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Expert Insights

Cover Story
As the push to deliver increasingly higher quality care at lower costs continues to be of the utmost importance, stakeholders and providers are implementing and testing a number of models to see what suits their patient population best. Home-based primary care is a top-perfomer among those models—…
Feature
In the wake of the recent massive out-of-court settlement by a maker and three distributors of opioids, experts weigh in on the role managed care stakeholders should play at this critical juncture. In October 2019, three major drug distributors and an opioid maker settled out of court with two…
Feature
A recent analysis estimates current levels of wasteful spending in the US health care system and suggests there are opportunities to intervene and save. Experts point to shared decision-making as one tool that could help address waste factors such as overtreatment and low-value care without…
Managed Care Q&A
Caraline Coats, vice president of population health strategy, and Andrew Renda, MD, associate vice president of population health, both from Humana, recently spoke with First Report Managed Care about their company’s Bold Goal initiative, the importance of addressing social determinants of health,…
Commentary
Chris Fausel, PharmD, MHA, BCOP, clinical manager at Indiana University Simon Cancer Center, breaks down practical considerations to ensure the safe use of ibrutinib with regard to concomitant medications and timely dose modifications. Ibrutinib was the first agent approved by the FDA in the…
Interview
By Edan Stanley Robert Greer, RPh, BCOP, senior director of clinical strategy and programs at Magellan Rx Management, discusses the use of ibrutinib compared with traditional immunochemotherapy, and small molecule inhibitors in the treatment of chronic lymphocytic leukemia. Please introduce…
Commentary
By Dean Celia While skeptics explain what’s wrong with Medicare-for-All, its proponents criticize more moderate plans. What does our panel of experts think? And will compromise and pragmatism eventually win out? In the October 2019 issue of First Report Managed Care, we broke down what the…
Interview
By Julie Gould  Melissa Andel, vice president of Health Policy at Applied Policy, recently sat down with us to discuss her recent session at AMCP Nexus 2019 and provided a 5-year outlook on where she sees health care moving towards. Please tell us a little bit about yourself. My name is Melissa…
Video
  Branka Sustic, VP of operations, Cotiviti, and Efe Igbide, MSN, MS, RN, manager of healthcare data quality, Blue Cross Blue Shield of North Carolina, discuss the importance of optimizing the HEDIS off-season and provide tips to achieve the best results.
Video
    David A Asch, MD, MBA, executive director, Penn Medicine Center for Health Care Innovation, discusses the benefits of using behavioral economics to improve health care quality and provides real-world examples of its successful applications.
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