Mary Beth Nierengarten

Integrating Social Determinants of Health Into Clinical Care

11/20/2020

A newly launched program to integrate social determinants of health into clinical care is putting into practice what many health policymakers, plans, and providers are increasingly trying to get their heads around—how to more fully and...

A newly launched program to...

11/20/2020

First Report Managed Care

CMS Final Rule on Medicaid Managed Care Programs

05/17/2016

Mary Beth Nierengarten ;

On Monday, April 25, 2016, the Centers for Medicare & Medicaid Services (CMS) released its final rule updating managed care in Medicaid and the Children’s Health Insurance Program (CHIP). Overall, nearly 900 individuals and organizations...

On Monday, April 25, 2016, the...

05/17/2016

Population Health

tREACH Study Results for Early RA Treatments

02/19/2014

Mary Beth Nierengarten ;

San Diego—In patients with early rheumatoid arthritis (RA), treatment with triple disease-modifying antirheumatic drug (DMARD) therapy was found superior to methotrexate monotherapy, even after 12 months of therapy. The superior benefit of...

San Diego—In patients with early...

02/19/2014

First Report Managed Care

Reducing Fraud, Waste, and Abuse in Small Health Insurance Plans

05/24/2012

Mary Beth Nierengarten ;

San Francisco—Efforts to reduce fraud, waste, and abuse (FWA) in the US healthcare system are getting a boost from the federal government under the Patient Protection and Affordable Care Act that is allotting $350 million over the next 10...

San Francisco—Efforts to reduce...

05/24/2012

First Report Managed Care

Conference Insider

Serious Infections in Patients with Autoimmune Diseases

02/22/2012

Mary Beth Nierengarten ;

Chicago—The risk of serious infection was not significantly increased in patients with autoimmune diseases initiating treatment with tumor necrosis factor (TNF) antagonists compared with those treated with nonbiologic disease regimens, even...

Chicago—The risk of serious...

02/22/2012

First Report Managed Care

Feature Story

Drug Utilization Management Overhaul

09/16/2021

Mary Beth Nierengarten ;

With the ever-increasing costs of drugs, experts are looking more closely at methods to contain costs for payers and improve affordability and access for patients; however, some stakeholders foresee added barriers stemming from utilization...

With the ever-increasing costs...

09/16/2021

First Report Managed Care

Adoption of Value-Based Reimbursement Among Private Insurers

04/19/2019

Mary Beth Nierengarten ;

As the federal government moves toward adopting and expanding value-based payment models, private market providers and payers are striving to smoothly transition to the new models, furthering the transformation of thought and practice of how...

As the federal government moves...

04/19/2019

First Report Managed Care

Concerns of the Emerging Biosimilars Market

07/14/2015

Mary Beth Nierengarten ;

The anticipated arrival of the first biosimilar in the United States came on March 6, 2015, with the FDA’s approval of ZarxioTM (filgras- tim-sndz).

The anticipated arrival of the...

07/14/2015

First Report Managed Care

Quality Measures to Assess Quality of Neonatal ICUs

04/22/2013

Mary Beth Nierengarten ;

Results of a study show that individual measures of quality provide only a modest association with overall quality of neonatal intensive care units (NICUs).

Results of a study show that...

04/22/2013

First Report Managed Care

ACR Recommendations for Treating Rheumatoid Arthritis

02/22/2012

Mary Beth Nierengarten ;

Chicago—New recommendations for the treatment of rheumatoid arthritis (RA) are near completion and will provide evidence-based recommendations on a number of issues related to the use of biologics and traditional disease-modifying...

Chicago—New recommendations for...

02/22/2012

First Report Managed Care