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First Report Managed Care

News

News
09/26/2025
Juliet Gallagher
A recent study examining the impact of retinal diseases highlights their significant clinical, social, and economic burden.
A recent study examining the impact of retinal diseases highlights their significant clinical, social, and economic burden.
A recent study examining the...
09/26/2025
First Report Managed Care
News
09/25/2025
Grace Taylor, MS, MA
The Trump administration is set to launch a decade-long Medicare pilot that uses artificial intelligence (AI)-driven prior authorization to curb costs, sparking bipartisan concern over access to care and patient safety.
The Trump administration is set to launch a decade-long Medicare pilot that uses artificial intelligence (AI)-driven prior authorization to curb costs, sparking bipartisan concern over access to care and patient safety.
The Trump administration is set...
09/25/2025
First Report Managed Care
News
09/25/2025
Juliet Gallagher
Insulin glargine, marketed as Semglee and its biosimilar insulin glargine-yfgn, was granted interchangeable status, allowing pharmacists to substitute it for the branded originator without requiring prescriber intervention. A new economic...
Insulin glargine, marketed as Semglee and its biosimilar insulin glargine-yfgn, was granted interchangeable status, allowing pharmacists to substitute it for the branded originator without requiring prescriber intervention. A new economic...
Insulin glargine, marketed as...
09/25/2025
First Report Managed Care
News
09/24/2025
Juliet Gallagher
A recent study published in Value in Health sheds light on the competitive dynamics of biosimilar drugs in the US, specifically examining whether first-mover advantages resemble those seen in generic drug markets.
A recent study published in Value in Health sheds light on the competitive dynamics of biosimilar drugs in the US, specifically examining whether first-mover advantages resemble those seen in generic drug markets.
A recent study published in...
09/24/2025
First Report Managed Care
Hero Image
News
09/24/2025
Danielle Sposato
Rising specialty drug costs, surging demand for GLP-1 therapies, and ongoing supply chain and policy challenges are putting patient access at risk. To address these pressures, First Report Managed Care will host a complimentary 60-minute...
Rising specialty drug costs, surging demand for GLP-1 therapies, and ongoing supply chain and policy challenges are putting patient access at risk. To address these pressures, First Report Managed Care will host a complimentary 60-minute...
Rising specialty drug costs,...
09/24/2025
First Report Managed Care
News
09/22/2025
Juliet Gallagher
A new analytical study underscores how advanced nuclear magnetic resonance (NMR) spectroscopy can sharpen head-to-head comparisons between Humira (adalimumab) and its biosimilars—particularly when products are challenged under real-world...
A new analytical study underscores how advanced nuclear magnetic resonance (NMR) spectroscopy can sharpen head-to-head comparisons between Humira (adalimumab) and its biosimilars—particularly when products are challenged under real-world...
A new analytical study...
09/22/2025
First Report Managed Care
News
09/19/2025
Juliet Gallagher
A study published in the Journal of Clinical Rheumatology found that a recent initiative at a large academic medical center significantly increased biosimilar uptake and generated substantial cost savings through targeted interventions.
A study published in the Journal of Clinical Rheumatology found that a recent initiative at a large academic medical center significantly increased biosimilar uptake and generated substantial cost savings through targeted interventions.
A study published in the Journal...
09/19/2025
First Report Managed Care
News
09/18/2025
Juliet Gallagher
A new cross-sectional survey of 249 US outpatient clinicians—150 physicians and 99 pharmacists who treat immunologic conditions—offers a timely snapshot of how front-line decision-makers view biosimilars and the US Food and Drug...
A new cross-sectional survey of 249 US outpatient clinicians—150 physicians and 99 pharmacists who treat immunologic conditions—offers a timely snapshot of how front-line decision-makers view biosimilars and the US Food and Drug...
A new cross-sectional survey of...
09/18/2025
First Report Managed Care
News
09/17/2025
Juliet Gallagher
The expansion of US Food and Drug Administration (FDA)-approved biosimilars has been heralded as a major advancement for lowering healthcare costs in the US, with the potential to reduce both system-wide expenditures and patient out-of-pocket...
The expansion of US Food and Drug Administration (FDA)-approved biosimilars has been heralded as a major advancement for lowering healthcare costs in the US, with the potential to reduce both system-wide expenditures and patient out-of-pocket...
The expansion of US Food and...
09/17/2025
First Report Managed Care
News
09/16/2025
Grace Taylor, MS, MA
Early-phase trials of the DTX101 gene therapy in hemophilia B showed manageable safety but insufficient efficacy, leading to program discontinuation while offering critical insights for future gene therapy development.
Early-phase trials of the DTX101 gene therapy in hemophilia B showed manageable safety but insufficient efficacy, leading to program discontinuation while offering critical insights for future gene therapy development.
Early-phase trials of the DTX101...
09/16/2025
First Report Managed Care

KOL Insights

Pratt Headshot
Commentary
09/26/2025
Mark Pratt
Rural health care staff members don’t just wear many hats—they often wear them all at once. In many communities, one person might be handling registration, billing, and collections while also answering phones or covering a front desk. When...
Rural health care staff members don’t just wear many hats—they often wear them all at once. In many communities, one person might be handling registration, billing, and collections while also answering phones or covering a front desk. When...
Rural health care staff members...
09/26/2025
First Report Managed Care
Holt Headshot
Commentary
09/26/2025
To succeed under new CMS value-based care models, hospitals must close the “post-acute black hole” by improving data exchange, strengthening care transitions, building high-quality post-acute partnerships, and leveraging predictive and...
To succeed under new CMS value-based care models, hospitals must close the “post-acute black hole” by improving data exchange, strengthening care transitions, building high-quality post-acute partnerships, and leveraging predictive and...
To succeed under new CMS...
09/26/2025
First Report Managed Care
Headshots
Interview
09/22/2025
Dovena Lazaridis, PharmD
In this interview, Dovena Lazaridis, PharmD, shares insights on building scalable pharmacy models that extend beyond dispensing, highlighting how population health frameworks and real-time data integration are transforming value-based care.
In this interview, Dovena Lazaridis, PharmD, shares insights on building scalable pharmacy models that extend beyond dispensing, highlighting how population health frameworks and real-time data integration are transforming value-based care.
In this interview, Dovena...
09/22/2025
First Report Managed Care
Vashi Headshot
Commentary
09/15/2025
Deepan Vashi
As we’ve covered in the earlier entries in this series, artificial intelligence (AI) is proving useful in streamlining health plan operations of all sorts. AI tools can also augment human expertise for optimal results in less structured but...
As we’ve covered in the earlier entries in this series, artificial intelligence (AI) is proving useful in streamlining health plan operations of all sorts. AI tools can also augment human expertise for optimal results in less structured but...
As we’ve covered in the earlier...
09/15/2025
First Report Managed Care
Cell & Gene Watch
08/28/2025
Joe DePinto
The cell and gene therapy pipeline is rapidly expanding into new disease areas, but realizing its full potential will require manufacturing innovation, value chain coordination, and new pricing models to balance cost, access, and scale.
The cell and gene therapy pipeline is rapidly expanding into new disease areas, but realizing its full potential will require manufacturing innovation, value chain coordination, and new pricing models to balance cost, access, and scale.
The cell and gene therapy...
08/28/2025
First Report Managed Care
Interview
08/27/2025
Kent Dicks
Kent Dicks, CEO of Life365, shares how artificial intelligence (AI), “invisible technology,” and smarter reimbursement models can overcome barriers to virtual care and remote patient monitoring, transforming health care into a more proactive,...
Kent Dicks, CEO of Life365, shares how artificial intelligence (AI), “invisible technology,” and smarter reimbursement models can overcome barriers to virtual care and remote patient monitoring, transforming health care into a more proactive,...
Kent Dicks, CEO of Life365,...
08/27/2025
First Report Managed Care
Regulatory Insights
08/25/2025
Adam Colborn, JD
HR 1 marks a major shift in health care policy, reshaping Medicaid and insurance marketplaces in ways that increase churn, reduce coverage, and cut funding—changes that managed care organizations must navigate amid rising political and...
HR 1 marks a major shift in health care policy, reshaping Medicaid and insurance marketplaces in ways that increase churn, reduce coverage, and cut funding—changes that managed care organizations must navigate amid rising political and...
HR 1 marks a major shift in...
08/25/2025
First Report Managed Care
Commentary
08/22/2025
Lynn Carroll
The Centers for Medicare & Medicaid Services PC Flex Model is accelerating behavioral health integration by giving accountable care organizations the financial flexibility to deliver whole-person care, bridging longstanding gaps in access,...
The Centers for Medicare & Medicaid Services PC Flex Model is accelerating behavioral health integration by giving accountable care organizations the financial flexibility to deliver whole-person care, bridging longstanding gaps in access,...
The Centers for Medicare &...
08/22/2025
First Report Managed Care
Interview
08/21/2025
Gordon Jaye
With more than 50 payers committing to faster, more transparent prior authorization processes, Gordon Jaye, executive director, RCM policy and industry engagement at EnableComp explores what the pledge could mean for turnaround times,...
With more than 50 payers committing to faster, more transparent prior authorization processes, Gordon Jaye, executive director, RCM policy and industry engagement at EnableComp explores what the pledge could mean for turnaround times,...
With more than 50 payers...
08/21/2025
First Report Managed Care
Interview
08/18/2025
Ryan Bullock
A health care executive from Aeroflow Health discusses how the Centers for Medicare & Medicaid Services (CMS)–driven push for interoperability standards, real-time patient data integration, expanded telehealth access, and the use of...
A health care executive from Aeroflow Health discusses how the Centers for Medicare & Medicaid Services (CMS)–driven push for interoperability standards, real-time patient data integration, expanded telehealth access, and the use of...
A health care executive from...
08/18/2025
First Report Managed Care

Issue Features

Infographic
08/06/2025
The infographic summarizes the FIBRONEER-IPF Phase 3 trial results, demonstrating nerandomilast significantly reduced the decline in forced vital capacity (FVC) over 52 weeks compared to placebo. Nerandomilast exhibited a favorable safety...
The infographic summarizes the FIBRONEER-IPF Phase 3 trial results, demonstrating nerandomilast significantly reduced the decline in forced vital capacity (FVC) over 52 weeks compared to placebo. Nerandomilast exhibited a favorable safety...
The infographic summarizes the...
08/06/2025
First Report Managed Care
Feature Story
05/12/2025
Lynn Carroll; Rahul Sharma
Health care organizations will be under increasing financial pressure in 2025 and beyond as they struggle to reduce costs while improving care quality—particularly as actions at the federal level threaten to severely disrupt the industry. Not...
Health care organizations will be under increasing financial pressure in 2025 and beyond as they struggle to reduce costs while improving care quality—particularly as actions at the federal level threaten to severely disrupt the industry. Not...
Health care organizations will...
05/12/2025
First Report Managed Care
Feature Story
05/12/2025
David J. Sand, MD, MBA; Lynn Carroll
Value-based care (VBC) is the future of health care. It is the best approach to improving patient outcomes, reducing costs and addressing overall population health through a focus on prevention, care coordination and overall wellness.
Value-based care (VBC) is the future of health care. It is the best approach to improving patient outcomes, reducing costs and addressing overall population health through a focus on prevention, care coordination and overall wellness.
Value-based care (VBC) is the...
05/12/2025
First Report Managed Care
Sponsored
03/27/2025
On behalf of Teva Pharmaceuticals, we are pleased to present the second edition of The Teva Biosimilars Trend Report. This report examines the latest issues, challenges, and developments in the rapidly evolving biosimilars market from the...
On behalf of Teva Pharmaceuticals, we are pleased to present the second edition of The Teva Biosimilars Trend Report. This report examines the latest issues, challenges, and developments in the rapidly evolving biosimilars market from the...
On behalf of Teva...
03/27/2025
First Report Managed Care
Regulatory Insights
02/27/2025
Adam Colborn, JD
The Inflation Reduction Act (IRA) of 2022 was passed as a reconciliation bill. This year, we may have two or more overlapping budget bills. They’re likely to contain some of the most significant legislation of 2025. But how are they...
The Inflation Reduction Act (IRA) of 2022 was passed as a reconciliation bill. This year, we may have two or more overlapping budget bills. They’re likely to contain some of the most significant legislation of 2025. But how are they...
The Inflation Reduction Act...
02/27/2025
First Report Managed Care

Interactive Features

Quiz
09/15/2025
Learn more about how AI tools reshape MA risk adjustment and HEDIS performance.
Learn more about how AI tools reshape MA risk adjustment and HEDIS performance.
Learn more about how AI tools...
09/15/2025
First Report Managed Care
Quiz
08/18/2025
Learn more about how real-time data integration, artificial intelligence tools, and expanded telehealth access are transforming Medicaid to deliver more equitable, efficient, and patient-centered care.
Learn more about how real-time data integration, artificial intelligence tools, and expanded telehealth access are transforming Medicaid to deliver more equitable, efficient, and patient-centered care.
Learn more about how real-time...
08/18/2025
First Report Managed Care
Quiz
08/04/2025
A study found that Medicare Advantage (MA) markets across the US were classified as highly or very highly concentrated in 2024, raising questions about the competitive dynamics of this rapidly growing insurance sector. Learn more.
A study found that Medicare Advantage (MA) markets across the US were classified as highly or very highly concentrated in 2024, raising questions about the competitive dynamics of this rapidly growing insurance sector. Learn more.
A study found that Medicare...
08/04/2025
First Report Managed Care
Poll
07/01/2025
True or False: According to leaders from the Centers for Medicare & Medicaid Services and the US Department of Health and Human Services, an industry-wide pledge aims to eliminate all prior authorization (PA) requirements by January 2026.
True or False: According to leaders from the Centers for Medicare & Medicaid Services and the US Department of Health and Human Services, an industry-wide pledge aims to eliminate all prior authorization (PA) requirements by January 2026.
True or False: According to...
07/01/2025
First Report Managed Care
Poll
01/10/2025
With Medicare Advantage under increased scrutiny and Star Ratings impacting payments, how do you think plans will adapt in 2025?
With Medicare Advantage under increased scrutiny and Star Ratings impacting payments, how do you think plans will adapt in 2025?
With Medicare Advantage under...
01/10/2025
First Report Managed Care