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CMS Adds Support for Babies, Moms Impacted by Substance and Opioid Use Disorders
07/29/2019
Bulletins announcing new coverage options for state Medicaid programs were released by CMS today outlining new support for babies, mothers, and pregnant women affected by substance and opioid use disorders.
Bulletins announcing new coverage options for state Medicaid programs were released by CMS today outlining new support for babies, mothers, and pregnant women affected by substance and opioid use disorders.
Bulletins announcing new...
07/29/2019
First Report Managed Care
News
Proper Medication Disposal: A Need for Improved Awareness
06/26/2019
In a recent study, researchers sought to better understand medication disposal behaviors in order to help inform the design of future innovative drug take-back programs.
In a recent study, researchers sought to better understand medication disposal behaviors in order to help inform the design of future innovative drug take-back programs.
In a recent study, researchers...
06/26/2019
First Report Managed Care
News
Targeted Drug Delivery for Cancer Pain Cuts Costs, Hospital Time
04/10/2019
According to recent research published online in JAMA Network Open, reduced costs and health care utilization was observed when targeted drug delivery was added to conventional medical management for patients with cancer-related pain.
According to recent research published online in JAMA Network Open, reduced costs and health care utilization was observed when targeted drug delivery was added to conventional medical management for patients with cancer-related pain.
According to recent research...
04/10/2019
First Report Managed Care
News
Lower Costs, Utilization With Abuse-Deterrent Formulation Opioid Use
04/08/2019
According to a recent study, health care utilization and medical costs were lower when patients were given abuse-deterrent formulation opioids.
According to a recent study, health care utilization and medical costs were lower when patients were given abuse-deterrent formulation opioids.
According to a recent study,...
04/08/2019
First Report Managed Care
News
Multidisciplinary Program Reduces Inappropriate Opioid Use
04/02/2019
According to a recent analysis, a new program that provides support and resources to patients with chronic pain shows promise in reducing inappropriate opioid use.
According to a recent analysis, a new program that provides support and resources to patients with chronic pain shows promise in reducing inappropriate opioid use.
According to a recent analysis,...
04/02/2019
First Report Managed Care
News
Coverage of Nondrug Treatments for Back Pain Inconsistent Across Insurers
03/12/2019
“These findings are important,” researchers wrote, “given the growing literature indicating that nonpharmacologic treatments for chronic, noncancer pain can reduce opioid exposure and overuse and improve patients’ quality of care and pain...
“These findings are important,” researchers wrote, “given the growing literature indicating that nonpharmacologic treatments for chronic, noncancer pain can reduce opioid exposure and overuse and improve patients’ quality of care and pain...
“These findings are important,”...
03/12/2019
First Report Managed Care
News
Consensus Panel Outlines Problems with CDC Opioid Prescribing Guideline
03/06/2019
A multidisciplinary expert panel identified challenges to implementing the US Centers for Disease Control and Prevention’s opioid prescribing guidelines, most of which were in regard to the millions of Americans who take opioids for chronic...
A multidisciplinary expert panel identified challenges to implementing the US Centers for Disease Control and Prevention’s opioid prescribing guidelines, most of which were in regard to the millions of Americans who take opioids for chronic...
A multidisciplinary expert panel...
03/06/2019
First Report Managed Care
News
One in 10 Patients Experience Adverse Effects from Post-Surgical Opioids
02/20/2019
“Knowledge of risk factors and predictors of opioid-related adverse drug events can help develop targeted interventions to minimize the development of these potentially dangerous and costly events,” researchers wrote.
“Knowledge of risk factors and predictors of opioid-related adverse drug events can help develop targeted interventions to minimize the development of these potentially dangerous and costly events,” researchers wrote.
“Knowledge of risk factors and...
02/20/2019
First Report Managed Care
News
Reduction of Inappropriate Imaging Procedures for Pain Improves Savings
02/14/2019
Inappropriate imaging accounted for more than 20% of annual imaging costs for patients with uncomplicated low back pain, nontraumatic knee pain, or nontraumatic shoulder pain, according to a study published online in the International Journal...
Inappropriate imaging accounted for more than 20% of annual imaging costs for patients with uncomplicated low back pain, nontraumatic knee pain, or nontraumatic shoulder pain, according to a study published online in the International Journal...
Inappropriate imaging accounted...
02/14/2019
First Report Managed Care
News
Better Insurance Coverage of Non-Drug Therapies Might Help Ease Opioid Crisis
10/09/2018
Researchers found that insurance plans vary widely in what they will cover and private and public insurers are missing important opportunities to promote alternatives to opioids.
Researchers found that insurance plans vary widely in what they will cover and private and public insurers are missing important opportunities to promote alternatives to opioids.
Researchers found that insurance...
10/09/2018
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

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Trending Articles

News
Online Screening Bridges Mental Health Care Gaps in Underserved Rural Communities, Study Finds
10/17/2023
Lisa Kuhns, PhD, MD
Online screening is a vital tool in bridging mental health care gaps in rural, resource-deficient communities, according to a study published in the Journal of Psychiatric Research.
Online screening is a vital tool in bridging mental health care gaps in rural, resource-deficient communities, according to a study published in the Journal of Psychiatric Research.
Online screening is a vital tool...
10/17/2023
First Report Managed Care
News
Analysis Finds Similar Safety Profile with Upadacitinib Across Conditions
11/03/2023
Jolynn Tumolo
The Janus kinase (JAK) inhibitor upadacitinib offers a similar long-term safety profile across rheumatoid arthritis (RA), psoriatic arthritis (PsA), ankylosing spondylitis (AS), and atopic dermatitis (AD) despite some variations in adverse...
The Janus kinase (JAK) inhibitor upadacitinib offers a similar long-term safety profile across rheumatoid arthritis (RA), psoriatic arthritis (PsA), ankylosing spondylitis (AS), and atopic dermatitis (AD) despite some variations in adverse...
The Janus kinase (JAK) inhibitor...
11/03/2023
First Report Managed Care
News
Research Indicates Biosimilar-to-Biosimilar Switching in Chronic Inflammatory Diseases Safe
12/04/2023
Hannah Musick
Research indicates that switching between biosimilars is safe and effective, supporting the use of biosimilars to decrease costs and improve access to biological medicines.
Research indicates that switching between biosimilars is safe and effective, supporting the use of biosimilars to decrease costs and improve access to biological medicines.
Research indicates that...
12/04/2023
First Report Managed Care
News
Subthreshold Micropulse Laser Equivalent to Standard Laser Therapy for DME
01/10/2024
Jolynn Tumolo
Subthreshold micropulse laser therapy was comparable in both efficacy and cost to standard laser therapy in patients with diabetic macular edema (DME) with central retinal thickness less than 400 μm, according to a noninferiority trial...
Subthreshold micropulse laser therapy was comparable in both efficacy and cost to standard laser therapy in patients with diabetic macular edema (DME) with central retinal thickness less than 400 μm, according to a noninferiority trial...
Subthreshold micropulse laser...
01/10/2024
First Report Managed Care
Yash Prajapati
Videos
Navigating the Evolution of Digital Solutions in Health Care
02/27/2024

Featuring Yash Prajapati, consultant at ZS Associates 

Featuring Yash Prajapati, consultant ...
Join us in exploring the challenges and opportunities in the development, approval, and integration of digital therapeutic solutions with ZS Associates consultant Yash Prajapati.
Join us in exploring the challenges and opportunities in the development, approval, and integration of digital therapeutic solutions with ZS Associates consultant Yash Prajapati.
Join us in exploring the...
02/27/2024
First Report Managed Care

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