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News
Optum Rx’s Cost-Based Pharmacy Payments Signal a Major Shift in Drug Reimbursement
01/27/2026
Lisa Kuhns, PhD, MD
Optum Rx’s full transition from community pharmacies to a cost-based reimbursement model marks a significant shift in how prescription drugs are paid for, aiming to stabilize pharmacy finances amid mounting industry pressures.
Optum Rx’s full transition from community pharmacies to a cost-based reimbursement model marks a significant shift in how prescription drugs are paid for, aiming to stabilize pharmacy finances amid mounting industry pressures.
Optum Rx’s full transition from...
01/27/2026
First Report Managed Care
Quiz
Mobile Health’s Expanding Role in Bridging Care Gaps Across the US
11/11/2025
11/11/2025
First Report Managed Care
News
Mobile Health Units Bridge Access Gaps Across the US, Georgetown Study Finds
11/11/2025
Grace Taylor, MS, MA
A Georgetown University report reveals how mobile health units are reshaping US care delivery, bringing primary, specialty, and emergency services directly to underserved communities while reducing costs and improving outcomes.
A Georgetown University report reveals how mobile health units are reshaping US care delivery, bringing primary, specialty, and emergency services directly to underserved communities while reducing costs and improving outcomes.
A Georgetown University report...
11/11/2025
First Report Managed Care
Conference Coverage
Inside the New Era of PBM Contracting: Lessons from AMCP Nexus 2025
10/29/2025
Juliet Gallagher
At AMCP Nexus 2025, Jennifer Cruz, PharmD, and Nguyen-Khang Tran-Tan, PharmD, RPh, MBA, ALM, presented a pragmatic view of how pharmacy benefit manager (PBM) contracting is evolving. Their message was clear: PBM contracts must be treated as...
At AMCP Nexus 2025, Jennifer Cruz, PharmD, and Nguyen-Khang Tran-Tan, PharmD, RPh, MBA, ALM, presented a pragmatic view of how pharmacy benefit manager (PBM) contracting is evolving. Their message was clear: PBM contracts must be treated as...
At AMCP Nexus 2025, Jennifer...
10/29/2025
First Report Managed Care
Conference Coverage
Understanding Payer Perspectives on Precision Medicine: Key Takeaways from AMCP Nexus 2025
10/28/2025
Juliet Gallagher
In a session at AMCP Nexus 2025, Steven Kheloussi, PharmD, MBA, FAMCP, and Jennifer Billings, PharmD, BCGP, provided a comprehensive overview of the rapidly evolving precision medicine landscape and the payer considerations that accompany it....
In a session at AMCP Nexus 2025, Steven Kheloussi, PharmD, MBA, FAMCP, and Jennifer Billings, PharmD, BCGP, provided a comprehensive overview of the rapidly evolving precision medicine landscape and the payer considerations that accompany it....
In a session at AMCP Nexus 2025,...
10/28/2025
First Report Managed Care
News
Cemiplimab in Metastatic Basal Cell Carcinoma: Durable Outcomes With Real-World Relevance for Payers
10/22/2025
Juliet Gallagher
A study recently published in Future Oncology highlights the emerging role of cemiplimab, an immune checkpoint inhibitor, in the management of metastatic basal cell carcinoma (mBCC).
A study recently published in Future Oncology highlights the emerging role of cemiplimab, an immune checkpoint inhibitor, in the management of metastatic basal cell carcinoma (mBCC).
A study recently published in...
10/22/2025
First Report Managed Care
Armstrong
Interview
Digital Transformation in Managed Care: Streamlining Compliance and Enhancing Member Trust
10/16/2025
Jordan Armstrong
In this interview, Jordan Armstrong, chief revenue officer at ResultsCX, discusses how leading health plans are leveraging artificial intelligence (AI), automation, and personalized advocacy to simplify compliance, strengthen member trust,...
In this interview, Jordan Armstrong, chief revenue officer at ResultsCX, discusses how leading health plans are leveraging artificial intelligence (AI), automation, and personalized advocacy to simplify compliance, strengthen member trust,...
In this interview, Jordan...
10/16/2025
First Report Managed Care
DePinto
Interview
Improving Access, Transparency, and Outcomes in Cell & Gene Therapy
09/29/2025
Joe DePinto
In this interview, Joe DePinto, head of Cell, Gene, and Advanced Therapies at McKesson, discusses the launch of InspiroCare—a cell- and gene-specific hub designed to remove barriers to patient access, streamline coordination across...
In this interview, Joe DePinto, head of Cell, Gene, and Advanced Therapies at McKesson, discusses the launch of InspiroCare—a cell- and gene-specific hub designed to remove barriers to patient access, streamline coordination across...
In this interview, Joe DePinto,...
09/29/2025
First Report Managed Care
Holt Headshot
Commentary
Escaping the Black Hole: Why Post-Acute Blind Spots Are Hospitals’ Biggest Value-Based Risk
09/26/2025
Steve Holt
To succeed under new CMS value-based care models, hospitals must close the “post-acute black hole” by improving data exchange, strengthening care transitions, building high-quality post-acute partnerships, and leveraging predictive and...
To succeed under new CMS value-based care models, hospitals must close the “post-acute black hole” by improving data exchange, strengthening care transitions, building high-quality post-acute partnerships, and leveraging predictive and...
To succeed under new CMS...
09/26/2025
First Report Managed Care
Seema Bhat
Interview
Fixed vs Continuous CLL Treatment: Clinical and Economic Perspectives
07/08/2025
Seema A. Bhat, MD
Seema A. Bhat, MD, a physician at The Ohio State University and a member of both the chronic lymphocytic leukemia (CLL) and hairy cell leukemia treatment groups, shared her expertise with First Report Managed Care on the evolving landscape of...
Seema A. Bhat, MD, a physician at The Ohio State University and a member of both the chronic lymphocytic leukemia (CLL) and hairy cell leukemia treatment groups, shared her expertise with First Report Managed Care on the evolving landscape of...
Seema A. Bhat, MD, a physician...
07/08/2025
First Report Managed Care
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