frmc Commentary

Commentary

4 Takeaways: Raise Star Ratings by Addressing the Unique Concerns of Dual Special Needs Plans

06/01/2022

Icario Team

The Icario team provides insight into why dual eligible special needs plan members are the hardest to reach and what plans can do about it.

The Icario team provides insight...

06/01/2022

First Report Managed Care

Commentary

CMS Issues 2023 Final Rule: Renewed Focus on Dual Eligibles and Member Out-of-Pocket Costs

05/05/2022

Sara Ratner, Icario

In this commentary, Sara Ratner, senior vice president, government markets and strategic initiatives, Icario, reviews requirements health plans should be aware under CMS' recently issued 2023 Final Rule.

In this commentary, Sara Ratner,...

05/05/2022

First Report Managed Care

Commentary

SDoH and Rewards: How One Innovative Plan Uses Diapers to Improve Health for Babies and Families

05/02/2022

Icario Team

A Medicaid plan launched a program to offer free diapers as an incentive for families to complete important health actions.

A Medicaid plan launched...

05/02/2022

First Report Managed Care

Commentary

2023 CMS Rate Announcement: 8.5% Revenue Boost, Changes Deferred to Rulemaking Process

04/14/2022

Sara Ratner, Icario

Sara Ratner, senior vice president, government markets and strategic initiatives, Icario, breaks down CMS' recent Rate Announcement and highlights changes to Star Rating measures.

Sara Ratner, senior vice...

04/14/2022

First Report Managed Care

Commentary

7 Digital Strategies to Level Up Member Engagement With Rewards and Incentives

04/06/2022

Icario Team

The Icario team reviews strategies health plans can use to communicate effectively with members and close gaps in care.

The Icario team reviews...

04/06/2022

First Report Managed Care

Headshots of Rahul Sharma and Lynn Carroll, HSBlox

Commentary

4 Steps to Position a Clinically Integrated Network for Value-Based Care Success

04/05/2022

Rahul Sharma, CEO, and Lynn Carroll, COO, HSBlox

Rahul Sharma, CEO, and Lynn Carroll, ...

Rahul Sharma, chief executive officer, and Lynn Carroll, chief operations officer, both from HSBlox, offer advice related to data, care access, and compensation models to optimize clinically integrated networks for value-based care.

Rahul Sharma, chief executive...

04/05/2022

First Report Managed Care

Commentary

SDoH and Health Equity: 3 Barriers to Preventive Health Screenings, How to Overcome Them

03/02/2022

Icario Team

"Social determinants of health barriers continue to exacerbate health disparities and widen gaps in care. For health plans serving Medicare and Medicaid, it’s as important as ever to know your members," writes the Icario team.

"Social determinants of health...

03/02/2022

First Report Managed Care

Commentary

2023 MA and Part D Advance Notice: CMS Focuses on Health Equity and SDoH

02/10/2022

Sara Ratner, Icario

In this commentary, Sara Ratner, senior vice president, government markets and strategic initiatives, Icario, breaks down a recent CMS advance notice, emphasizing health equity, social determinants of health, and member satisfaction.

In this commentary, Sara Ratner,...

02/10/2022

First Report Managed Care

Commentary

What Is Health Action, and How Does It Relate to Member Experience and Health Outcomes?

01/26/2022

Icario Team

In this commentary, the Icario team emphasizes the importance of health action and how plans can engage more with members to improve outcomes and reduce costs.

In this commentary, the Icario...

01/26/2022

First Report Managed Care

Commentary

2023 CMS Proposed Rule: The Impact on Medicare Advantage and Part D Plans

01/21/2022

Sara Ratner, Icario

In this commentary, Sara Ratner, senior vice president, government markets and strategic initiatives, Icario, reviews a recent CMS proposed rule that will impact Medicare Advantage and Part D plans.

In this commentary, Sara Ratner,...

01/21/2022

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

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

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