients who do not respond to conventional pharmacologic treatments for MDD, new answers for...

Over the past 30 years, few new...

11/20/2020

First Report Managed Care

Current Issue

September 2024

Volume 21

Issue 3

Current Issue

Issue Archive

What's Trending?

News

Identifying Large-Vessel Vasculitis in Polymyalgia Rheumatica: Key Clinical and Laboratory Red Flags

04/05/2024

Lisa Kuhns, PhD

Potential red flags for large-vessel vasculitis in isolated polymyalgia rheumatica (PMR) include inflammatory back pain, significant pelvic involvement, widespread lower extremity pain, marked inflammatory response indicated by specific lab...

Potential red flags for...

04/05/2024

First Report Managed Care

News

CDC Invests $400 Million to Accelerate HIV Prevention and Surveillance Efforts Nationwide

09/16/2024

Lisa Kuhns , PhD, MD;

The Centers for Disease Control and Prevention (CDC) has awarded $400 million in funding to boost HIV prevention and surveillance efforts across the United States, aiming to accelerate progress in reducing new infections and improving health...

The Centers for Disease Control...

09/16/2024

First Report Managed Care

News

HHS Unveils Comprehensive Healthcare Reforms to Boost Equity and Quality

09/13/2024

Lisa Kuhns , PhD, MD;

The US Department of Health and Human Services (HHS) has announced updates to Medicare payments and policies to improve healthcare accessibility, equity, and quality for millions of Americans, according to a press release by the HHS.

The US Department of Health and...

09/13/2024

First Report Managed Care

Commentary

Enhancing Provider Experience Through Electronic Prior Authorization

08/13/2024

Each year the American Medical Association (AMA) surveys its membership to ascertain their feedback concerning prior authorizations (PAs) and the impact of this service on their practice. Reliably, AMA members say that PAs are disruptive to...

Each year the American Medical...

08/13/2024

First Report Managed Care

News

Challenges and Emerging Strategies in Overcoming Resistance in EGFR-Mutant NSCLC

09/10/2024

Lisa Kuhns , PhD, MD;

Despite promising early results, adding immunotherapy to standard chemotherapy does not significantly improve outcomes for patients with EGFR-mutant non-small cell lung cancer (NSCLC) who have progressed after initial targeted therapy,...

Despite promising early results,...

09/10/2024

First Report Managed Care

Video Insights

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.

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

Conference Coverage

Using Lenalidomide and Rituximab, Tazemetostat, or Bispecific Antibodies to Treat Patients With Follicular Lymphoma

04/06/2024

Featuring Peter Martin, MD

During the 2024 Great Debates & Updates in Hematologic Malignancies meeting in New York, Peter Martin, MD, argued in favor of alternative treatment regimens over CAR T-cell therapy for treating follicular lymphoma.

During the 2024 Great Debates &...

04/06/2024

Oncology

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.

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