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Interview
Weighing the Cost-Saving Benefits of Shifting Medicare Part B Drugs to Part D
02/06/2019
Nina Jain, MD, MBA and colleagues analyzed how the proposed changes to shift certain drugs from Medicare Part B to Part D will save costs for payers and patients.
Nina Jain, MD, MBA and colleagues analyzed how the proposed changes to shift certain drugs from Medicare Part B to Part D will save costs for payers and patients.
Nina Jain, MD, MBA and...
02/06/2019
First Report Managed Care
From First Report Managed Care
News
US Insurer Language is Too Difficult for Majority of Target Audience
02/05/2019
Ineffective language is creating barriers in health insurance coverage for the 65 year and older population, according to a report released by VisibleThread, a content analysis company that specializes in readability. The report sampled...
Ineffective language is creating barriers in health insurance coverage for the 65 year and older population, according to a report released by VisibleThread, a content analysis company that specializes in readability. The report sampled...
Ineffective language is creating...
02/05/2019
First Report Managed Care
From First Report Managed Care
Podcasts
Steven Lieberman, MD, Discusses Positive Trends in VA Wait Times
02/05/2019
In this expert commentary, Steven Lieberman, MD, acting principal deputy under secretary for health at the Veterans Health Administration, explains the history of wait times within the VA and discusses how they have improved in recent years...
In this expert commentary, Steven Lieberman, MD, acting principal deputy under secretary for health at the Veterans Health Administration, explains the history of wait times within the VA and discusses how they have improved in recent years...
In this expert commentary,...
02/05/2019
Veterans Health Today
From Veterans Health Today
Poll
Review of the VA and Department of Homeland Security`s Recent Partnership
02/01/2019
Do you think the VA and Department of Homeland Security's recent partnership will help lower suicide rates among veterans?
Do you think the VA and Department of Homeland Security's recent partnership will help lower suicide rates among veterans?
Do you think the VA and...
02/01/2019
Veterans Health Today
From Veterans Health Today
Commentary
Providing Health Care Access to Undocumented Immigrants
01/31/2019
While the nation undergoes turbulent times surrounding illegal immigration, New York City and California are offering plans to cover undocumented immigrants. First Report Managed Care reached out to its panel of experts for their take on...
While the nation undergoes turbulent times surrounding illegal immigration, New York City and California are offering plans to cover undocumented immigrants. First Report Managed Care reached out to its panel of experts for their take on...
While the nation undergoes...
01/31/2019
First Report Managed Care
From First Report Managed Care
Newsfeed
CMS Proposes Medicare Advantage and Part D Changes to Maximize Competition and Coverage
01/31/2019
The Centers for Medicare & Medicaid Services released Part II of proposed changes to Medicare Advantage and Part D that will increase plan choices, add new benefits, and address the opioid crisis.
The Centers for Medicare & Medicaid Services released Part II of proposed changes to Medicare Advantage and Part D that will increase plan choices, add new benefits, and address the opioid crisis.
The Centers for Medicare &...
01/31/2019
First Report Managed Care
From First Report Managed Care
Newsfeed
Washington Offers Winner-Take-All Deal in HCV Treatment Subscription Model
01/30/2019
Officials in Washington take a Netflix model of subscription for purchasing hepatitis C drugs further by planning to sign a winner-take-all deal with a pharmaceutical company.
Officials in Washington take a Netflix model of subscription for purchasing hepatitis C drugs further by planning to sign a winner-take-all deal with a pharmaceutical company.
Officials in Washington take a...
01/30/2019
First Report Managed Care
From First Report Managed Care
Newsfeed
Improved Care for Veterans in Rural Areas With Clinical Pharmacist Support Program
01/30/2019
For more than 100,000 veterans in rural areas, a clinical pharmacist health program significantly improved access to care, which wouldn’t have been provided without advance practice pharmacists.
For more than 100,000 veterans in rural areas, a clinical pharmacist health program significantly improved access to care, which wouldn’t have been provided without advance practice pharmacists.
For more than 100,000 veterans...
01/30/2019
Veterans Health Today
From Veterans Health Today
Newsfeed
Cost Savings for Patients Switching from Analog to Human Insulin
01/29/2019
Results published in JAMA show that patients with type 2 diabetes enrolled in a Medicare Part D plan successfully switched to human insulin from analog, saved on costs and maintained glycemic levels.  
Results published in JAMA show that patients with type 2 diabetes enrolled in a Medicare Part D plan successfully switched to human insulin from analog, saved on costs and maintained glycemic levels.  
Results published in JAMA show...
01/29/2019
First Report Managed Care
From First Report Managed Care
Newsfeed
VA, DHS Team Up to Combat Veteran Suicide
01/29/2019
In an effort to further prevent suicides among US veterans, the VA and Department of Homeland Security will work together to promote mental health awareness and suicide prevention resources.
In an effort to further prevent suicides among US veterans, the VA and Department of Homeland Security will work together to promote mental health awareness and suicide prevention resources.
In an effort to further prevent...
01/29/2019
Veterans Health Today
From Veterans Health Today
Newsfeed
Exclusive-CVS to Cover Migraine Drugs from Teva, Lilly; Excludes AMGEN
01/25/2019
One of the top U.S. managers of pharmacy benefits, CVS, added new migraine drugs from Teva Pharmaceutical Industries and Eli Lilly and Co to its list of covered drugs
One of the top U.S. managers of pharmacy benefits, CVS, added new migraine drugs from Teva Pharmaceutical Industries and Eli Lilly and Co to its list of covered drugs
One of the top U.S. managers of...
01/25/2019
First Report Managed Care
From First Report Managed Care

Newsfeed

News
US Insurer Language is Too Difficult for Majority of Target Audience
02/05/2019
Ineffective language is creating barriers in health insurance coverage for the 65 year and older population, according to a report released by VisibleThread, a content analysis company that specializes in readability. The report sampled...
Ineffective language is creating barriers in health insurance coverage for the 65 year and older population, according to a report released by VisibleThread, a content analysis company that specializes in readability. The report sampled...
Ineffective language is creating...
02/05/2019
First Report Managed Care
News
Cheaper Health Plan Options Coming to States Where Many Insurers Have Left
11/26/2018
Premiums are lower as choices increase in many parts of the country. But the financial relief is not enough to erase the price hikes that have been imposed in recent years.
Premiums are lower as choices increase in many parts of the country. But the financial relief is not enough to erase the price hikes that have been imposed in recent years.
Premiums are lower as choices...
11/26/2018
First Report Managed Care
News
Hospitals Follow Pharma In Direct-To-Consumer Advertising
11/20/2018
Hospitals are increasingly advertising medical services directly to patients to enhance their national brands. 
Hospitals are increasingly advertising medical services directly to patients to enhance their national brands. 
Hospitals are increasingly...
11/20/2018
First Report Managed Care
News
Big Pharma Leaves Big Gaps: Drugmakers Urged to do More for Poor
11/20/2018
Many of the world's top drugmakers are not doing enough to provide medicines to poor countries, leaving big gaps in access to treatments in crucial disease areas, including cancer, according to a new report. 
Many of the world's top drugmakers are not doing enough to provide medicines to poor countries, leaving big gaps in access to treatments in crucial disease areas, including cancer, according to a new report. 
Many of the world's top...
11/20/2018
First Report Managed Care
News
More Payer Options to be Available in 2019 ACA Marketplaces
11/16/2018
According to a new report from the Kaiser Family Foundation, the Affordable Care Act exchanges are expected to have more competition in 2019.
According to a new report from the Kaiser Family Foundation, the Affordable Care Act exchanges are expected to have more competition in 2019.
According to a new report from...
11/16/2018
First Report Managed Care
News
Impact of Medicare Billing Changes Varies by Specialty
11/14/2018
The proposed collapsing of payment amounts for levels 2 to 5 evaluation and management services by CMS would have different financial impacts on different specialties, researchers report.
The proposed collapsing of payment amounts for levels 2 to 5 evaluation and management services by CMS would have different financial impacts on different specialties, researchers report.
The proposed collapsing of...
11/14/2018
First Report Managed Care
News
Walmart, Home Depot Adopt Health Insurer Tactic in Drug Copay Battle
11/13/2018
Walmart and Home Depot have embraced a health insurance strategy that punishes drugmakers for using discount cards to keep patients from switching or stopping their medications.
Walmart and Home Depot have embraced a health insurance strategy that punishes drugmakers for using discount cards to keep patients from switching or stopping their medications.
Walmart and Home Depot have...
11/13/2018
First Report Managed Care
News
Andy Slavitt Discusses Barriers to Triple Aim in Health Systems
11/12/2018
In a recent JAMA commentary, former CMS Administrator Andy Slavitt, MBA, discussed the Triple Aim, which is often used as a guide for American health policy and care delivery, and explained the threats facing it.
In a recent JAMA commentary, former CMS Administrator Andy Slavitt, MBA, discussed the Triple Aim, which is often used as a guide for American health policy and care delivery, and explained the threats facing it.
In a recent JAMA commentary,...
11/12/2018
First Report Managed Care
News
AHIP Addresses Social Determinants of Health, Aims to Improve Housing Stability
11/09/2018

Dean Celia

Dean Celia
“Ultimately, strategies to address the social determinants are about improving consumer health, reducing consumer costs, and improving customer satisfaction,” said Rashi Venkataraman, AHIP’s executive director of Prevention and Population...
“Ultimately, strategies to address the social determinants are about improving consumer health, reducing consumer costs, and improving customer satisfaction,” said Rashi Venkataraman, AHIP’s executive director of Prevention and Population...
“Ultimately, strategies to...
11/09/2018
First Report Managed Care
News
CMS Announces Revisions for Medicaid, CHIP Managed Care Regulations
11/08/2018
CMS has announced regulatory revisions aimed at streamlining the 2016 managed care regulatory framework.
CMS has announced regulatory revisions aimed at streamlining the 2016 managed care regulatory framework.
CMS has announced regulatory...
11/08/2018
First Report Managed Care
News
Increased Scrutiny of Prior Authorization: Are Payers Fully to Blame, and Can AI Improve the Process?
04/05/2024
Dean Celia
The increased scrutiny of prior authorization, highlighted by media reports and government actions, prompts debate over payer responsibility while exploring the potential for AI to enhance the process.
The increased scrutiny of prior authorization, highlighted by media reports and government actions, prompts debate over payer responsibility while exploring the potential for AI to enhance the process.
The increased scrutiny of prior...
04/05/2024
First Report Managed Care
News
PhRMA Maps Provide State-by-State Look at 340B Drug Program
04/05/2024
Paul Nicolaus
An interactive map made available by the Pharmaceutical Research and Manufacturers of America (PhRMA), a drugmaker advocacy group, shares state-specific data on the 340B Drug Pricing Program. The federal program, initially created over 30...
An interactive map made available by the Pharmaceutical Research and Manufacturers of America (PhRMA), a drugmaker advocacy group, shares state-specific data on the 340B Drug Pricing Program. The federal program, initially created over 30...
An interactive map made...
04/05/2024
First Report Managed Care
News
FTC and HHS Launch Joint Inquiry into Generic Drug Shortages: Seeking Public Input on GPOs and Wholesalers
02/16/2024

Danielle Sposato

Danielle Sposato
In a news release published on February 14, 2024, the US Department of Health and Human Services (HHS) issued a "Request for Information" in collaboration with the Federal Trade Commission (FTC). This request aims to gain insight into how...
In a news release published on February 14, 2024, the US Department of Health and Human Services (HHS) issued a "Request for Information" in collaboration with the Federal Trade Commission (FTC). This request aims to gain insight into how...
In a news release published on...
02/16/2024
First Report Managed Care
News
Medicare Drug Price Negotiations and Anticipated Ripple Effects
02/15/2024
Paul Nicolaus
The arrival of the Inflation Reduction Act has ushered in a new era of drug price regulation, giving the Centers for Medicare & Medicaid Services (CMS) the ability to negotiate directly with companies that make some of the costliest drugs...
The arrival of the Inflation Reduction Act has ushered in a new era of drug price regulation, giving the Centers for Medicare & Medicaid Services (CMS) the ability to negotiate directly with companies that make some of the costliest drugs...
The arrival of the Inflation...
02/15/2024
First Report Managed Care
News
Injectable PrEP Overall Acceptable, Preferred for HIV Prevention
07/15/2023
Maria Asimopoulos
“Given overall acceptability, injectable PrEP should be included as part of a menu of prevention options, allowing end-users to select the modality that suits their preferences, needs and lifestyle,” researchers advised.
“Given overall acceptability, injectable PrEP should be included as part of a menu of prevention options, allowing end-users to select the modality that suits their preferences, needs and lifestyle,” researchers advised.
“Given overall acceptability,...
07/15/2023
First Report Managed Care
News
First Gene Therapy for Severe Hemophilia A Is Approved
06/29/2023

Amanda Balbi

Amanda Balbi
This approval comes after a safety and effectiveness trial showed that the treatment improved participants’ annualized bleeding rate after 3 years.
This approval comes after a safety and effectiveness trial showed that the treatment improved participants’ annualized bleeding rate after 3 years.
This approval comes after a...
06/29/2023
Population Health
News
Low Rate of Social Determinants of Health Z Codes in Adults With Hypertension
06/26/2023
Jolynn Tumolo
Researchers examined the presence and use of ICD-10-CM social determinants of health (SDOH)-related Z codes among adults with hypertension and found differences in documentation and medical expenditures.
Researchers examined the presence and use of ICD-10-CM social determinants of health (SDOH)-related Z codes among adults with hypertension and found differences in documentation and medical expenditures.
Researchers examined the...
06/26/2023
First Report Managed Care
News
CDC Data Shows Link Between High Costs and Prescription Nonadherence in Adults
06/21/2023
Julie Gould
In 2021, medication nonadherence among adults was associated with costs, gender, disability status, insurance coverage, and other characteristics.
In 2021, medication nonadherence among adults was associated with costs, gender, disability status, insurance coverage, and other characteristics.
In 2021, medication nonadherence...
06/21/2023
First Report Managed Care
News
Blood Pressure Injections Recalled
05/26/2023
Jolynn Tumolo
Several thousand products containing phenylephrine and norepinephrine were recalled due to a lack of sterility assurance.
Several thousand products containing phenylephrine and norepinephrine were recalled due to a lack of sterility assurance.
Several thousand products...
05/26/2023
Pharmacy Learning Network
News
Astral SteriTech Recalls 5 Injections Manufactured for 4 US Clients
05/26/2023
Jolynn Tumolo
The recalls, designated Class II by the US Food and Drug Administration, impact a variety of antibiotic injections.
The recalls, designated Class II by the US Food and Drug Administration, impact a variety of antibiotic injections.
The recalls, designated Class II...
05/26/2023
Pharmacy Learning Network

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Insights

Interview
Weighing the Cost-Saving Benefits of Shifting Medicare Part B Drugs to Part D
02/06/2019
Nina Jain, MD, MBA and colleagues analyzed how the proposed changes to shift certain drugs from Medicare Part B to Part D will save costs for payers and patients.
Nina Jain, MD, MBA and colleagues analyzed how the proposed changes to shift certain drugs from Medicare Part B to Part D will save costs for payers and patients.
Nina Jain, MD, MBA and...
02/06/2019
First Report Managed Care
Podcasts
Steven Lieberman, MD, Discusses Positive Trends in VA Wait Times
02/05/2019
In this expert commentary, Steven Lieberman, MD, acting principal deputy under secretary for health at the Veterans Health Administration, explains the history of wait times within the VA and discusses how they have improved in recent years...
In this expert commentary, Steven Lieberman, MD, acting principal deputy under secretary for health at the Veterans Health Administration, explains the history of wait times within the VA and discusses how they have improved in recent years...
In this expert commentary,...
02/05/2019
Veterans Health Today
Commentary
Providing Health Care Access to Undocumented Immigrants
01/31/2019
While the nation undergoes turbulent times surrounding illegal immigration, New York City and California are offering plans to cover undocumented immigrants. First Report Managed Care reached out to its panel of experts for their take on...
While the nation undergoes turbulent times surrounding illegal immigration, New York City and California are offering plans to cover undocumented immigrants. First Report Managed Care reached out to its panel of experts for their take on...
While the nation undergoes...
01/31/2019
First Report Managed Care
Commentary
Advances in Health Care: New Trade Pact Strengthens Incentives for Drug Companies
01/25/2019
Peter Pitts, former associate commissioner with the FDA and president of the Center for Medicine in the Public Interest, discusses recent agreements finalized by the White House, United States, Mexico, and Canada, and he explains why this new...
Peter Pitts, former associate commissioner with the FDA and president of the Center for Medicine in the Public Interest, discusses recent agreements finalized by the White House, United States, Mexico, and Canada, and he explains why this new...
Peter Pitts, former associate...
01/25/2019
First Report Managed Care
Commentary
Peter Pitts Discusses Drug Price Increases and the Impact on Patient Outcomes
01/09/2019
In this expert commentary, Peter Pitts, former associate commissioner of the FDA and president of the Center for Medicine in the Public Interest, examines the implications of recent 2019 drug price increases.
In this expert commentary, Peter Pitts, former associate commissioner of the FDA and president of the Center for Medicine in the Public Interest, examines the implications of recent 2019 drug price increases.
In this expert commentary, Peter...
01/09/2019
First Report Managed Care
Commentary
Revisiting Amazon’s Foray into Health Care
12/07/2018
We asked experts about Amazon in 2017, but so much has happened since. First Report Managed Care recently sought their updated analysis on the heels of the tech giant’s recent moves.
We asked experts about Amazon in 2017, but so much has happened since. First Report Managed Care recently sought their updated analysis on the heels of the tech giant’s recent moves.
We asked experts about Amazon in...
12/07/2018
First Report Managed Care
Podcasts
Parag Joshi, MD, Discusses Guidelines, Cost-Effectiveness of Cholesterol-Lowering Drugs
12/07/2018
In this podcast, Parag Joshi, MD, discusses the 2018 cholesterol guidelines and how these cholesterol-lowering drugs can be used in practice. He also discusses the cost-effectiveness of PCSK9 inhibitors.
In this podcast, Parag Joshi, MD, discusses the 2018 cholesterol guidelines and how these cholesterol-lowering drugs can be used in practice. He also discusses the cost-effectiveness of PCSK9 inhibitors.
In this podcast, Parag...
12/07/2018
First Report Managed Care
Commentary
Competition, Preferences Within a New Class of Drugs
10/26/2018
Competition within a new class of drugs often leads to a balance between plan coverage and coverage requirements benefiting patients, payers, and manufacturers; so, I wanted to provide an overview of the class landscape today.
Competition within a new class of drugs often leads to a balance between plan coverage and coverage requirements benefiting patients, payers, and manufacturers; so, I wanted to provide an overview of the class landscape today.
Competition within a new class...
10/26/2018
First Report Managed Care
Commentary
Effects of Indication-Based Formulary Design
09/27/2018
A recent Centers for Medicare & Medicaid Services (CMS) announcement has seemingly come and gone without the amount of discussion I thought we would see when I first heard about it.
A recent Centers for Medicare & Medicaid Services (CMS) announcement has seemingly come and gone without the amount of discussion I thought we would see when I first heard about it.
A recent Centers for Medicare &...
09/27/2018
First Report Managed Care
Commentary
High Hopes for CVS’ Use of ICER Drug Pricing
09/21/2018
Although no other health system in the world is perfect, I believe reviewing the coverage of drugs within the context of their overall economic value is a strength other health systems have shown to be effective.
Although no other health system in the world is perfect, I believe reviewing the coverage of drugs within the context of their overall economic value is a strength other health systems have shown to be effective.
Although no other health system...
09/21/2018
First Report Managed Care

Interactive Features

Poll
Review of the VA and Department of Homeland Security`s Recent Partnership
02/01/2019
Do you think the VA and Department of Homeland Security's recent partnership will help lower suicide rates among veterans?
Do you think the VA and Department of Homeland Security's recent partnership will help lower suicide rates among veterans?
Do you think the VA and...
02/01/2019
Veterans Health Today

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Population Health Newsletter

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Review
End-of-Life Nutrition: Is Tube Feeding the Solution?
10/17/2013

Liz Friedrich, MPH, RD, CSG, LDN

Series Editor: Liz Friedrich, MPH, RD, CSG, LDN

Liz Friedrich, MPH, RD, CSG, LDN Ser...
One decision regarding nutrition care is whether to use percutaneous endoscopic gastrostomy (PEG) tube feeding in elderly or terminally ill residents.
One decision regarding nutrition care is whether to use percutaneous endoscopic gastrostomy (PEG) tube feeding in elderly or terminally ill residents.
One decision regarding nutrition...
10/17/2013
Annals of Long-Term Care
News
U.S. Waives Health Insurance Minimums for 1 Million
10/07/2010
10/07/2010
First Report Managed Care
News
Glycemic Index Shouldn`t Concern People without Diabetes
01/22/2015
Non-diabetics don't need to worry about where a food falls on the glycemic index - even if they're overweight or obese, according to a new study.
Non-diabetics don't need to worry about where a food falls on the glycemic index - even if they're overweight or obese, according to a new study.
Non-diabetics don't need to...
01/22/2015
Pharmacy Learning Network
News
Beta-Blocker Recalled
02/02/2023
Jolynn Tumolo
A prescription beta-blocker is under a Class II recall for failing to meet dissolution specifications.
A prescription beta-blocker is under a Class II recall for failing to meet dissolution specifications.
A prescription beta-blocker is...
02/02/2023
Pharmacy Learning Network
Fewer ADHD Symptoms Seen in Girls Active in Youth Sports
10/14/2020
Consistent participation in extracurricular sports during the elementary school years predicted fewer attention-deficit/hyperactivity disorder (ADHD) symptoms at age 12 in girls—but not in boys, according to a study in Preventive...
Consistent participation in extracurricular sports during the elementary school years predicted fewer attention-deficit/hyperactivity disorder (ADHD) symptoms at age 12 in girls—but not in boys, according to a study in Preventive...
Consistent participation in...
10/14/2020
Population Health

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