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Survey Finds Widespread Use of Shadow AI in US Health Care
01/26/2026
Juliet Gallagher
Health care workers across the United States are increasingly using artificial intelligence tools that have not been approved by their organizations, raising concerns about patient safety and data security. According to a new survey published...
Health care workers across the United States are increasingly using artificial intelligence tools that have not been approved by their organizations, raising concerns about patient safety and data security. According to a new survey published...
Health care workers across the...
01/26/2026
First Report Managed Care
News
US Senator Urges EHR Vendors to Expand Patient Data Controls
01/20/2026
Hannah Musick
A US senator is urging electronic health record vendors to adopt patient-facing controls that limit who can access medical data, aiming to strengthen cybersecurity while preserving interoperability.
A US senator is urging electronic health record vendors to adopt patient-facing controls that limit who can access medical data, aiming to strengthen cybersecurity while preserving interoperability.
A US senator is urging...
01/20/2026
First Report Managed Care
News
Marketplace Open Enrollment Tops 22.8 Million Selections for 2026 Coverage
01/16/2026
Grace Taylor, MS, MA
The Centers for Medicare & Medicaid Services (CMS) reports that nearly 22.8 million Americans selected 2026 Marketplace health plans during open enrollment, underscoring continued demand for Affordable Care Act (ACA) coverage across federal...
The Centers for Medicare & Medicaid Services (CMS) reports that nearly 22.8 million Americans selected 2026 Marketplace health plans during open enrollment, underscoring continued demand for Affordable Care Act (ACA) coverage across federal...
The Centers for Medicare &...
01/16/2026
First Report Managed Care
News
CMS Launches BALANCE Model to Expand GLP-1 Coverage in US
01/13/2026
Grace Taylor, MS, MA
The Centers for Medicare & Medicaid Services (CMS) has launched a new voluntary model that could reshape GLP-1 access nationwide by lowering prices, standardizing coverage, and integrating lifestyle care across Medicare Part D and Medicaid.
The Centers for Medicare & Medicaid Services (CMS) has launched a new voluntary model that could reshape GLP-1 access nationwide by lowering prices, standardizing coverage, and integrating lifestyle care across Medicare Part D and Medicaid.
The Centers for Medicare &...
01/13/2026
First Report Managed Care
News
Johnson & Johnson Reaches US Drug Pricing Agreement With Trump Administration
01/09/2026
Grace Taylor, MS, MA
Johnson & Johnson has struck a voluntary agreement with the Trump Administration to lower US drug prices, expand patient access, and accelerate billions in domestic pharmaceutical manufacturing investments.
Johnson & Johnson has struck a voluntary agreement with the Trump Administration to lower US drug prices, expand patient access, and accelerate billions in domestic pharmaceutical manufacturing investments.
Johnson & Johnson has struck a...
01/09/2026
First Report Managed Care
Rutzler Headshot
Commentary
Clean-up Your Defenses: Why Health Plans Can't Afford to Wait on Fraud Hygiene
12/08/2025
Erin Rutzler
Health plans must urgently shift from reactive, manual fraud efforts to proactive, technology-driven prepay strategies—supported by unified teams and expert talent—to combat increasingly fast, sophisticated fraud, waste, and abuse schemes and...
Health plans must urgently shift from reactive, manual fraud efforts to proactive, technology-driven prepay strategies—supported by unified teams and expert talent—to combat increasingly fast, sophisticated fraud, waste, and abuse schemes and...
Health plans must urgently shift...
12/08/2025
First Report Managed Care
Quiz
Monitoring AI Automation
11/25/2025
True or False: The transformation of traditional health care call centers into “smart access hubs” relies entirely on artificial intelligence (AI) to manage all patient interactions and scheduling.
True or False: The transformation of traditional health care call centers into “smart access hubs” relies entirely on artificial intelligence (AI) to manage all patient interactions and scheduling.
True or False: The...
11/25/2025
First Report Managed Care
News
Independence Health System to Join WVU Medicine in Major Regional Integration
11/25/2025
Juliet Gallagher
Independence Health System, a five-hospital network serving western Pennsylvania, announced plans to join the West Virginia University Health System (WVU Medicine) in fall 2026. The move, disclosed Wednesday, will bring Independence’s...
Independence Health System, a five-hospital network serving western Pennsylvania, announced plans to join the West Virginia University Health System (WVU Medicine) in fall 2026. The move, disclosed Wednesday, will bring Independence’s...
Independence Health System, a...
11/25/2025
First Report Managed Care
Dyke Headshot
Commentary
Amid Competing Performance Improvement Dollars, Call Center Advancements Take Center Stage
11/25/2025
David Dyke
Amid competing performance improvement dollars, call center advancements have moved center stage as health care organizations strive to improve patient access and experience. Reactive call centers, characterized by long wait times, complex...
Amid competing performance improvement dollars, call center advancements have moved center stage as health care organizations strive to improve patient access and experience. Reactive call centers, characterized by long wait times, complex...
Amid competing performance...
11/25/2025
First Report Managed Care
News
Global Integrated Delivery Network Market to Surpass $34 Billion by 2034
11/17/2025
Lisa Kuhns, PhD, MD
The global integrated delivery network (IDN) market is set for robust expansion, projected to grow from USD 13.41 billion in 2025 to USD 34.05 billion by 2034, at a compound annual growth rate (CAGR) of 10.91%.
The global integrated delivery network (IDN) market is set for robust expansion, projected to grow from USD 13.41 billion in 2025 to USD 34.05 billion by 2034, at a compound annual growth rate (CAGR) of 10.91%.
The global integrated delivery...
11/17/2025
First Report Managed Care
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