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CMS Announces Increased Participation in ACO Initiatives to Improve Care for Medicare Patients

02/02/2024

The Centers for Medicare & Medicaid Services (CMS) has announced increased participation and investment in accountable care organization (ACO) initiatives to improve the quality of care for patients with Medicare and address disparities in...

The Centers for Medicare &...

02/02/2024

First Report Managed Care

News

HCSC Acquires Cigna's Medicare Business in Multi-Billion Dollar Deal

02/01/2024

Hannah Musick ;

Cigna plans to sell its Medicare business to Health Care Service Corporation for $3.3 billion, leaving the company without a foothold in a sector that has been a major growth engine for the health-insurance industry, as Medicare insurers face...

Cigna plans to sell its Medicare...

02/01/2024

First Report Managed Care

News

Retrospective Study Shows Potential of Dexamethasone Implant for Treatment-Resistant Diabetic Macular Edema

02/01/2024

Hannah Musick ;

“The study’s findings provide insights into improving visual acuity and reducing macular thickness, along with manageable IOP changes,” said researchers. “This personalized approach is a valuable addition to DME management, especially for...

“The study’s findings provide...

02/01/2024

First Report Managed Care

News

Risk of MS Lower in People Living With HIV

01/10/2024

Jolynn Tumolo ;

People living with HIV have a lower risk of multiple sclerosis, according to an article published ahead of print in Annals of Neurology.

People living with HIV have a...

01/10/2024

First Report Managed Care

News

Subthreshold Micropulse Laser Equivalent to Standard Laser Therapy for DME

01/10/2024

Jolynn Tumolo ;

Subthreshold micropulse laser therapy was comparable in both efficacy and cost to standard laser therapy in patients with diabetic macular edema (DME) with central retinal thickness less than 400 μm, according to a noninferiority trial...

Subthreshold micropulse laser...

01/10/2024

First Report Managed Care

News

Inhibiting HIF-1 and its Downstream RPE Products: A Novel Therapeutic Avenue for Choroidal Neovascularization in Age-Related Macular Degeneration

01/05/2024

Lisa Kuhns , PhD, MD;

Increased expression of HIF-1α in retinal pigment epithelium (RPE) cells subjected to oxidative stress promotes choroidal neovascularization (CNV) in patients with age-related macular degeneration (AMD), while inadequate HIF-1α expression in...

Increased expression of HIF-1α...

01/05/2024

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News

Evaluating the Demographic and Socioeconomic Factors Contributing to Asthma Disparities in the US

12/21/2023

Hannah Musick ;

“Asthma affects certain groups disproportionately,” said researchers. “The findings of this paper suggesting asthma disparities continue to persist may increase public health programs awareness to better deliver effective and evidence-based...

“Asthma affects certain groups...

12/21/2023

First Report Managed Care

News

Bimekizumab Demonstrates Rapid and Sustained Efficacy in Treating NrxSpA, Regardless of Prior TNF Inhibitor Exposure

12/21/2023

Hannah Musick ;

A new monoclonal antibody, bimekizumab (BKZ), demonstrated promising results in improving efficacy outcomes for patients with axial spondyloarthritis (axSpA), even in those who have lost response to TNF inhibitors or are intolerant to them,...

A new monoclonal antibody,...

12/21/2023

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News

Comparing the Cost-Effectiveness of Phototherapy and Biologics for Psoriasis and Atopic Dermatitis Treatment

12/21/2023

Hannah Musick ;

"This study is necessary to allow physicians, patients, and health systems to make informed decisions regarding cost-efficacy for a variety of treatment options," said researchers.

"This study is necessary to...

12/21/2023

First Report Managed Care

News

Trends and Factors Influencing Biosimilar Utilization for Preventing Febrile Neutropenia in Patients With Cancer

12/21/2023

Hannah Musick ;

“This cross-sectional study found that utilization of G-CSFs increased among patients with cancer with high FN risk in both a commercially and Medicare-insured population, but 14% to 17% of patients still did not receive preventive...

“This cross-sectional study...

12/21/2023

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Projections of Hepatitis C and Advanced Liver Disease

10/22/2012

San Diego—Between 2008 and 2015, the number of patients with advanced liver disease is expected to increase from 195,000 to 601,000, with people born from 1945 to 1964 representing >75% of the cases, according to a study of adjudicated...

San Diego—Between 2008 and 2015,...

10/22/2012

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News

CMS to Investigate Improper Steering of Medicare, Medicaid Patients to ACA Plans

08/19/2016

The CMS told provider and provider-affliated organizations to stop steering Medicare eligible patients into insurance plans on the ACA Marketplace.

The CMS told provider and...

08/19/2016

First Report Managed Care

News

Categorizing Disease Activity in Ankylosing Spondylitis: SASDAS vs ASDAS

09/09/2022

Jolynn Tumolo ;

Researchers compared the Ankylosing Spondylitis Disease Activity Score to a simplified version of the tool to categorize patients’ disease.

Researchers compared the...

09/09/2022

First Report Managed Care

News Connection

Platelet Inhibition to Bridge Patients for CABG

03/16/2012

Mary Mihalovic ;

The use of cangrelor, an intravenous antagonist of the P2Y12 receptor, to bridge patients after they discontinue antiplatelet therapy in preparation for coronary artery bypass graft (CABG) surgery, was shown to effectively provide platelet...

The use of cangrelor, an...

03/16/2012

First Report Managed Care

News

The Basic Health Program Option under Federal Health Reform: Issues for Consumers and States

04/08/2011

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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