Contact
searchSearch
HMP Global

Current Issue

Interview
From Promise to Practice: Evaluating the Impact of the Prior Authorization Reform Pledge
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
Commentary
The Case for Aligning Behavioral and Primary Care in Managed Care
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
Regulatory Insights
Five Things to Know About HR 1
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
Interview
Invisible Technology and AI: The Future of Scaling Virtual Care
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
Cell & Gene Watch
Scaling CGT Capacity for a Growing Pipeline: Current Progress and Ongoing Hurdles
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
Subhead

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

Subscribe and Stay Ahead With Daily Industry Insights

First Report Managed Care Newsletter

Trending Articles

News
High Prevalence of Overlooked Demodex Blepharitis: Unraveling the Challenges in Diagnosis and Treatment
10/03/2023
Danielle Sposato
A comprehensive review of over 1,000 case records from 6 eye clinics revealed that Demodex blepharitis was prevalent in 57.7% of patients, regardless of their primary reason for the visit, aligning with similar rates reported in studies...
A comprehensive review of over 1,000 case records from 6 eye clinics revealed that Demodex blepharitis was prevalent in 57.7% of patients, regardless of their primary reason for the visit, aligning with similar rates reported in studies...
A comprehensive review of over...
10/03/2023
First Report Managed Care
Quiz
CDI Risk Factors
10/23/2023
What is the primary risk factor for Clostridioides difficile infection?
What is the primary risk factor for Clostridioides difficile infection?
What is the primary risk factor...
10/23/2023
First Report Managed Care
News
Bimekizumab is Safe and Effective in Treating Patients With Psoriatic Arthritis Native to Biologic Treatment, Study Finds
11/15/2023
Lisa Kuhns, PhD, MD
At week 16, 44% of patients receiving bimekizumab met the primary endpoint of 50% improvement in the American College of Rheumatology response criteria (ACR50) compared with 10% of those receiving placebo.
At week 16, 44% of patients receiving bimekizumab met the primary endpoint of 50% improvement in the American College of Rheumatology response criteria (ACR50) compared with 10% of those receiving placebo.
At week 16, 44% of patients...
11/15/2023
First Report Managed Care
News
Managing Treatment Burden in PsA and RA: Patients' Views on Methotrexate and TNFi Use
12/15/2023
Hannah Musick
“Patients experience a wide range of burden associated with treatments used for PsA and RA,” said researchers.
“Patients experience a wide range of burden associated with treatments used for PsA and RA,” said researchers.
“Patients experience a wide...
12/15/2023
First Report Managed Care
News
CMS Announces Increased Participation in ACO Initiatives to Improve Care for Medicare Patients
02/02/2024
Hannah Musick
The Centers for Medicare & Medicaid Services (CMS) has announced increased participation and investment in accountable care organization (ACO) initiatives to improve the quality of care for patients with Medicare and address disparities in...
The Centers for Medicare & Medicaid Services (CMS) has announced increased participation and investment in accountable care organization (ACO) initiatives to improve the quality of care for patients with Medicare and address disparities in...
The Centers for Medicare &...
02/02/2024
First Report Managed Care

Specialties

Events

Year Round Education

HMP Global Products

HMP Education Logo
HMP Omnimedia Logo
HMP Europe Logo
© 2025 HMP Global. All Rights Reserved.
Cookie Policy Privacy Policy Term of Use