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Study Projects Billions in Savings From Site-Neutral Payments for Routine Services
01/23/2026
Grace Taylor, MS, MA
A national analysis of 2022 commercial claims data suggests that capping payments for routine services at site-neutral Medicare-based rates could save purchasers and patients $10.8 billion annually with only modest effects on hospital margins.
A national analysis of 2022 commercial claims data suggests that capping payments for routine services at site-neutral Medicare-based rates could save purchasers and patients $10.8 billion annually with only modest effects on hospital margins.
A national analysis of 2022...
01/23/2026
First Report Managed Care
Long-Term Care, Post-Acute Care, Lobbying, Politics
Commentary
All Politics Is Local—Why Long-Term and Post-Acute Care Leaders Should Participate in Grassroots Advocacy
01/20/2026
Bill Charnetski
Local long-term and post-acute care leaders can’t afford to sit out politics—by embracing grassroots advocacy, sharing their expertise, and building relationships with lawmakers, they can directly shape the policies that affect their...
Local long-term and post-acute care leaders can’t afford to sit out politics—by embracing grassroots advocacy, sharing their expertise, and building relationships with lawmakers, they can directly shape the policies that affect their...
Local long-term and post-acute...
01/20/2026
Annals of Long-Term Care
News
DEA Extends Telemedicine Flexibilities for Prescribing Controlled Medications Through 2026
01/13/2026
Danielle Sposato
The Drug Enforcement Administration (DEA), jointly with the Department of Health and Human Services (HHS), has issued a Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities for the Prescription of Controlled Medications. The...
The Drug Enforcement Administration (DEA), jointly with the Department of Health and Human Services (HHS), has issued a Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities for the Prescription of Controlled Medications. The...
The Drug Enforcement...
01/13/2026
First Report Managed Care
News
Rising Denials and Payer Audits Intensify Financial Strain on Hospitals in 2025
12/16/2025
Lisa Kuhns, PhD, MD
Hospitals are facing rising financial pressure as denial amounts and payer audits continue to climb in 2025, signaling an unsustainable trend for many health systems, according to a new report from billing compliance and revenue integrity...
Hospitals are facing rising financial pressure as denial amounts and payer audits continue to climb in 2025, signaling an unsustainable trend for many health systems, according to a new report from billing compliance and revenue integrity...
Hospitals are facing rising...
12/16/2025
First Report Managed Care
News
Survey Signals Turning Point in Public Opinion on Health Insurance and Debt Reform
11/20/2025
Lisa Kuhns, PhD, MD
Americans across political party lines overwhelmingly support stronger protections against medical debt, signaling rare consensus in a politically polarized era, according to a survey conducted by Undue Medical Debt. That is the clear...
Americans across political party lines overwhelmingly support stronger protections against medical debt, signaling rare consensus in a politically polarized era, according to a survey conducted by Undue Medical Debt. That is the clear...
Americans across political party...
11/20/2025
First Report Managed Care
News
HRSA Approves 340B Rebate Models, Reshaping Drug Discounts and Hospital Financing
11/03/2025
Juliet Gallagher
The Health Resources and Services Administration (HRSA) has approved 8 pharmaceutical manufacturer proposals to issue rebates under the 340B Drug Pricing Program, marking a significant departure from the long-standing model of upfront...
The Health Resources and Services Administration (HRSA) has approved 8 pharmaceutical manufacturer proposals to issue rebates under the 340B Drug Pricing Program, marking a significant departure from the long-standing model of upfront...
The Health Resources and...
11/03/2025
First Report Managed Care
CONFERENCE COVERAGE
AMCP Nexus 2025: New Data Reveal Access Delays and Clinical Risks in Alternative Funding Programs
10/28/2025
Juliet Gallagher
At AMCP Nexus 2025, Autumn D. Zuckerman, PharmD, BCPS, CSP, joined by Amy Niles, MBA, and Ashira Vantrees, Esq., unpacked 3 cost-shifting strategies that are reshaping access to specialty medicines: copay accumulators, copay maximizers, and...
At AMCP Nexus 2025, Autumn D. Zuckerman, PharmD, BCPS, CSP, joined by Amy Niles, MBA, and Ashira Vantrees, Esq., unpacked 3 cost-shifting strategies that are reshaping access to specialty medicines: copay accumulators, copay maximizers, and...
At AMCP Nexus 2025, Autumn D....
10/28/2025
First Report Managed Care
News
UnitedHealthcare Launches Digital Marketplace to Expand Member Engagement Options
10/14/2025
Lisa Kuhns, PhD, MD
UnitedHealthcare is reimagining the member experience with the launch of UHC Store, a new digital marketplace designed to help more than 6 million commercial members shop for personalized health and wellness offerings, a number expected to...
UnitedHealthcare is reimagining the member experience with the launch of UHC Store, a new digital marketplace designed to help more than 6 million commercial members shop for personalized health and wellness offerings, a number expected to...
UnitedHealthcare is reimagining...
10/14/2025
First Report Managed Care
Gaballa
Podcasts
Real-World Applications of Fixed-Duration Therapy in CLL: Accessibility, Cost, and Patient Preference
10/09/2025
Sameh Gaballa, MD
In this interview, Dr Sameh Gaballa of Moffitt Cancer Center discusses the expanding landscape of chronic lymphocytic leukemia (CLL) therapy, highlighting the role of fixed-duration regimens, real-world implementation challenges, and...
In this interview, Dr Sameh Gaballa of Moffitt Cancer Center discusses the expanding landscape of chronic lymphocytic leukemia (CLL) therapy, highlighting the role of fixed-duration regimens, real-world implementation challenges, and...
In this interview, Dr Sameh...
10/09/2025
First Report Managed Care
Gaballa
Videos
Fixed-Duration Therapy in CLL: Evaluating Long-Term Cost Benefits for Managed Care
10/09/2025
Sameh Gaballa, MD
In this interview, Dr Sameh Gaballa of Moffitt Cancer Center discusses the expanding landscape of chronic lymphocytic leukemia (CLL) therapy, highlighting the role of fixed-duration regimens, real-world implementation challenges, and...
In this interview, Dr Sameh Gaballa of Moffitt Cancer Center discusses the expanding landscape of chronic lymphocytic leukemia (CLL) therapy, highlighting the role of fixed-duration regimens, real-world implementation challenges, and...
In this interview, Dr Sameh...
10/09/2025
First Report Managed Care
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