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August 2012 - FRMC

Physicians Surveyed about Strategies to Contain Costs
08/14/2013
Tori Socha
Strategies suggested to curb increasing healthcare costs in the United States often focus on physicians, calling for reductions in waste and increased conservative stewardship of resources. Noting the importance of physicians’ perspectives on...
Strategies suggested to curb increasing healthcare costs in the United States often focus on physicians, calling for reductions in waste and increased conservative stewardship of resources. Noting the importance of physicians’ perspectives on...
Strategies suggested to curb...
08/14/2013
First Report Managed Care
MEK Inhibition in BRAF-Mutated Melanoma
08/16/2012
Kevin L. Carter
Until recently, there was no systemic therapy shown to improve overall survival among patients with metastatic melanoma, and only modest improvements were observed with interferon as an adjuvant drug. Ipilimumab, a monoclonal antibody...
Until recently, there was no systemic therapy shown to improve overall survival among patients with metastatic melanoma, and only modest improvements were observed with interferon as an adjuvant drug. Ipilimumab, a monoclonal antibody...
Until recently, there was no...
08/16/2012
First Report Managed Care
Combination Chemotherapy in Advanced Adrenocortical Carcinoma
08/16/2012
Kevin L. Carter
The 5-year survival rate for adrenocortical carcinoma, a rare cancer with a poor prognosis, is <15% among patients with metastatic disease. Mitotane is the only drug approved for the treatment of adrenocortical carcinoma and is used both...
The 5-year survival rate for adrenocortical carcinoma, a rare cancer with a poor prognosis, is <15% among patients with metastatic disease. Mitotane is the only drug approved for the treatment of adrenocortical carcinoma and is used both...
The 5-year survival rate for...
08/16/2012
First Report Managed Care
Rapid Whole-Genome Sequencing in a Neonatal MRSA Outbreak
08/16/2012
Kevin L. Carter
Although rapid whole-genome sequencing has been successfully used as a research tool with discriminatory power in outbreaks, it is also potentially useful for its possible clinical utility in a diagnostic setting. A compelling target is...
Although rapid whole-genome sequencing has been successfully used as a research tool with discriminatory power in outbreaks, it is also potentially useful for its possible clinical utility in a diagnostic setting. A compelling target is...
Although rapid whole-genome...
08/16/2012
First Report Managed Care
Radioiodine Ablation in Patients with Low-Risk Thyroid Cancer
08/16/2012
Kevin L. Carter
The administration of radioiodine (131I) has traditionally been part of therapy to patients with thyroid cancer after thyroidectomy; however, it is unclear whether this administration provides any benefit after a complete surgical resection....
The administration of radioiodine (131I) has traditionally been part of therapy to patients with thyroid cancer after thyroidectomy; however, it is unclear whether this administration provides any benefit after a complete surgical resection....
The administration of...
08/16/2012
First Report Managed Care
Patterns of Antiamyloid-β Antibodies in Typical and Atypical Alzheimer Disease
08/16/2012
Kevin L. Carter
A major feature of Alzheimer disease (AD) is the deposition of brain amyloid-β (Aβ) peptide. IgG antibodies directed to Aβ naturally occur in the elderly, and their serum and cerebrospinal fluid levels may be significantly altered in the...
A major feature of Alzheimer disease (AD) is the deposition of brain amyloid-β (Aβ) peptide. IgG antibodies directed to Aβ naturally occur in the elderly, and their serum and cerebrospinal fluid levels may be significantly altered in the...
A major feature of Alzheimer...
08/16/2012
First Report Managed Care
Ablation with Low-Dose Radioiodine and Thyrotropin Alfa in Thyroid Cancer
08/16/2012
Kevin L. Carter
Thyroid cancer is the most common endocrine cancer, with >48,000 new cases occurring each year in the United States. Most cases are differentiated thyroid cancer, which is associated with a high 10-year survival rate of 90% to 95%. Many...
Thyroid cancer is the most common endocrine cancer, with >48,000 new cases occurring each year in the United States. Most cases are differentiated thyroid cancer, which is associated with a high 10-year survival rate of 90% to 95%. Many...
Thyroid cancer is the most...
08/16/2012
First Report Managed Care
Short Sleep Duration and Risk for Strokes
08/16/2012
Tim Casey
Boston—Researchers found an association between adults of normal weight sleeping <6 hours per night and an increased risk of stroke symptoms, according to an analysis of 5666 people who were part of a large study that has tracked patients...
Boston—Researchers found an association between adults of normal weight sleeping <6 hours per night and an increased risk of stroke symptoms, according to an analysis of 5666 people who were part of a large study that has tracked patients...
Boston—Researchers found an...
08/16/2012
First Report Managed Care
Zolpidem Tartrate Sublingual Tablets to Treat Insomnia
08/16/2012
Tim Casey
Boston—According to a post hoc analysis of a double-blind, placebo-controlled cross-over study, patients who took 1.75 mg and 3.5 mg of zolpidem tartrate sublingual tablets had a significantly shorter time to sleep compared with those who...
Boston—According to a post hoc analysis of a double-blind, placebo-controlled cross-over study, patients who took 1.75 mg and 3.5 mg of zolpidem tartrate sublingual tablets had a significantly shorter time to sleep compared with those who...
Boston—According to a post hoc...
08/16/2012
First Report Managed Care
Aggressive BP Treatment Has No Benefit in Cardiovascular Disease Risk
08/16/2012
Tim Casey
Philadelphia—A subanalysis of a major randomized blood pressure trial found that patients who are centrally obese and have type 2 diabetes do not benefit in terms of cardiovascular disease risk when they are treated aggressively to lower...
Philadelphia—A subanalysis of a major randomized blood pressure trial found that patients who are centrally obese and have type 2 diabetes do not benefit in terms of cardiovascular disease risk when they are treated aggressively to lower...
Philadelphia—A subanalysis of a...
08/16/2012
First Report Managed Care
Study Finds PCMH Model with Diabetes Focus Works
08/16/2012
Eileen Koutnik-Fotopoulos
Philadelphia—Because a majority of diabetes patients are treated in the primary care setting, this has been a focus for diabetes improvement efforts. The patient-centered medical home (PCMH) model has gained national attention as an...
Philadelphia—Because a majority of diabetes patients are treated in the primary care setting, this has been a focus for diabetes improvement efforts. The patient-centered medical home (PCMH) model has gained national attention as an...
Philadelphia—Because a majority...
08/16/2012
First Report Managed Care
Study Identifies Gaps in Diabetes Treatment
08/16/2012
Eileen Koutnik-Fotopoulos
Philadelphia—As the prevalence of diabetes continues to expand, the need for evidence-based management is becoming increasingly crucial. A study identified several clinical aspects of management of type 2 diabetes that warrant more education...
Philadelphia—As the prevalence of diabetes continues to expand, the need for evidence-based management is becoming increasingly crucial. A study identified several clinical aspects of management of type 2 diabetes that warrant more education...
Philadelphia—As the prevalence...
08/16/2012
First Report Managed Care
Chronic Kidney Disease Underdiagnosed in Patients with Type 2 Diabetes
08/16/2012
Tim Casey
Philadelphia—A multicenter, cross-sectional, observational study found that clinicians had a poor record of diagnosing chronic kidney disease (CKD) in patients with type 2 diabetes. Prior to visiting a primary care clinic, only 12.1% of the...
Philadelphia—A multicenter, cross-sectional, observational study found that clinicians had a poor record of diagnosing chronic kidney disease (CKD) in patients with type 2 diabetes. Prior to visiting a primary care clinic, only 12.1% of the...
Philadelphia—A multicenter,...
08/16/2012
First Report Managed Care
Association between Adherence to Basal Insulin and Hypoglycemia
08/16/2012
Tim Casey
Philadelphia—Managing patients with type 2 diabetes remains a major challenge, particularly when it comes to medication adherence, according to findings from an online, cross-sectional survey of patients and healthcare professionals. The...
Philadelphia—Managing patients with type 2 diabetes remains a major challenge, particularly when it comes to medication adherence, according to findings from an online, cross-sectional survey of patients and healthcare professionals. The...
Philadelphia—Managing patients...
08/16/2012
First Report Managed Care
Insulin Glargine Has Neutral Effect on CV Outcomes and Cancers
08/16/2012
Tim Casey
Philadelphia—After >6 years of follow-up, a large, international, randomized trial found that daily injections of insulin glargine in patients with type 2 diabetes, or with a high risk of the disease, had a neutral effect on cancers,...
Philadelphia—After >6 years of follow-up, a large, international, randomized trial found that daily injections of insulin glargine in patients with type 2 diabetes, or with a high risk of the disease, had a neutral effect on cancers,...
Philadelphia—After >6 years...
08/16/2012
First Report Managed Care
Redundant Payments for Enrollees in Both MA and VA
08/15/2012
Tori Socha
Some individuals in the United States may be eligible to be enrolled simultaneously in 2 federally funded managed care systems: (1) the Medicare Advantage (MA) program, which is administered by the Centers for Medicare & Medicaid Services;...
Some individuals in the United States may be eligible to be enrolled simultaneously in 2 federally funded managed care systems: (1) the Medicare Advantage (MA) program, which is administered by the Centers for Medicare & Medicaid Services;...
Some individuals in the United...
08/15/2012
First Report Managed Care
PCMH and Operating Costs
08/15/2012
Tori Socha
The model of care known as the patient-centered medical home (PCMH) is characterized by comprehensive primary care, improvement in quality of care, care management, and improved access to care in a patient-centered environment. Early studies...
The model of care known as the patient-centered medical home (PCMH) is characterized by comprehensive primary care, improvement in quality of care, care management, and improved access to care in a patient-centered environment. Early studies...
The model of care known as the...
08/15/2012
First Report Managed Care
Three Regulatory Agencies: A Comparison
08/15/2012
Tori Socha
FDA resources dedicated to reviewing applications for drugs for humans and enduring efficacy and safety were augmented in 1992 with the passage of the Prescription Drug User Fee Act (PDUFA). To support the infrastructure required for review...
FDA resources dedicated to reviewing applications for drugs for humans and enduring efficacy and safety were augmented in 1992 with the passage of the Prescription Drug User Fee Act (PDUFA). To support the infrastructure required for review...
FDA resources dedicated to...
08/15/2012
First Report Managed Care
Change in Health Insurance Status and Use of the Emergency Department
08/15/2012
Tori Socha
The Patient Protection and Affordable Care Act (ACA) was designed to expand health insurance coverage, enhance access to primary care, and reduce potentially preventable visits to hospital emergency departments (EDs).
The Patient Protection and Affordable Care Act (ACA) was designed to expand health insurance coverage, enhance access to primary care, and reduce potentially preventable visits to hospital emergency departments (EDs).
The Patient Protection and...
08/15/2012
First Report Managed Care
Health Information Technology: A Guide to Meaningful Use
08/15/2012
Tori Socha
The American Recovery and Reinvestment Act of 2009 included a provision known as the Health Information Technology for Economic and Clinical Health (HITECH) Act. The HITECH Act provides funds for hospitals and clinicians to create and utilize...
The American Recovery and Reinvestment Act of 2009 included a provision known as the Health Information Technology for Economic and Clinical Health (HITECH) Act. The HITECH Act provides funds for hospitals and clinicians to create and utilize...
The American Recovery and...
08/15/2012
First Report Managed Care
Aspirin Use and Bleeding in Patients with and without Diabetes
08/15/2012
Tori Socha
Patients with multiple risk factors for cardiovascular disease, including hypertension, dyslipidemia, obesity, diabetes, and a family history of ischemic heart disease, are at moderate to high risk of cardiovascular events. For adults with...
Patients with multiple risk factors for cardiovascular disease, including hypertension, dyslipidemia, obesity, diabetes, and a family history of ischemic heart disease, are at moderate to high risk of cardiovascular events. For adults with...
Patients with multiple risk...
08/15/2012
First Report Managed Care
Renal Outcomes in Patients with Type 2 Diabetes
08/15/2012
Mary Beth Nierengarten
Results of a systematic review and meta-analysis [Arch Intern Med. 2012;172(10):761-769] did not find evidence showing that intensive glycemic control reduces the risk for significant clinical renal outcomes despite finding that it reduces...
Results of a systematic review and meta-analysis [Arch Intern Med. 2012;172(10):761-769] did not find evidence showing that intensive glycemic control reduces the risk for significant clinical renal outcomes despite finding that it reduces...
Results of a systematic review...
08/15/2012
First Report Managed Care
Inpatient Hospital Costs Increasing Due to Increases in Intensity of Services
08/15/2012
Jill Sederstorm
Inpatient hospital costs are on the rise due primarily to a change in the intensity of services for patients, according to a new statistical brief released by the Healthcare Cost and Utilization Project (HCUP).
Inpatient hospital costs are on the rise due primarily to a change in the intensity of services for patients, according to a new statistical brief released by the Healthcare Cost and Utilization Project (HCUP).
Inpatient hospital costs are on...
08/15/2012
First Report Managed Care
OnabotulinumtoxinA Reduces UI from Neurogenic Detrusor Overactivity
08/15/2012
Tori Socha
Patients with spinal cord injury (SCI) or multiple sclerosis (MS) often experience neurogenic detrusor overactivity (NDO), which can lead to urodynamically measured increased bladder storage pressures and urinary incontinence (UI). Patients...
Patients with spinal cord injury (SCI) or multiple sclerosis (MS) often experience neurogenic detrusor overactivity (NDO), which can lead to urodynamically measured increased bladder storage pressures and urinary incontinence (UI). Patients...
Patients with spinal cord injury...
08/15/2012
First Report Managed Care
Use of Dual-Chamber Implantable Cardioverter-Defibrillators Varies
08/15/2012
Kristina Woodworth
The use of dual-chamber implantable cardioverter-defibrillators (ICDs) to prevent sudden death in patients without an indication for permanent pacing varies widely by region and hospital, according to the results of a cross-sectional study....
The use of dual-chamber implantable cardioverter-defibrillators (ICDs) to prevent sudden death in patients without an indication for permanent pacing varies widely by region and hospital, according to the results of a cross-sectional study....
The use of dual-chamber...
08/15/2012
First Report Managed Care
Acupuncture as Adjunctive Therapy in COPD
08/15/2012
Tori Socha
Patients with chronic obstructive pulmonary disease (COPD) often experience dyspnea on exertion (DOE), a difficult-to-control symptom. COPD is characterized by irreversible airflow limitation and, by 2020, is expected to be the third leading...
Patients with chronic obstructive pulmonary disease (COPD) often experience dyspnea on exertion (DOE), a difficult-to-control symptom. COPD is characterized by irreversible airflow limitation and, by 2020, is expected to be the third leading...
Patients with chronic...
08/15/2012
First Report Managed Care
Incidence of Atypical Femoral Fractures and Bisphosphonate Use
08/15/2012
Tori Socha
Patients with osteoporosis benefit from treatment with bisphosphonates; the medications used to increase bone density and reduce the risk of vertebral and proximal femur fractures. However, according to researchers, the drugs have a...
Patients with osteoporosis benefit from treatment with bisphosphonates; the medications used to increase bone density and reduce the risk of vertebral and proximal femur fractures. However, according to researchers, the drugs have a...
Patients with osteoporosis...
08/15/2012
First Report Managed Care
Post-op Troponin Levels and Mortality
08/15/2012
Jill Sederstorm
A new prospective study examining the relationship between postoperative troponin levels and mortality for noncardiac surgery patients found that there was a significant association between peak postoperative fourth-generation troponin T...
A new prospective study examining the relationship between postoperative troponin levels and mortality for noncardiac surgery patients found that there was a significant association between peak postoperative fourth-generation troponin T...
A new prospective study...
08/15/2012
First Report Managed Care
Nighttime Intensivist Care May Reduce Hospital Deaths
08/15/2012
Eileen Koutnik-Fotopoulos
Using a low-intensity physician staffing model (optional consultation with the intensivist) and Hhaving an intensivist working overnight were associated with decreased risk-adjusted in-hospital mortality among intensive care unit (ICU)...
Using a low-intensity physician staffing model (optional consultation with the intensivist) and Hhaving an intensivist working overnight were associated with decreased risk-adjusted in-hospital mortality among intensive care unit (ICU)...
Using a low-intensity physician...
08/15/2012
First Report Managed Care
Prescription Pain Relievers for Extramedical Reasons
08/15/2012
Mary Mihalovic
The risk of beginning prescription pain relievers for extramedical purposes peaks before the final year of high school, around the age of 16, and not during the college years as is commonly believed, according to results of a recent study...
The risk of beginning prescription pain relievers for extramedical purposes peaks before the final year of high school, around the age of 16, and not during the college years as is commonly believed, according to results of a recent study...
The risk of beginning...
08/15/2012
First Report Managed Care
Stroke Rates Lower and Anticoagulation Times Improve with Warfarin Treatment
08/15/2012
Mary Mihalovic
The use of warfarin for stroke prophylaxis in patients with nonvalvular atrial fibrillation (AF) was associated with a rate of stroke or systemic embolism of 1.66% per year, according to results of a recent meta-analysis [Arch Intern Med....
The use of warfarin for stroke prophylaxis in patients with nonvalvular atrial fibrillation (AF) was associated with a rate of stroke or systemic embolism of 1.66% per year, according to results of a recent meta-analysis [Arch Intern Med....
The use of warfarin for stroke...
08/15/2012
First Report Managed Care
Risk of Cardiovascular Death and Azrithomycin
08/15/2012
Tori Socha
Erythromycin and clarithromycin, broad-spectrum macrolide antibiotics, have been shown to increase the risk of serious ventricular arrhythmias and are associated with an increased risk of sudden cardiac death. Azithromycin is closely related...
Erythromycin and clarithromycin, broad-spectrum macrolide antibiotics, have been shown to increase the risk of serious ventricular arrhythmias and are associated with an increased risk of sudden cardiac death. Azithromycin is closely related...
Erythromycin and clarithromycin,...
08/15/2012
First Report Managed Care
Areas of Limited Competition in Medicare Program
08/15/2012
Eileen Koutnik-Fotopoulos
The Henry J. Kaiser Family Foundation has released a Medicare policy report titled Prescription Drug Procurement and the Federal Budget. Prescription drugs are a key area for potentially significant cost savings, but the May 2012 report by...
The Henry J. Kaiser Family Foundation has released a Medicare policy report titled Prescription Drug Procurement and the Federal Budget. Prescription drugs are a key area for potentially significant cost savings, but the May 2012 report by...
The Henry J. Kaiser Family...
08/15/2012
First Report Managed Care
Lenalidomide in Older Multiple Myeloma Patients
08/15/2012
Eileen Koutnik-Fotopoulos
For patients 65 to 75 years of age newly diagnosed with multiple myeloma who were ineligible for transplant, treatment with lenalidomide maintenance therapy extended the time before relapse in a recent study [N Engl J Med....
For patients 65 to 75 years of age newly diagnosed with multiple myeloma who were ineligible for transplant, treatment with lenalidomide maintenance therapy extended the time before relapse in a recent study [N Engl J Med....
For patients 65 to 75 years of...
08/15/2012
First Report Managed Care
Regorafenib Increases Progression-Free Survival in Patients with GIST
08/15/2012
Tim Casey
Chicago—Patients with gastrointestinal stromal tumors (GIST) whose disease progressed after taking 2 FDA-approved therapies (imatinib and sunitinib) had a significant increase in progression-free survival when taking regorafenib compared with...
Chicago—Patients with gastrointestinal stromal tumors (GIST) whose disease progressed after taking 2 FDA-approved therapies (imatinib and sunitinib) had a significant increase in progression-free survival when taking regorafenib compared with...
Chicago—Patients with...
08/15/2012
First Report Managed Care
Abiraterone Acetate in Patients with Advanced Prostate Cancer
08/15/2012
Tim Casey
Chicago—An interim analysis of a randomized, phase 3 trial of patients with metastatic castration-resistant prostate cancer (mCRPC) who had not received chemotherapy found that those taking abiraterone acetate plus prednisone had a...
Chicago—An interim analysis of a randomized, phase 3 trial of patients with metastatic castration-resistant prostate cancer (mCRPC) who had not received chemotherapy found that those taking abiraterone acetate plus prednisone had a...
Chicago—An interim analysis of a...
08/15/2012
First Report Managed Care
Chemoradiotherapy Before Surgery May Improve Survival for Esophageal Cancer
08/15/2012
Eileen Koutnik-Fotopoulos
Preoperative chemoradiotherapy improved survival among patients with resectable esophageal or esophagogastric-junction cancer with acceptable adverse events. The findings were reported in the New England Journal of Medicine...
Preoperative chemoradiotherapy improved survival among patients with resectable esophageal or esophagogastric-junction cancer with acceptable adverse events. The findings were reported in the New England Journal of Medicine...
Preoperative chemoradiotherapy...
08/15/2012
First Report Managed Care
Warfarin and Aspirin in Patients with Heart Failure and Sinus Rhythm
08/15/2012
Kristina Woodworth
A recent study demonstrated no significant difference in time to ischemic stroke, intracerebral hemorrhage, or death from any cause in patients with reduced left ventricular ejection fraction (LVEF) and sinus rhythm who were treated with...
A recent study demonstrated no significant difference in time to ischemic stroke, intracerebral hemorrhage, or death from any cause in patients with reduced left ventricular ejection fraction (LVEF) and sinus rhythm who were treated with...
A recent study demonstrated no...
08/15/2012
First Report Managed Care
Drug-Eluting Stents versus Bare-Metal Stents in PCI
08/15/2012
Mary Beth Nierengarten
Results of a pooled patient-level meta-analysis [Arch Intern Med. 2012;172(8):611-621] comparing drug-eluting stents (DES) to bare-metal stents (BMS) in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary...
Results of a pooled patient-level meta-analysis [Arch Intern Med. 2012;172(8):611-621] comparing drug-eluting stents (DES) to bare-metal stents (BMS) in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary...
Results of a pooled...
08/15/2012
First Report Managed Care
BP Management in Patients with Diabetes
08/15/2012
Tori Socha
Among patients with diabetes mellitus (DM), cardiovascular risk factors include high lipid levels and elevated blood pressure (BP). There has been significant improvement in the control of these factors over the past decade, an improvement...
Among patients with diabetes mellitus (DM), cardiovascular risk factors include high lipid levels and elevated blood pressure (BP). There has been significant improvement in the control of these factors over the past decade, an improvement...
Among patients with diabetes...
08/15/2012
First Report Managed Care
Insurers, Governments Partner to Fight Fraud
08/15/2012
Tim Casey
Since being sworn into office in January 2009, President Barack Obama has made revamping the healthcare industry a priority. Yet, his administration has said there is still a lot of work that needs to be done to reach their goals.
Since being sworn into office in January 2009, President Barack Obama has made revamping the healthcare industry a priority. Yet, his administration has said there is still a lot of work that needs to be done to reach their goals.
Since being sworn into office in...
08/15/2012
First Report Managed Care
Healthcare Leaders React to Decision on Affordable Care Act
08/15/2012
Tim Casey
For the most part, the health insurance industry felt relieved when the Supreme Court upheld the Patient Protection and Affordable Care Act (ACA) on June 28. Companies had been preparing for the law’s implementation for more than 2 years...
For the most part, the health insurance industry felt relieved when the Supreme Court upheld the Patient Protection and Affordable Care Act (ACA) on June 28. Companies had been preparing for the law’s implementation for more than 2 years...
For the most part, the health...
08/15/2012
First Report Managed Care

Behind the Bill

Behind the Bill
The Senate’s $3 Trillion Deal. Tax Relief Now, Medicaid Coverage Loss Later?
07/02/2025
Katie Hayes, MJ
The Senate has done it. After weeks of behind-the-scenes wrangling and last-minute amendments, lawmakers have passed a sprawling tax-and-spending megabill that makes good on a long-standing Republican goal: making the 2017 Trump tax cuts...
The Senate has done it. After weeks of behind-the-scenes wrangling and last-minute amendments, lawmakers have passed a sprawling tax-and-spending megabill that makes good on a long-standing Republican goal: making the 2017 Trump tax cuts...
The Senate has done it. After...
07/02/2025
First Report Managed Care
Behind the Bill
When a Cap Isn’t Just a Cap: How a Provider Tax Proposal Could Reshape Medicaid Financing
06/25/2025
Katie Hayes, MJ
In Washington, the most consequential policies are often buried in the fine print. One such detail in the Senate Finance Committee’s latest tax and spending proposal would gradually cap provider taxes—a core funding tool states use to pull in...
In Washington, the most consequential policies are often buried in the fine print. One such detail in the Senate Finance Committee’s latest tax and spending proposal would gradually cap provider taxes—a core funding tool states use to pull in...
In Washington, the most...
06/25/2025
First Report Managed Care
Behind the Bill
Rewriting the Safety Net? Inside the Senate’s Changes to Medicaid and the ACA
06/18/2025
Katie Hayes, MJ
Over the past few weeks, I’ve been following the progress of the One Big Beautiful Bill Act (OBBBA), which started in the House with sweeping tax reforms and some eye-catching health care proposals. Now, the Senate has released its (highly...
Over the past few weeks, I’ve been following the progress of the One Big Beautiful Bill Act (OBBBA), which started in the House with sweeping tax reforms and some eye-catching health care proposals. Now, the Senate has released its (highly...
Over the past few weeks, I’ve...
06/18/2025
First Report Managed Care
Behind the Bill
How States Might Respond to the One Big Beautiful Bill Act
06/11/2025
Katie Hayes, MJ
With the One Big Beautiful Bill Act (OBBBA) still in the hands of the Senate, much of the national conversation has centered on what this legislation would do to federal coverage programs. But regardless of how the federal process unfolds,...
With the One Big Beautiful Bill Act (OBBBA) still in the hands of the Senate, much of the national conversation has centered on what this legislation would do to federal coverage programs. But regardless of how the federal process unfolds,...
With the One Big Beautiful Bill...
06/11/2025
First Report Managed Care
Behind the Bill
Is the Affordable Care Act on the Chopping Block? What the One Big Beautiful Bill Act Tells Us.
06/04/2025
Katie Hayes, MJ
It’s been weeks of headline-grabbing debate over Medicaid work requirements, and the “One Big Beautiful Bill Act” remains in the Senate as they deliberate over several health care provisions. While the Medicaid provisions sparked most of the...
It’s been weeks of headline-grabbing debate over Medicaid work requirements, and the “One Big Beautiful Bill Act” remains in the Senate as they deliberate over several health care provisions. While the Medicaid provisions sparked most of the...
It’s been weeks of...
06/04/2025
First Report Managed Care
Behind the Bill
From House to Senate: The Journey of Cutting Medicaid
05/28/2025
Katie Hayes, MJ
Last week, the House of Representatives narrowly passed the One Big Beautiful Bill Act (HR 1, 119th Congress) by a single vote, sending the sweeping tax and spending reconciliation package, backed by President Trump, to the Senate. With its...
Last week, the House of Representatives narrowly passed the One Big Beautiful Bill Act (HR 1, 119th Congress) by a single vote, sending the sweeping tax and spending reconciliation package, backed by President Trump, to the Senate. With its...
Last week, the House of...
05/28/2025
First Report Managed Care
Behind the Bill
Eligibility, Paperwork, and Penalties: The Not-So-Hidden Costs of Medicaid ‘Reform’
05/21/2025
Katie Hayes, MJ
It’s been another eventful week in health policy—a phrase that’s quickly becoming routine. This time, House Republicans advanced a sweeping budget reconciliation bill, designed to implement elements of the March budget resolution, with a...
It’s been another eventful week in health policy—a phrase that’s quickly becoming routine. This time, House Republicans advanced a sweeping budget reconciliation bill, designed to implement elements of the March budget resolution, with a...
It’s been another eventful week...
05/21/2025
First Report Managed Care
Behind the Bill
A Busy Week in Drug Pricing Policy: Aligning US Drug Prices With Global Standards?
05/14/2025
Katie Hayes, MJ
It’s been a busy few days for drug pricing policy. While I’d love to dig into the details of both President Trump’s latest executive order and the newest Republican bill that would cut Medicaid spending, we don’t have the time—and this isn’t...
It’s been a busy few days for drug pricing policy. While I’d love to dig into the details of both President Trump’s latest executive order and the newest Republican bill that would cut Medicaid spending, we don’t have the time—and this isn’t...
It’s been a busy few days for...
05/14/2025
First Report Managed Care
BEHIND THE BILL
When Agencies Lose Power: How 3 Seismic Shifts are Transforming Pharmaceutical Regulation
05/07/2025
Katie Hayes, MJ
In the span of just 9 months, the landscape of administrative law has undergone a transformation so profound that pharmaceutical executives, health care providers, and patients alike are struggling to navigate the new terrain. The Supreme...
In the span of just 9 months, the landscape of administrative law has undergone a transformation so profound that pharmaceutical executives, health care providers, and patients alike are struggling to navigate the new terrain. The Supreme...
In the span of just 9 months,...
05/07/2025
First Report Managed Care
Behind the Bill
The Medicare Paradox, Part 3: Strategic Trade Doesn’t Have to be a Zero-Sum Game
05/07/2025
Katie Hayes, MJ
Over the past 2 weeks, I’ve examined the growing friction between the Section 232 pharmaceutical tariff investigations and the Medicare drug pricing reforms authorized by the Inflation Reduction Act (IRA). These 2 policy agendas—industrial...
Over the past 2 weeks, I’ve examined the growing friction between the Section 232 pharmaceutical tariff investigations and the Medicare drug pricing reforms authorized by the Inflation Reduction Act (IRA). These 2 policy agendas—industrial...
Over the past 2 weeks, I’ve...
05/07/2025
First Report Managed Care

Trending Articles

News
FTC and HHS Launch Joint Inquiry into Generic Drug Shortages: Seeking Public Input on GPOs and Wholesalers
02/16/2024
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
Julie Schulz headshot
Commentary
How Lab Values Can Close the Gap Between Patients With Undiagnosed and Under-Staged Chronic Kidney Disease
03/27/2024

By Julie Schulz, MD, MPH

By Julie Schulz, MD, MPH
Chronic kidney disease (CKD) is an insidious condition with devastating consequences when detected and treated too late. While primary care physicians usually make the initial diagnosis, regular screening is not routine for the general...
Chronic kidney disease (CKD) is an insidious condition with devastating consequences when detected and treated too late. While primary care physicians usually make the initial diagnosis, regular screening is not routine for the general...
Chronic kidney disease (CKD) is...
03/27/2024
First Report Managed Care
News
Neurologist Recognized for Pioneering MS Research and Treatment Strategies
04/24/2024
Hannah Musick
Dr Rhonda Voskuhl received the 2024 John Dystel prize for her groundbreaking research on sex differences in multiple sclerosis (MS), advancing women's health.
Dr Rhonda Voskuhl received the 2024 John Dystel prize for her groundbreaking research on sex differences in multiple sclerosis (MS), advancing women's health.
Dr Rhonda Voskuhl received the...
04/24/2024
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
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
News
Challenges and Progress in Understanding and Combating Respiratory Syncytial Virus Infection
07/02/2024
Hannah Musick
While challenges such as vaccine safety, immunogenicity, and durability remain, ongoing research and clinical trials show promise for the development of effective RSV vaccines in the near future according to research compiled in the Official...
While challenges such as vaccine safety, immunogenicity, and durability remain, ongoing research and clinical trials show promise for the development of effective RSV vaccines in the near future according to research compiled in the Official...
While challenges such as vaccine...
07/02/2024
First Report Managed Care

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