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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
Leyla Henderson
Conference Coverage
Strategies for Enhancing Infusion Patient Experiences
07/10/2024
Leyla Henderson
An NICA 2024 session speaker shares innovative strategies for enhancing patient satisfaction and improving outcomes in health care settings, emphasizing the importance of patient-centered care and individualized experiences.
An NICA 2024 session speaker shares innovative strategies for enhancing patient satisfaction and improving outcomes in health care settings, emphasizing the importance of patient-centered care and individualized experiences.
An NICA 2024 session speaker...
07/10/2024
First Report Managed Care
Grady Stewart
Conference Coverage
Improving Outcomes for Infusion Patients Through Holistic Care
07/08/2024
Grady Stewart
NICA 2024 session speaker Grady Stewart discusses the overlooked challenges infusion patients face in managing their mental health alongside their physical health, and how support and advocacy from health care providers can lead to better...
NICA 2024 session speaker Grady Stewart discusses the overlooked challenges infusion patients face in managing their mental health alongside their physical health, and how support and advocacy from health care providers can lead to better...
NICA 2024 session speaker Grady...
07/08/2024
First Report Managed Care
Matt Toresco
Conference Coverage
Enhancing Patient Support: Infusion Companies' Role in Promoting Health Equity
07/02/2024
In a session at NICA 2024, Matt Toresco from Archo Advocacy stresses the importance of holistic patient care and addressing social determinants to advance health equity in health care settings.
In a session at NICA 2024, Matt Toresco from Archo Advocacy stresses the importance of holistic patient care and addressing social determinants to advance health equity in health care settings.
In a session at NICA 2024, Matt...
07/02/2024
First Report Managed Care
John Hoffman
Conference Coverage
Strategies for Infusion Providers to Advance Health Equity
06/28/2024
John Hoffman
Explore the distinctions between health equity and DE&I, understand the impact of market influences on patient care outcomes, and discover practical strategies to enhance patient support in this interview with NICA 2024 session speaker John...
Explore the distinctions between health equity and DE&I, understand the impact of market influences on patient care outcomes, and discover practical strategies to enhance patient support in this interview with NICA 2024 session speaker John...
Explore the distinctions between...
06/28/2024
First Report Managed Care
Conference Coverage
What Does Value Mean to You: Value-Based Contracting Expert Insights
05/02/2024
Danielle Sposato
A panel at Asembia 2024 delved into the complexities of value-based contracting in health care, emphasizing the need for collaboration among stakeholders to address key issues and improving access to medicines for patients.
A panel at Asembia 2024 delved into the complexities of value-based contracting in health care, emphasizing the need for collaboration among stakeholders to address key issues and improving access to medicines for patients.
A panel at Asembia 2024 delved...
05/02/2024
First Report Managed Care
Conference Coverage
A Global Perspective on the Development of Value-Based Care and Innovative Contracting
04/18/2024
Hannah Musick
Global trends in pharmaceutical pricing strategies and innovative contracting models, the increasing complexities of drug pricing, and the potential risks of an overinflated market bubble were discussed in a keynote session with Omar Ali,...
Global trends in pharmaceutical pricing strategies and innovative contracting models, the increasing complexities of drug pricing, and the potential risks of an overinflated market bubble were discussed in a keynote session with Omar Ali,...
Global trends in pharmaceutical...
04/18/2024
First Report Managed Care
Conference Coverage
Costs, HCRU Higher With Valbenazine Than Deutetrabenazine for Tardive Dyskinesia
03/20/2023
Hannah Musick
"Further investigation on movement disorder diagnoses codes and variations in provider specialty backgrounds may help elucidate factors that may be driving the differences in health care resource use," investigators said.
"Further investigation on movement disorder diagnoses codes and variations in provider specialty backgrounds may help elucidate factors that may be driving the differences in health care resource use," investigators said.
"Further investigation on...
03/20/2023
First Report Managed Care
Conference Coverage
The Role of Laboratory Services in Population Health, Value-Based Care
11/09/2022
Maria Asimopoulos
Speakers at the 22nd Population Health Colloquium shared how laboratory services might be utilized better to reduce costs and improve care quality across large populations.
Speakers at the 22nd Population Health Colloquium shared how laboratory services might be utilized better to reduce costs and improve care quality across large populations.
Speakers at the 22nd Population...
11/09/2022
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

Behind the Bill
CMS Updates Guidance on M3P: What to Expect from Medicare’s 2025 Rollout
07/24/2024
Katie Hayes, MJ
The M3P offers financial relief by spreading payment throughout the year, and CMS’ latest guidance clarifies key outreach parameters.
The M3P offers financial relief by spreading payment throughout the year, and CMS’ latest guidance clarifies key outreach parameters.
The M3P offers financial relief...
07/24/2024
First Report Managed Care
News
Dietary Patterns May Reshape Microbiota to Combat Obesity
08/19/2024
Lisa Kuhns, PhD, MD
Dietary patterns that promote beneficial gut microbiota show promise in combating obesity and related metabolic diseases, according to recent research published in Frontiers in Nutrition.
Dietary patterns that promote beneficial gut microbiota show promise in combating obesity and related metabolic diseases, according to recent research published in Frontiers in Nutrition.
Dietary patterns that promote...
08/19/2024
First Report Managed Care
News
High Mortality and Impairment Rates Among Older Adults in Long-Term Acute Care Hospitals
09/20/2024
Lisa Kuhns, PhD, MD
Long-term acute care hospitals (LTCHs) provide critical, multidisciplinary care for medically complex patients, but survival rates and long-term functional outcomes remain poor, according to a study published in JAMA Network Open.
Long-term acute care hospitals (LTCHs) provide critical, multidisciplinary care for medically complex patients, but survival rates and long-term functional outcomes remain poor, according to a study published in JAMA Network Open.
Long-term acute care hospitals...
09/20/2024
First Report Managed Care
Conference Coverage
Assessing the Effectiveness of DTBZ in Promoting Psychiatric Stability in Patients With Tardive Dyskinesia
10/14/2024
Hannah Musick
Research presented at AMCP Nexus 2024 examines the impact of deutetrabenazine (DTBZ) on psychiatric stability in patients with tardive dyskinesia, showing a potential improvement in schizophrenia-related hospitalizations and emergency...
Research presented at AMCP Nexus 2024 examines the impact of deutetrabenazine (DTBZ) on psychiatric stability in patients with tardive dyskinesia, showing a potential improvement in schizophrenia-related hospitalizations and emergency...
Research presented at AMCP Nexus...
10/14/2024
First Report Managed Care
News
Impact of Immune Checkpoint Inhibitors on Multiple Sclerosis Treatment Outcomes
10/29/2024
Grace Taylor, MS, MA
Relapses and progression of multiple sclerosis were rare in patients treated with immune checkpoint inhibitors, according to a study presented at the American Academy of Neurology 2024 Annual Meeting.
Relapses and progression of multiple sclerosis were rare in patients treated with immune checkpoint inhibitors, according to a study presented at the American Academy of Neurology 2024 Annual Meeting.
Relapses and progression of...
10/29/2024
First Report Managed Care

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