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COVID-19 Topic Center

Featured Article

News
Risk of Fatal Overdose Decreased With Expanded Access to Telehealth, Medications for OUD During Pandemic
04/03/2023
Fatal drug overdoses were less likely among Medicare beneficiaries during the COVID-19 pandemic due to increased access to telehealth services and medications for opioid use disorder.
Fatal drug overdoses were less likely among Medicare beneficiaries during the COVID-19 pandemic due to increased access to telehealth services and medications for opioid use disorder.
Fatal drug overdoses were less...
04/03/2023
First Report Managed Care
News
SDoH Impact COVID-19 Vaccination Rates Among Patients With Cancer
03/27/2023
Age, cancer type, and comorbidity status were among several significant factors driving COVID-19 vaccination rates for patients with cancer, new findings show.
Age, cancer type, and comorbidity status were among several significant factors driving COVID-19 vaccination rates for patients with cancer, new findings show.
Age, cancer type, and...
03/27/2023
First Report Managed Care
News
Woman Develops Retroperitoneal Fibrosis Following COVID-19 mRNA Vaccination
03/23/2023
A 58-year-old woman developed retroperitoneal fibrosis 5 weeks after receiving the second dose of the Pfizer-BioNTech COVID-19 vaccine, findings show.
A 58-year-old woman developed retroperitoneal fibrosis 5 weeks after receiving the second dose of the Pfizer-BioNTech COVID-19 vaccine, findings show.
A 58-year-old woman developed...
03/23/2023
First Report Managed Care
News
High-Throughput Assay Tracks Range of SARS-CoV-2 Vaccination Responses
03/22/2023
New research demonstrated an immunoassay was efficacious for tracking antibody responses to SARS-CoV-2 vaccination across all ages and infection history.
New research demonstrated an immunoassay was efficacious for tracking antibody responses to SARS-CoV-2 vaccination across all ages and infection history.
New research demonstrated an...
03/22/2023
First Report Managed Care
News
Meta-Analysis Supports COVID-19 Vaccines for Adults of All Ages
02/22/2023
A new meta-analysis reveals that COVID-19 vaccines can create immunity against SARS-CoV-2 infection in adults of all ages and may require extra attention for older individuals.
A new meta-analysis reveals that COVID-19 vaccines can create immunity against SARS-CoV-2 infection in adults of all ages and may require extra attention for older individuals.
A new meta-analysis reveals that...
02/22/2023
First Report Managed Care
News
Contracting COVID-19 Almost Doubles Long-Term Mortality Rate
02/21/2023
Patients who have contracted COVID-19 are at risk for a higher mortality rate than those who have never contracted the disease, findings show.
Patients who have contracted COVID-19 are at risk for a higher mortality rate than those who have never contracted the disease, findings show.
Patients who have contracted...
02/21/2023
First Report Managed Care
News
Outpatient Monoclonal Antibody Treatment Prevented Hospitalization in Patients with COVID-19 and Hematologic Malignancy
02/17/2023
Some patients with hematologic malignancy who received stem cell transplants avoided hospitalization for COVID-19 after being treated with a monoclonal antibody.
Some patients with hematologic malignancy who received stem cell transplants avoided hospitalization for COVID-19 after being treated with a monoclonal antibody.
Some patients with hematologic...
02/17/2023
First Report Managed Care
News
Rise in Telehealth Compensated for Pandemic Disruption of In-Person Mental Health Care
01/31/2023
A study involving more than 5 million commercially insured US adults revealed trends in mental health service utilization throughout 2020.
A study involving more than 5 million commercially insured US adults revealed trends in mental health service utilization throughout 2020.
A study involving more than 5...
01/31/2023
First Report Managed Care
News
Community Factors Affect Risk of Breakthrough SARS-CoV-2 in Vaccinated Adults
01/30/2023
"Vaccinated persons with SARS-CoV-2 infection during the study period had significantly lower odds of hospitalization and adverse events across all geographic areas and community exposures," researchers found.
"Vaccinated persons with SARS-CoV-2 infection during the study period had significantly lower odds of hospitalization and adverse events across all geographic areas and community exposures," researchers found.
"Vaccinated persons with...
01/30/2023
First Report Managed Care
News
A Look at COVID-19's Impact on Hospital Finances
01/27/2023
Using CMS data from 2019 and 2020, researchers studied the pandemic's impact on hospitals' financial margins, noting associations with ownership type, geographic location, and other characteristics. 
Using CMS data from 2019 and 2020, researchers studied the pandemic's impact on hospitals' financial margins, noting associations with ownership type, geographic location, and other characteristics. 
Using CMS data from 2019 and...
01/27/2023
First Report Managed Care
News
PTSD, Other Psychiatric Disorders Linked to Higher Risk of Adverse COVID-19 Outcomes
12/15/2022
People with posttraumatic stress disorder should be prioritized for COVID-19 screening and early interventions, investigators recommended.
People with posttraumatic stress disorder should be prioritized for COVID-19 screening and early interventions, investigators recommended.
People with posttraumatic stress...
12/15/2022
First Report Managed Care

Newsfeed

News
Risk of Fatal Overdose Decreased With Expanded Access to Telehealth, Medications for OUD During Pandemic
04/03/2023
Fatal drug overdoses were less likely among Medicare beneficiaries during the COVID-19 pandemic due to increased access to telehealth services and medications for opioid use disorder.
Fatal drug overdoses were less likely among Medicare beneficiaries during the COVID-19 pandemic due to increased access to telehealth services and medications for opioid use disorder.
Fatal drug overdoses were less...
04/03/2023
First Report Managed Care
News
SDoH Impact COVID-19 Vaccination Rates Among Patients With Cancer
03/27/2023
Age, cancer type, and comorbidity status were among several significant factors driving COVID-19 vaccination rates for patients with cancer, new findings show.
Age, cancer type, and comorbidity status were among several significant factors driving COVID-19 vaccination rates for patients with cancer, new findings show.
Age, cancer type, and...
03/27/2023
First Report Managed Care
News
Woman Develops Retroperitoneal Fibrosis Following COVID-19 mRNA Vaccination
03/23/2023
A 58-year-old woman developed retroperitoneal fibrosis 5 weeks after receiving the second dose of the Pfizer-BioNTech COVID-19 vaccine, findings show.
A 58-year-old woman developed retroperitoneal fibrosis 5 weeks after receiving the second dose of the Pfizer-BioNTech COVID-19 vaccine, findings show.
A 58-year-old woman developed...
03/23/2023
First Report Managed Care
News
High-Throughput Assay Tracks Range of SARS-CoV-2 Vaccination Responses
03/22/2023
New research demonstrated an immunoassay was efficacious for tracking antibody responses to SARS-CoV-2 vaccination across all ages and infection history.
New research demonstrated an immunoassay was efficacious for tracking antibody responses to SARS-CoV-2 vaccination across all ages and infection history.
New research demonstrated an...
03/22/2023
First Report Managed Care
News
Meta-Analysis Supports COVID-19 Vaccines for Adults of All Ages
02/22/2023
A new meta-analysis reveals that COVID-19 vaccines can create immunity against SARS-CoV-2 infection in adults of all ages and may require extra attention for older individuals.
A new meta-analysis reveals that COVID-19 vaccines can create immunity against SARS-CoV-2 infection in adults of all ages and may require extra attention for older individuals.
A new meta-analysis reveals that...
02/22/2023
First Report Managed Care
News
Contracting COVID-19 Almost Doubles Long-Term Mortality Rate
02/21/2023
Patients who have contracted COVID-19 are at risk for a higher mortality rate than those who have never contracted the disease, findings show.
Patients who have contracted COVID-19 are at risk for a higher mortality rate than those who have never contracted the disease, findings show.
Patients who have contracted...
02/21/2023
First Report Managed Care
News
Outpatient Monoclonal Antibody Treatment Prevented Hospitalization in Patients with COVID-19 and Hematologic Malignancy
02/17/2023
Some patients with hematologic malignancy who received stem cell transplants avoided hospitalization for COVID-19 after being treated with a monoclonal antibody.
Some patients with hematologic malignancy who received stem cell transplants avoided hospitalization for COVID-19 after being treated with a monoclonal antibody.
Some patients with hematologic...
02/17/2023
First Report Managed Care
News
Rise in Telehealth Compensated for Pandemic Disruption of In-Person Mental Health Care
01/31/2023
A study involving more than 5 million commercially insured US adults revealed trends in mental health service utilization throughout 2020.
A study involving more than 5 million commercially insured US adults revealed trends in mental health service utilization throughout 2020.
A study involving more than 5...
01/31/2023
First Report Managed Care
News
Community Factors Affect Risk of Breakthrough SARS-CoV-2 in Vaccinated Adults
01/30/2023
"Vaccinated persons with SARS-CoV-2 infection during the study period had significantly lower odds of hospitalization and adverse events across all geographic areas and community exposures," researchers found.
"Vaccinated persons with SARS-CoV-2 infection during the study period had significantly lower odds of hospitalization and adverse events across all geographic areas and community exposures," researchers found.
"Vaccinated persons with...
01/30/2023
First Report Managed Care
News
A Look at COVID-19's Impact on Hospital Finances
01/27/2023
Using CMS data from 2019 and 2020, researchers studied the pandemic's impact on hospitals' financial margins, noting associations with ownership type, geographic location, and other characteristics. 
Using CMS data from 2019 and 2020, researchers studied the pandemic's impact on hospitals' financial margins, noting associations with ownership type, geographic location, and other characteristics. 
Using CMS data from 2019 and...
01/27/2023
First Report Managed Care
News
Assessment of Individual Risk for Epilepsy After CVT Using the DIAS3 Score
11/20/2024
The DIAS3 score, developed and validated using data from over 2200 patients, is a simple clinical tool that predicts the risk of post-CVT epilepsy within 1 and 3 years, showing promise for personalized treatment and decision-making.
The DIAS3 score, developed and validated using data from over 2200 patients, is a simple clinical tool that predicts the risk of post-CVT epilepsy within 1 and 3 years, showing promise for personalized treatment and decision-making.
The DIAS3 score, developed and...
11/20/2024
First Report Managed Care
News
Using Deep Learning to Measure MS-Specific Brain Damage Beyond Aging
11/11/2024
A new study published in Neurology aimed to differentiate age-related brain changes from multiple sclerosis (MS)-specific neurodegeneration using MRI.
A new study published in Neurology aimed to differentiate age-related brain changes from multiple sclerosis (MS)-specific neurodegeneration using MRI.
A new study published in...
11/11/2024
First Report Managed Care
News
Adverse Event Data Suggest Selective β1-blockers Pose Asthma Risk
11/11/2024
The risks of asthma and asthma-like adverse events appear to be higher with selective β1-blockers than with nonselective blockers and α- and β-blockers.
The risks of asthma and asthma-like adverse events appear to be higher with selective β1-blockers than with nonselective blockers and α- and β-blockers.
The risks of asthma and...
11/11/2024
First Report Managed Care
News
RNAi Therapies Offer New Hope for Patients With Hereditary Transthyretin Amyloidosis
11/08/2024
RNA interference (RNAi)-based treatments for hereditary transthyretin amyloidosis (ATTR) have shown remarkable promise, offering new hope for patients with this rare but devastating genetic disorder.
RNA interference (RNAi)-based treatments for hereditary transthyretin amyloidosis (ATTR) have shown remarkable promise, offering new hope for patients with this rare but devastating genetic disorder.
RNA interference (RNAi)-based...
11/08/2024
First Report Managed Care
News
Revolutionary Single-Dose Gene Therapy Offers New Hope for Adults with Hemophilia B
11/08/2024
A groundbreaking gene therapy for hemophilia B has shown remarkable success in reducing bleeding episodes and improving the quality of life for adult patients, according to a recent international phase III clinical trial.
A groundbreaking gene therapy for hemophilia B has shown remarkable success in reducing bleeding episodes and improving the quality of life for adult patients, according to a recent international phase III clinical trial.
A groundbreaking gene therapy...
11/08/2024
First Report Managed Care
News
Real-World Evidence Supports Efficacy and Safety of Selexipag in Patients With Pulmonary Arterial Hypertension
11/07/2024
Real-world data shows selexipag effectively improves functional class and risk category outcomes in patients with pulmonary arterial hypertension, regardless of maintenance dose.
Real-world data shows selexipag effectively improves functional class and risk category outcomes in patients with pulmonary arterial hypertension, regardless of maintenance dose.
Real-world data shows selexipag...
11/07/2024
First Report Managed Care
News
Clinical Predictors of One-Year Seizure Freedom After SLAH
11/06/2024
A study published in Annals of Clinical and Translational Neurology aimed to predict 1-year seizure freedom for patients undergoing stereotactic laser amygdalohippocampotomy (SLAH) for mesial temporal lobe epilepsy (MTLE) using a set of...
A study published in Annals of Clinical and Translational Neurology aimed to predict 1-year seizure freedom for patients undergoing stereotactic laser amygdalohippocampotomy (SLAH) for mesial temporal lobe epilepsy (MTLE) using a set of...
A study published in Annals of...
11/06/2024
First Report Managed Care
News
Efficacy and Outcomes of Neoadjuvant Immunotherapy in Lung Cancer
11/05/2024
A meta-analysis of 43 studies suggests that neoadjuvant chemoimmunotherapy may benefit patients with resectable NSCLC and low tumor PD-L1 levels for event-free survival, showing superior outcomes compared to neoadjuvant chemotherapy.
A meta-analysis of 43 studies suggests that neoadjuvant chemoimmunotherapy may benefit patients with resectable NSCLC and low tumor PD-L1 levels for event-free survival, showing superior outcomes compared to neoadjuvant chemotherapy.
A meta-analysis of 43 studies...
11/05/2024
First Report Managed Care
News
FDA Grants Accelerated Approval for Asciminib as First-Line Treatment in Ph+CML-CP
11/01/2024
Novartis received accelerated approval by the US Food and Drug Administration (FDA) for asciminib, a medication for adult patients with newly diagnosed Philadelphia chromosome-positive chronic myeloid leukemia in chronic phase (Ph+CML-CP).
Novartis received accelerated approval by the US Food and Drug Administration (FDA) for asciminib, a medication for adult patients with newly diagnosed Philadelphia chromosome-positive chronic myeloid leukemia in chronic phase (Ph+CML-CP).
Novartis received accelerated...
11/01/2024
First Report Managed Care
News
HHS Faces Legal Action From 10 Hospitals Over 2023 Medicare Advantage Rule and Reimbursement Calculations
10/30/2024
Ten hospitals sued the US Department of Health and Human Services (HHS), claiming that they were underpaid Medicare reimbursements for serving low-income patients.
Ten hospitals sued the US Department of Health and Human Services (HHS), claiming that they were underpaid Medicare reimbursements for serving low-income patients.
Ten hospitals sued the US...
10/30/2024
First Report Managed Care

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Videos

Why Health Plans, Systems Should Work Together to Improve Care for Vulnerable Populations
Videos
Why Health Plans, Systems Should Work Together to Improve Care for Vulnerable Populations
10/08/2020
Jacob Sattelmair, CEO of Wellframe, a market-leading digital health management company, discusses the COVID-19 Chronic Condition Population Report and highlights how the findings help provide both health plans and health care organizations...
Jacob Sattelmair, CEO of Wellframe, a market-leading digital health management company, discusses the COVID-19 Chronic Condition Population Report and highlights how the findings help provide both health plans and health care organizations...
Jacob Sattelmair, CEO of...
10/08/2020
First Report Managed Care
Panel: Understanding the Use of Predictive Modeling to Track the Pandemic Spread and Associated Diagnostics
Videos
Panel: Understanding the Use of Predictive Modeling to Track the Pandemic Spread and Associated Diagnostics
09/30/2020
Scott Collins, president, Aria Marketing, leads a discussion with Ron Chiarello, PhD, founder and CEO, Alveo Technologies, and Emad Rizk, MD, president and CEO, Cotiviti, about the current state of health care and how health care systems are...
Scott Collins, president, Aria Marketing, leads a discussion with Ron Chiarello, PhD, founder and CEO, Alveo Technologies, and Emad Rizk, MD, president and CEO, Cotiviti, about the current state of health care and how health care systems are...
Scott Collins, president, Aria...
09/30/2020
First Report Managed Care
Providing the Most for Medicare Advantage Members Amid Pandemic
Videos
Providing the Most for Medicare Advantage Members Amid Pandemic
06/12/2020
Betsy Seals, principal consultant and founder, and Debra Devereaux, MBA, RPh, principal consultant and founder, both from the Rebellis Group, a managed care consulting firm, discuss actions taken by national players in the wake of COVID-19,...
Betsy Seals, principal consultant and founder, and Debra Devereaux, MBA, RPh, principal consultant and founder, both from the Rebellis Group, a managed care consulting firm, discuss actions taken by national players in the wake of COVID-19,...
Betsy Seals, principal...
06/12/2020
First Report Managed Care
How I Practice Now: Discussing the Economic Impact of COVID-19
Videos
How I Practice Now: Discussing the Economic Impact of COVID-19
04/07/2020
Brad Spellberg, MD, discusses how the pandemic has fundamentally changed medicine, impacted the economy and health insurance, and promoted the continued use of telemedicine in the future.
Brad Spellberg, MD, discusses how the pandemic has fundamentally changed medicine, impacted the economy and health insurance, and promoted the continued use of telemedicine in the future.
Brad Spellberg, MD, discusses...
04/07/2020
First Report Managed Care
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 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
Richard Lipton, MD
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 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
Alexander Spira, MD, PhD
Videos
Unmet Needs in the Treatment and Management of Non–Small Cell Lung Cancer
09/26/2024
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, 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 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
Title Card
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 Demodex blepharitis, a prevalent ocular condition that often goes undiagnosed in patients.
View a roundtable discussion on...
09/04/2024
First Report Managed Care
Jordan Bazinsky
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 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
Farrukh Awan, MD
Videos
Promising Therapies and Clinical Trials for Chronic Lymphocytic Leukemia
08/14/2024
Farrukh Awan, MD, highlights promising therapies and clinical trials within the field of chronic lymphocytic leukemia (CLL).
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
Hayward
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 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
Lucille Accetta Headshot
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 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 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

Podcasts

Payer Insights: Cost-Sharing Changes Amid Increased COVID-19 Telehealth Visits
Podcasts
Payer Insights: Cost-Sharing Changes Amid Increased COVID-19 Telehealth Visits
10/14/2020
Ben Isgur, health research institute leader, PwC, discusses recent news from insurers who announced they are reversing their decisions to waive telehealth copays, and provides a future outlook on how the health care landscape should change in...
Ben Isgur, health research institute leader, PwC, discusses recent news from insurers who announced they are reversing their decisions to waive telehealth copays, and provides a future outlook on how the health care landscape should change in...
Ben Isgur, health research...
10/14/2020
First Report Managed Care
Important Factors to Consider While Navigating Through the Pandemic
Podcasts
Important Factors to Consider While Navigating Through the Pandemic
07/17/2020
Brett Zelkind, senior vice president of business development and Eric Zerneke, chief commercial officer, both at CredSimple, explain why social determinants of health and the uptake in telehealth should be considered throughout the navigation...
Brett Zelkind, senior vice president of business development and Eric Zerneke, chief commercial officer, both at CredSimple, explain why social determinants of health and the uptake in telehealth should be considered throughout the navigation...
Brett Zelkind, senior vice...
07/17/2020
First Report Managed Care
Ed
Podcasts
Improving Adherence With Long-Acting Antiretroviral Therapy for HIV
11/15/2024
Join our in-depth discussion about the challenges of HIV treatment, the importance of adherence to antiretroviral therapy, and how long-acting ART can improve treatment outcomes.
Join our in-depth discussion about the challenges of HIV treatment, the importance of adherence to antiretroviral therapy, and how long-acting ART can improve treatment outcomes.
Join our in-depth discussion...
11/15/2024
First Report Managed Care
Sid Devarakonda
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 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
Owens
Podcasts
Understanding the Impact of Formulary Exclusions on Medication Adherence
03/28/2024

Featuring Gary Owens, MD, president of Gary Owens Associates

Featuring Gary Owens, MD, president o...
Join us as guest expert Gary Owens discusses how formulary exclusions can impact patient medication adherence and lead to adverse economic outcomes, making the need for non-medical switching and formulary exception requests an important issue...
Join us as guest expert Gary Owens discusses how formulary exclusions can impact patient medication adherence and lead to adverse economic outcomes, making the need for non-medical switching and formulary exception requests an important issue...
Join us as guest expert Gary...
03/28/2024
First Report Managed Care
Prajapati Podcast
Podcasts
Standardizing the Field of Digital Medicine: Insights from an Industry Expert
02/27/2024

Featuring Yash Prajapati, consultant at ZS Associates 

Featuring Yash Prajapati, consultant ...
Join us in exploring the challenges and opportunities in the development, approval, and integration of digital therapeutic solutions with ZS Associates Consultant Yash Prajapati.
Join us in exploring the challenges and opportunities in the development, approval, and integration of digital therapeutic solutions with ZS Associates Consultant Yash Prajapati.
Join us in exploring the...
02/27/2024
First Report Managed Care
Shomali Podcast
Podcasts
Expanding Diabetes Care
02/27/2024

Featuring Mansur Shomali, MD, chief medical officer at Welldoc, endocrinologist at MedStar Health 

Featuring Mansur Shomali, MD, chief m...
Discover how digital therapeutics are revolutionizing disease management, patient care, reducing health care costs, and more with Dr Mansur Shomali, CMO at Welldoc.
Discover how digital therapeutics are revolutionizing disease management, patient care, reducing health care costs, and more with Dr Mansur Shomali, CMO at Welldoc.
Discover how digital...
02/27/2024
First Report Managed Care
Larry Hsu Headshot
Podcasts
Expert Insights into Value-Based Care for Polymyalgia Rheumatica
01/11/2024
A doctor and expert in value-based care offers insights into treatment costs and treatment regimens for patients with polymyalgia rheumatica.
A doctor and expert in value-based care offers insights into treatment costs and treatment regimens for patients with polymyalgia rheumatica.
A doctor and expert in...
01/11/2024
First Report Managed Care
Podcasts
New Treatment Option Helps Address Nonadherence Among Patients With HIV
01/08/2024
An expert discusses the HIV treatment option Cabenuva, and explains why this is a more convenient way to deliver long-acting antiretroviral therapy to patients who either do not want to take a daily pill, or who are just wanting to break the...
An expert discusses the HIV treatment option Cabenuva, and explains why this is a more convenient way to deliver long-acting antiretroviral therapy to patients who either do not want to take a daily pill, or who are just wanting to break the...
An expert discusses the HIV...
01/08/2024
First Report Managed Care
Podcasts
A Payer's Perspective on Value-Based Care and Treatment Costs for Rheumatic Conditions
11/06/2023
Dr Steven Peskin, general internal medicine specialist and CEO of SRP Advisors, joins us today to discuss value-based care and treatment costs for patients with rheumatic conditions.
Dr Steven Peskin, general internal medicine specialist and CEO of SRP Advisors, joins us today to discuss value-based care and treatment costs for patients with rheumatic conditions.
Dr Steven Peskin, general...
11/06/2023
First Report Managed Care
alpesh amin
Podcasts
How Does CDI Impact Health Care Utilization, Costs in Older Patients?
10/23/2023
Alpesh Amin, MD, MBA , professor and chair, University of California, discusses the results of a recent study, and explains why better treatments to reduce primary C difficile infection and recurrences in older adults can lower the mortality...
Alpesh Amin, MD, MBA , professor and chair, University of California, discusses the results of a recent study, and explains why better treatments to reduce primary C difficile infection and recurrences in older adults can lower the mortality...
Alpesh Amin, MD, MBA , professor...
10/23/2023
First Report Managed Care
Iltefat Hamzavi, MD
Podcasts
Reviewing the Benefit, Importance of a Vitiligo Treatment
08/28/2023
Iltefat Hamzavi, MD, Department of Dermatology, Henry Ford Medical Center, discusses his recent research letter that addresses the benefits of ruxolitinib cream for the treatment of vitiligo, and highlights the clinically meaningful use of...
Iltefat Hamzavi, MD, Department of Dermatology, Henry Ford Medical Center, discusses his recent research letter that addresses the benefits of ruxolitinib cream for the treatment of vitiligo, and highlights the clinically meaningful use of...
Iltefat Hamzavi, MD, Department...
08/28/2023
First Report Managed Care

Insights

Headshot of Dr Michael Stearns, Wolters Kluwer, Health Language
Interview
2022 Risk Adjustment Factor Scores: Changing Tech, Data Strategies Postpandemic
03/10/2022
Michael Stearns, MD, CPC, CRC, CFPC, specialized consulting director of medical informatics, Wolters Kluwer, Health Language, breaks down how payers must approach risk adjustment factor scores differently after the pandemic disrupted regular...
Michael Stearns, MD, CPC, CRC, CFPC, specialized consulting director of medical informatics, Wolters Kluwer, Health Language, breaks down how payers must approach risk adjustment factor scores differently after the pandemic disrupted regular...
Michael Stearns, MD, CPC, CRC,...
03/10/2022
First Report Managed Care
Looking Ahead: Three Imperatives for Recovering Health Systems
Commentary
Looking Ahead: Three Imperatives for Recovering Health Systems
02/25/2021
"While hospitals dealt with the sudden patient influx caused by COVID-19, distributors confronted the challenge of maintaining a steady supply of essential products and medications to treat a disease that seemed almost invincible," said...
"While hospitals dealt with the sudden patient influx caused by COVID-19, distributors confronted the challenge of maintaining a steady supply of essential products and medications to treat a disease that seemed almost invincible," said...
"While hospitals dealt with the...
02/25/2021
First Report Managed Care
Identifying High-Risk COVID Patients Through Early Symptoms, Contributing Factors Before Testing
Interview
Identifying High-Risk COVID Patients Through Early Symptoms, Contributing Factors Before Testing
12/10/2020
Nancy A Dreyer, chief scientific officer and senior vice president, Real World Solutions, IQVIA Cambridge, MA, provides insight into her latest study in which she and her coresearchers identified factors that could imply COVID-19 positivity...
Nancy A Dreyer, chief scientific officer and senior vice president, Real World Solutions, IQVIA Cambridge, MA, provides insight into her latest study in which she and her coresearchers identified factors that could imply COVID-19 positivity...
Nancy A Dreyer, chief scientific...
12/10/2020
First Report Managed Care
How Payers Can Continue to Prepare to Cover Patients With COVID-19, Hematologic Malignancies
Interview
How Payers Can Continue to Prepare to Cover Patients With COVID-19, Hematologic Malignancies
12/09/2020
Gary Owens, MD, president, Gary Owens Associates, explains the unique treatment landscape among patients with both COVID-19 and hematologic malignancies, and explains why payers will need to be aware of this complex and high-cost subgroup and...
Gary Owens, MD, president, Gary Owens Associates, explains the unique treatment landscape among patients with both COVID-19 and hematologic malignancies, and explains why payers will need to be aware of this complex and high-cost subgroup and...
Gary Owens, MD, president, Gary...
12/09/2020
First Report Managed Care
Knowledge of Health Guidelines, Prescription Medications Among Patients With COVID-19 in Home Quarantine Helps Develop Health Policy
Interview
Knowledge of Health Guidelines, Prescription Medications Among Patients With COVID-19 in Home Quarantine Helps Develop Health Policy
12/01/2020
Mohamed E. A. Abdelrahim, PhD, professor of clinical pharmacy, Beni-suef University, Egypt, explains why adequate instructions for COVID-19 patients under home quarantine are continually needed to help decrease disease spread as well as help...
Mohamed E. A. Abdelrahim, PhD, professor of clinical pharmacy, Beni-suef University, Egypt, explains why adequate instructions for COVID-19 patients under home quarantine are continually needed to help decrease disease spread as well as help...
Mohamed E. A. Abdelrahim, PhD,...
12/01/2020
First Report Managed Care
Three Strategies to Combat the COVID Determinants of Health
Commentary
Three Strategies to Combat the COVID Determinants of Health
11/05/2020
“Like SDoH, COVID Determinants of Health (CdoH) predominantly focuses on conditions influencing health outcomes that are not related to health care. More than ever before, and recognizing CDoH’s influence, it is crucial that health plans...
“Like SDoH, COVID Determinants of Health (CdoH) predominantly focuses on conditions influencing health outcomes that are not related to health care. More than ever before, and recognizing CDoH’s influence, it is crucial that health plans...
“Like SDoH, COVID Determinants...
11/05/2020
First Report Managed Care
Interview
Poor Outcomes, Increased Risk of Pulmonary Complications Among Obese Patients With COVID-19
11/03/2020
Tara S Kim, MD, director of weight management programs at Lenox Hill Hospital, and Eun Ji Kim, MD, MS, assistant professor at the Donald and Barbara Zucker School of Medicine, discuss the association between BMI and clinical outcomes among...
Tara S Kim, MD, director of weight management programs at Lenox Hill Hospital, and Eun Ji Kim, MD, MS, assistant professor at the Donald and Barbara Zucker School of Medicine, discuss the association between BMI and clinical outcomes among...
Tara S Kim, MD, director of...
11/03/2020
First Report Managed Care
Payer Insights: Cost-Sharing Changes Amid Increased COVID-19 Telehealth Visits
Podcasts
Payer Insights: Cost-Sharing Changes Amid Increased COVID-19 Telehealth Visits
10/14/2020
Ben Isgur, health research institute leader, PwC, discusses recent news from insurers who announced they are reversing their decisions to waive telehealth copays, and provides a future outlook on how the health care landscape should change in...
Ben Isgur, health research institute leader, PwC, discusses recent news from insurers who announced they are reversing their decisions to waive telehealth copays, and provides a future outlook on how the health care landscape should change in...
Ben Isgur, health research...
10/14/2020
First Report Managed Care
Interview
How Payers Can Prepare for Coverage Challenges Among Patients With COVID, Hematologic Malignancies
10/13/2020
Edmund Pezalla, MD, MPH, CEO, Enlightenment Bioconsult LLC, discusses how payers can prepare for billing and coverage challenges for COVID treatments in the patient populations experiencing hematologic malignancies, and provides insight on...
Edmund Pezalla, MD, MPH, CEO, Enlightenment Bioconsult LLC, discusses how payers can prepare for billing and coverage challenges for COVID treatments in the patient populations experiencing hematologic malignancies, and provides insight on...
Edmund Pezalla, MD, MPH, CEO,...
10/13/2020
First Report Managed Care
Why Health Plans, Systems Should Work Together to Improve Care for Vulnerable Populations
Videos
Why Health Plans, Systems Should Work Together to Improve Care for Vulnerable Populations
10/08/2020
Jacob Sattelmair, CEO of Wellframe, a market-leading digital health management company, discusses the COVID-19 Chronic Condition Population Report and highlights how the findings help provide both health plans and health care organizations...
Jacob Sattelmair, CEO of Wellframe, a market-leading digital health management company, discusses the COVID-19 Chronic Condition Population Report and highlights how the findings help provide both health plans and health care organizations...
Jacob Sattelmair, CEO of...
10/08/2020
First Report Managed Care

Interactive Features

Poll
Next Steps for Managed Care Professionals During COVID-19
04/03/2020
Significant change is still to come in the fight against COVID-19. First Report Managed Care would like to open the conversation between managed care professionals by providing a space to share concerns and discuss the days to come.
Significant change is still to come in the fight against COVID-19. First Report Managed Care would like to open the conversation between managed care professionals by providing a space to share concerns and discuss the days to come.
Significant change is still to...
04/03/2020
First Report Managed Care
Poll
How is COVID-19 Impacting Managed Care Markets?
03/19/2020
As COVID-19 continues to affect industries of all kinds, First Report Managed Care wants to know how managed care markets are being impacted. Please take a moment to share your experiences during the pandemic, as well as any expectations for...
As COVID-19 continues to affect industries of all kinds, First Report Managed Care wants to know how managed care markets are being impacted. Please take a moment to share your experiences during the pandemic, as well as any expectations for...
As COVID-19 continues to affect...
03/19/2020
First Report Managed Care
Poll
COVID-19 News Coverage Updates
03/12/2020
As we continue to cover the outbreak of COVID-19, First Report Managed Care wants to ensure that its readers are provided with the most relevant developments related to the managed care market space.
As we continue to cover the outbreak of COVID-19, First Report Managed Care wants to ensure that its readers are provided with the most relevant developments related to the managed care market space.
As we continue to cover the...
03/12/2020
First Report Managed Care

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FRMC Volume 21, Issue 3

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September 2024
Volume 21
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News
Aging workforce strains Social Security, Medicare
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First Report Managed Care
News
Ackman, Valeant Pledge Reforms After Spiking Drug Prices
04/28/2016
Activist investor William Ackman promised U.S. lawmakers on Wednesday that he will urge the board of Valeant Pharmaceuticals (VRX.TO) to reduce the high prices of four life-saving drugs that are now at the heart of two congressional probes.
Activist investor William Ackman promised U.S. lawmakers on Wednesday that he will urge the board of Valeant Pharmaceuticals (VRX.TO) to reduce the high prices of four life-saving drugs that are now at the heart of two congressional probes.
Activist investor William Ackman...
04/28/2016
First Report Managed Care
Icario logo.
Commentary
Eight Surprising Medicaid Health Risk Assessment Mistakes
03/15/2023
Icario Team
The Icario team shares 8 mistakes Medicaid plans may be making when reaching out to members to complete their health risk assessments, as well as best practices to improve the process.
The Icario team shares 8 mistakes Medicaid plans may be making when reaching out to members to complete their health risk assessments, as well as best practices to improve the process.
The Icario team shares 8...
03/15/2023
First Report Managed Care
Feature
Study Finds Apixaban Reduces Stroke Risk in Atrial Fibrillation Patients
06/21/2011
When compared with aspirin, apixaban was found to reduce the risk of stroke or systemic embolism in patients with atrial fibrillation.
When compared with aspirin, apixaban was found to reduce the risk of stroke or systemic embolism in patients with atrial fibrillation.
When compared with aspirin,...
06/21/2011
First Report Managed Care
News
Medicare mistakenly pays for Viagra
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03/15/2011
First Report Managed Care

Video Insights

Why Health Plans, Systems Should Work Together to Improve Care for Vulnerable Populations
Videos
Why Health Plans, Systems Should Work Together to Improve Care for Vulnerable Populations
10/08/2020
Jacob Sattelmair, CEO of Wellframe, a market-leading digital health management company, discusses the COVID-19 Chronic Condition Population Report and highlights how the findings help provide both health plans and health care organizations...
Jacob Sattelmair, CEO of Wellframe, a market-leading digital health management company, discusses the COVID-19 Chronic Condition Population Report and highlights how the findings help provide both health plans and health care organizations...
Jacob Sattelmair, CEO of...
10/08/2020
First Report Managed Care
Panel: Understanding the Use of Predictive Modeling to Track the Pandemic Spread and Associated Diagnostics
Videos
Panel: Understanding the Use of Predictive Modeling to Track the Pandemic Spread and Associated Diagnostics
09/30/2020
Scott Collins, president, Aria Marketing, leads a discussion with Ron Chiarello, PhD, founder and CEO, Alveo Technologies, and Emad Rizk, MD, president and CEO, Cotiviti, about the current state of health care and how health care systems are...
Scott Collins, president, Aria Marketing, leads a discussion with Ron Chiarello, PhD, founder and CEO, Alveo Technologies, and Emad Rizk, MD, president and CEO, Cotiviti, about the current state of health care and how health care systems are...
Scott Collins, president, Aria...
09/30/2020
First Report Managed Care
Providing the Most for Medicare Advantage Members Amid Pandemic
Videos
Providing the Most for Medicare Advantage Members Amid Pandemic
06/12/2020
Betsy Seals, principal consultant and founder, and Debra Devereaux, MBA, RPh, principal consultant and founder, both from the Rebellis Group, a managed care consulting firm, discuss actions taken by national players in the wake of COVID-19,...
Betsy Seals, principal consultant and founder, and Debra Devereaux, MBA, RPh, principal consultant and founder, both from the Rebellis Group, a managed care consulting firm, discuss actions taken by national players in the wake of COVID-19,...
Betsy Seals, principal...
06/12/2020
First Report Managed Care
How I Practice Now: Discussing the Economic Impact of COVID-19
Videos
How I Practice Now: Discussing the Economic Impact of COVID-19
04/07/2020
Brad Spellberg, MD, discusses how the pandemic has fundamentally changed medicine, impacted the economy and health insurance, and promoted the continued use of telemedicine in the future.
Brad Spellberg, MD, discusses how the pandemic has fundamentally changed medicine, impacted the economy and health insurance, and promoted the continued use of telemedicine in the future.
Brad Spellberg, MD, discusses...
04/07/2020
First Report Managed Care
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 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
Richard Lipton, MD
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 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
Alexander Spira, MD, PhD
Videos
Unmet Needs in the Treatment and Management of Non–Small Cell Lung Cancer
09/26/2024
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, 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 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
Title Card
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 Demodex blepharitis, a prevalent ocular condition that often goes undiagnosed in patients.
View a roundtable discussion on...
09/04/2024
First Report Managed Care
Jordan Bazinsky
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 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
Farrukh Awan, MD
Videos
Promising Therapies and Clinical Trials for Chronic Lymphocytic Leukemia
08/14/2024
Farrukh Awan, MD, highlights promising therapies and clinical trials within the field of chronic lymphocytic leukemia (CLL).
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
Hayward
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 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
Lucille Accetta Headshot
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 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 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

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