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Interviews

Interview

Revolutionizing Health Care With ACOs: Vytalize Health's Role in Value-Based Care

01/24/2024

Featuring Faris Ghawi, co-founder and CEO, Vytalize Health

Featuring Faris Ghawi, co-founder and...

Vytalize Health, as an ACO REACH entity, assumes full risk for the cost and quality of care, sharing upside incentives with primary and nonprimary care providers based on predefined metrics. Faris Ghawi offers insights into how ACOs like...

Vytalize Health, as an ACO REACH...

01/24/2024

First Report Managed Care

Interview

Rimidi CEO Discusses Innovative Partnership With Brighter Day Health Foundation to Tackle Chronic Care in Underserved Communities

01/24/2024

Featuring Lucienne Ide, MD, PhD, founder and CEO of Rimidi

Featuring Lucienne Ide, MD, PhD, foun...

Rimidi has partnered with the Brighter Day Health Foundation to bring chronic disease management to underserved populations through church-based wellness clinics, providing remote patient monitoring supported by Medicare reimbursement and...

Rimidi has partnered with the...

01/24/2024

First Report Managed Care

Interview

Navigating Coding Changes and Rare Disease Genetic Testing Challenges

01/19/2024

Featuring Jason Bush, PhD, executive vice president of product at Avalon Healthcare Solutions

Featuring Jason Bush, PhD, executive ...

The rapid growth of genetic testing, the challenges it presents for the rare disease community, clinicians, and payers, and the impact on coding practices are explored with Jason Bush, executive vice president of product at Avalon Healthcare...

The rapid growth of genetic...

01/19/2024

First Report Managed Care

Interview

Exploring Automation for Hospital-at-Home Care Coordination

01/19/2024

Featuring Cindy Gaines, MSN, RN, chief clinical transformation officer at Lumeon

Featuring Cindy Gaines, MSN, RN, chie...

The health care industry increasingly focuses on hospital-at-home and alternative care models due to bed shortages and staffing issues. Hospital-at-home care, existing since 1995, gained recent attention as organizations struggle with patient...

The health care industry...

01/19/2024

First Report Managed Care

Interview

Ventric Health Unveils Vivio®, a Non-Invasive Revolutionary Device Designed to Detect Early Signs of Heart Failure

01/12/2024

Sean Brady, CEO and co-founder of Ventric Health

Sean Brady, CEO and co-founder of Ven...

"I think what's unique about Vivio is that we're able to accurately, non-invasively, and easily fit into existing workflows to measure this LVEDP, which is really the gold standard—the diagnostic piece of information for diagnosing heart...

"I think what's unique about...

01/12/2024

First Report Managed Care

Interview

Navigating Medicare Advantage Risk Adjustment Plan Changes

01/09/2024

Featuring Calum Yacoubian, MD, director of NLP Healthcare Strategy at IQVIA

Featuring Calum Yacoubian, MD, direct...

Learn about significant changes in the Medicare Advantage Risk Adjustment model (transitioning from version 24 to 28) for payers and providers and the importance of accurate coding and the use of technologies like AI and natural language...

Learn about significant changes...

01/09/2024

First Report Managed Care

Interview

Understanding the Implications of Medicare Advantage Growth

11/30/2023

Featuring Michael Gould, Associate Vice President of Interoperability Strategy at ZeOmega, and Cindy Henry, PMP, Director of Population Health Informatics at ZeOmega

Featuring Michael Gould, Associate Vi...

Learn about the growth of Medicare Advantage and its impact on the health care industry. Michael Gould and Cindy Henry discuss the popularity of Medicare Advantage plans, the potential effects of new regulations, and the importance of strong...

Learn about the growth of...

11/30/2023

First Report Managed Care

Interview

The Quintuple Aims of Improving Health Care Outcomes and the Impact of Medication Adherence

11/01/2023

Featuring Jason Rose, CEO, AdhereHealth

Featuring Jason Rose, CEO, AdhereHeal...

Jason Rose, CEO of AdhereHealth, shares how social determinants of health, such as access to transportation or affordable housing, significantly impact medication adherence by creating barriers for patients in terms of obtaining and taking...

Jason Rose, CEO of AdhereHealth,...

11/01/2023

First Report Managed Care

Interview

Innovating Prior Authorization With Responsible AI

10/27/2023

Featuring Sam Roushan, Senior Vice President of Clinical Transformation, Cohere Health

Featuring Sam Roushan, Senior Vice Pr...

Sam Roushan, Senior Vice President of Clinical Transformation at Cohere Health, shares how responsible AI is informed with sound clinical knowledge and can stay within ethical and legal boundaries and benefit payers, providers, and patients.

Sam Roushan, Senior Vice...

10/27/2023

First Report Managed Care

Interview

Q&A – Incyte Ingenuity Awards in Vitiligo

10/26/2023

Featuring Todd Edwards, Group Vice President & Head of the Dermatology Business Unit at Incyte

Featuring Todd Edwards, Group Vice Pr...

Todd Edwards, Group Vice President & Head of the Dermatology Business Unit at Incyte, delves into the topic of vitiligo. Drawing from his extensive 20+ years of experience in the pharmaceutical industry, which includes prominent leadership...

Todd Edwards, Group Vice...

10/26/2023

First Report Managed Care

Current Issue

September 2024

Volume 21

Issue 3

Current Issue

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News Connection

UnitedHealth, Optum Survey Shows AI Adoption Is Growing More Popular in Health Care

11/20/2019

Results from the second OptumIQ survey of 500 US health professionals found that confidence and investment in artificial intelligence (AI) to improve health care is growing exponentially and that funding AI-related projects has also increased.

Results from the second OptumIQ...

11/20/2019

First Report Managed Care

News

Universal coverage may not eliminate health disparities

03/28/2011

First Report Managed Care

News

Prescription Drug Prices Still Growing Strong

03/17/2011

First Report Managed Care

News

Judge Wilkinson Hints that Overturning Obamacare Would Be a Mistake

05/04/2012

First Report Managed Care

News

Stroke Outcomes Improve After Mesenchymal Stem Cell Transplantation

06/03/2016

Surgical transplantation of bone marrow-derived mesenchymal stem cells (SB623) is associated with improved clinical outcomes in patients with stable, chronic stroke, according to results from a phase 1/2a study.

Surgical transplantation of bone...

06/03/2016

First Report Managed Care

Video Insights

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.

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.

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