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Volume 18, Issue 2, March/April 2021 - First Report Managed Care

First Report
Vibegron Proves Effective as Oral Therapy for Patients With Overactive Bladder
04/12/2021
Edan Stanley
While OAB is not associated with high mortality rates, its effects on quality of life and overall burden can be stressful to patients and diagnosis/treatment is often delayed due to patients’ lack of understanding of available treatments.
While OAB is not associated with high mortality rates, its effects on quality of life and overall burden can be stressful to patients and diagnosis/treatment is often delayed due to patients’ lack of understanding of available treatments.
While OAB is not associated with...
04/12/2021
First Report Managed Care
Integrated Healthcare Executive
Why Health Systems, Providers Should Inform Patients of New Alliance Aimed at Improving Health Care for Women
04/12/2021
Julie Gould
Ted Anderson, MD, PhD, American College of Obstetricians and Gynecologists (ACOG), Mary Lou Ballweg, Endometriosis Association, along with Tammy Boyd and Kineta Sealey, both from the Black Women’s Health Imperative (BWHI), discuss a new...
Ted Anderson, MD, PhD, American College of Obstetricians and Gynecologists (ACOG), Mary Lou Ballweg, Endometriosis Association, along with Tammy Boyd and Kineta Sealey, both from the Black Women’s Health Imperative (BWHI), discuss a new...
Ted Anderson, MD, PhD, American...
04/12/2021
First Report Managed Care
Cover Story
A Population-Based Approach to Curb the Mental Health Crisis
04/12/2021
Mary Beth Nierengarten
While the COVID-19 pandemic has resulted in increased morbidity and mortality rates on a global scale, it has also exacerbated and brought the mental health crisis to the forefront. More than ever, people are seeking mental health services...
While the COVID-19 pandemic has resulted in increased morbidity and mortality rates on a global scale, it has also exacerbated and brought the mental health crisis to the forefront. More than ever, people are seeking mental health services...
While the COVID-19 pandemic has...
04/12/2021
First Report Managed Care
Viewpoint
Five Trends Driving Adoption of Holistic Strategies: Focusing on Revenue Integrity
04/12/2021
Vasilios Nassiopoulos
Holistic approaches to revenue integrity ensure that all billing and compliance functions are working collaboratively to address all sides of a claim.
Holistic approaches to revenue integrity ensure that all billing and compliance functions are working collaboratively to address all sides of a claim.
Holistic approaches to revenue...
04/12/2021
First Report Managed Care
News
AHA Urges HHS to Expedite COVID Vaccine Administration
04/12/2021
As the anniversary of the first US COVID-19 case approached, the American Hospital Association (AHA) wrote to former US Health and Human Services (HHS) Secretary Alex Azar urging the agency to become more transparent about the vaccine...
As the anniversary of the first US COVID-19 case approached, the American Hospital Association (AHA) wrote to former US Health and Human Services (HHS) Secretary Alex Azar urging the agency to become more transparent about the vaccine...
As the anniversary of the first...
04/12/2021
First Report Managed Care
News
CMS Rule Reduces Cost-Sharing, Increases Transparency for Medicare Advantage, Part D
04/12/2021
The Centers for Medicare & Medicaid Services (CMS) finalized a rule in an effort to improve both Medicare Advantage and Part D prescription drug programs.
The Centers for Medicare & Medicaid Services (CMS) finalized a rule in an effort to improve both Medicare Advantage and Part D prescription drug programs.
The Centers for Medicare &...
04/12/2021
First Report Managed Care
News
Trauma Patients Without Insurance Decreased After ACA, But Mortality Odds Increased
04/12/2021
Trauma patients covered by Medicare or Medicaid had improved mortality after implementation of the Patient Protection and Affordable Care Act (ACA) compared with before the ACA, but uninsured trauma patients did not. Researchers published...
Trauma patients covered by Medicare or Medicaid had improved mortality after implementation of the Patient Protection and Affordable Care Act (ACA) compared with before the ACA, but uninsured trauma patients did not. Researchers published...
Trauma patients covered by...
04/12/2021
First Report Managed Care
News
CMS Shares New SDoH Guidance and Strategies for Medicaid, CHIP
04/12/2021
Recently, the Centers for Medicare & Medicaid Services (CMS) shared new guidance with state health officials to better address social determinants of health (SDoH) for Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries. The...
Recently, the Centers for Medicare & Medicaid Services (CMS) shared new guidance with state health officials to better address social determinants of health (SDoH) for Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries. The...
Recently, the Centers for...
04/12/2021
First Report Managed Care
News
Association of ACA With Young Adult Females Seeking Sexual, Reproductive Health Services
04/12/2021
According to data published in JAMA Network Open, the implementation of the 2010 Patient Protection and Affordable Care Act Dependent Coverage Expansion (ACA-DCE) is associated with a reduction in insurance use for sexual and reproductive...
According to data published in JAMA Network Open, the implementation of the 2010 Patient Protection and Affordable Care Act Dependent Coverage Expansion (ACA-DCE) is associated with a reduction in insurance use for sexual and reproductive...
According to data published in...
04/12/2021
First Report Managed Care
Feature
Payer Expansion of Telehealth Initiatives
04/12/2021
Paul Nicolaus
As COVID-19 spurs expansion of payer telehealth offerings, some say initiatives begun during the pandemic could become the norm.
As COVID-19 spurs expansion of payer telehealth offerings, some say initiatives begun during the pandemic could become the norm.
As COVID-19 spurs expansion of...
04/12/2021
First Report Managed Care
Medicaid Expansion: Will Holdout States Take the Current Administration’s Bait?
04/12/2021
Dean Celia
The American Rescue Plan recently signed into law includes an incentive to encourage states to expand Medicaid. Will any of the 12 holdout states broaden their program for the needy, or do political divisions run so deep that compromise is...
The American Rescue Plan recently signed into law includes an incentive to encourage states to expand Medicaid. Will any of the 12 holdout states broaden their program for the needy, or do political divisions run so deep that compromise is...
The American Rescue Plan...
04/12/2021
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

Advancements and Challenges in Diabetes Management
02/29/2024
02/29/2024
First Report Managed Care
News
LGBT Adults Face Higher Rates of Discrimination and Unfair Treatment in Health Care
04/05/2024
Hannah Musick
A Kaiser Family Foundation (KFF) report reveals the significant discrimination and unfair treatment faced by LGBT adults in the US, impacting mental health and access to health care, particularly for younger, lower-income, and women within...
A Kaiser Family Foundation (KFF) report reveals the significant discrimination and unfair treatment faced by LGBT adults in the US, impacting mental health and access to health care, particularly for younger, lower-income, and women within...
A Kaiser Family Foundation (KFF)...
04/05/2024
First Report Managed Care
News
Demodex Infestation Found in 9 of 10 Eye Clinic Patients Using 2-Minute Technique
05/09/2024
Jolynn Tumolo
Demodex mites were found in the eyelashes of 94% of patients examined with a simple diagnostic technique at a standard ophthalmic practice, according to a study published online in the journal Clinical Ophthalmology.
Demodex mites were found in the eyelashes of 94% of patients examined with a simple diagnostic technique at a standard ophthalmic practice, according to a study published online in the journal Clinical Ophthalmology.
Demodex mites were found in the...
05/09/2024
First Report Managed Care
Conference Coverage
Administrative Health Claims Data Study Highlights Demographics of Patients With Multiple Sclerosis in the US
05/31/2024
Grace Taylor, MS, MA
A new study highlights demographic data on subpopulations of people with multiple sclerosis (MS) in the US based on findings from administrative health claims (AHC) data sets.
A new study highlights demographic data on subpopulations of people with multiple sclerosis (MS) in the US based on findings from administrative health claims (AHC) data sets.
A new study highlights...
05/31/2024
First Report Managed Care
Blog
Why We’re Already Thinking Ahead to 2028 Part B Drug Price Negotiations
07/18/2024
Katie Hayes, MJ
Learn why industry stakeholders should prepare for 2028 negotiations now to ensure long-term financial stability and regulatory compliance.
Learn why industry stakeholders should prepare for 2028 negotiations now to ensure long-term financial stability and regulatory compliance.
Learn why industry stakeholders...
07/18/2024
First Report Managed Care

April 2021 Volume 18 Issue 2

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