frmc Commentary

Commentary

New Legislation Moves the Needle on Prior Authorization Reform

10/07/2022

Alina M Czekai, MPH

Alina Czekai, MPH, vice president of strategic partnerships, Cohere Health, describes how the Improving Seniors' Timely Access to Care Act will benefit payers, providers, and patients if it is signed into law.

Alina Czekai, MPH, vice...

10/07/2022

First Report Managed Care

Commentary

Addressing Health Inequities With Prior Authorization

09/16/2022

Gina Kim, chief product officer, Cohere Health

Gina Kim, chief product officer, Cohe...

"There are numerous factors that contribute to health care disparities in our country. The prior authorization process shouldn’t be one of them," writes Gina Kim, chief product officer, Cohere Health.

"There are numerous factors that...

09/16/2022

First Report Managed Care

Commentary

The Great Divide: 5 Strategies to Bridge Health Care Member Gaps in Care

09/02/2022

Icario Team

In this commentary, the Icario team provides insight on new approaches to engage all health plan members and influence positive health outcomes in the future.

In this commentary, the Icario...

09/02/2022

First Report Managed Care

Commentary

Three Insights From Trailblaze 2022: Member Experience Is About Humanization

08/19/2022

Icario Team

In this commentary, the Icario team shares advice on how to connect with members better, elevate their experience, and improve outcomes.

In this commentary, the Icario...

08/19/2022

First Report Managed Care

Commentary

What Health Plans Need to Know About CMS’ Final Rule for Allowable Medicare Rewards and Incentives

08/03/2022

Icario Team

In this commentary, Icario's compliance experts share guidance for Medicare plans to ensure their member outreach strategy aligns with CMS’ Final Rule regarding rewards and incentives.

In this commentary, Icario's...

08/03/2022

First Report Managed Care

Commentary

Benefits of Measurement-Based Care for Behavioral Health Care Practices

08/02/2022

Ram Krishnan, chief executive officer, Valant

Ram Krishnan, chief executive officer...

"Measurement-based care impacts micro and macro levels, from patient outcomes to identifying a systemic need for change," writes Ram Krishnan, chief executive officer, Valant.

"Measurement-based care impacts...

08/02/2022

Integrated Healthcare Executive

Headshots of Pavel Lavitas, PharmD, BCPS, and Amanda O'Hora

Commentary

Navigating Reimbursement and Access Challenges for Novel Cell and Gene Therapies

07/26/2022

Pavel Lavitas, PharmD, BCPS, clinical team lead, Clinical Pharmacy Services, and Amanda O'Hora, senior director, Reimbursement & Policy Insights, AmerisourceBergen/Xcenda

Pavel Lavitas, PharmD, BCPS, clinical...

In this commentary, Pavel Lavitas, PharmD, BCPS, and Amanda O'Hora review reimbursement and patient access challenges related to approved cell and gene-based therapies.

In this commentary, Pavel...

07/26/2022

Pharmacy Learning Network

Commentary

New CMS Rule Brings Value-Based Purchasing Arrangements to State Medicaid Pharmacy Programs

07/08/2022

Wilson Haong, PharmD, MBA, managed care pharmacy resident

Wilson Haong, PharmD, MBA, managed ca...

In this commentary, Wilson Haong, PharmD, MBA, managed care pharmacy resident, discusses details of a new CMS rule regarding value-based contracts for Medicaid programs.

In this commentary, Wilson...

07/08/2022

Pharmacy Learning Network

Commentary

4 Tips to Avoid Member Abrasion in Health Care

06/30/2022

Icario Team

In this commentary, the Icario team provides tips for health plans to use data and appropriate communication strategies to keep members engaged.

In this commentary, the Icario...

06/30/2022

First Report Managed Care

Commentary

Leveraging Population Insights and Advanced Analytics to Drive Value-Based Care

06/03/2022

John Porawski, chief technology officer, Gray Matter Analytics

John Porawski, chief technology offic...

In this commentary, John Porawski, chief technology officer, Gray Matter Analytics, explains how advanced analytics can help payers and providers improve patient outcomes and achieve value-based care goals.

In this commentary, John...

06/03/2022

Population Health

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

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

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

Podcasts

Frontline Treatment Landscape Advancements for Non-Small Cell Lung Cancer

08/28/2024

Tune in as we speak with a guest oncology expert about the progress in treating non-small cell lung cancer, targeted therapies and immunotherapy, and the challenges of early detection and screening options covered by health plans.

Tune in as we speak with a guest...

08/28/2024

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.

Commentary

Current Issue

What's Trending?

Video Insights

Subscribe to our eNewsletters!

Specialties

Events

Year Round Education

HMP Global Products