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Articles

In a conversation with Managed Healthcare Executive, Michael Abrams, M.A., managing partner at Numerof & Associates, painted a picture of what’s at stake.

Experts Push for Long-Term Solutions of Rural Hospital Fund Amid Senate Approval

Care gaps in women’s health are closing, thanks to increased cultural awareness of gendered healthcare disparities, according to Susan Cantrell, CEO of the Academy of Managed Care Pharmacy.

Advancing Women's Health Through Formulary Coverage Innovations 

Videos

Sonali Kulkarni, M.D., M.P.H., Medical Director in the Division of HIV and STD Programs at the Los Angeles County Department of Public Health, recently sat down with Managed Healthcare Executive to explain the barriers within the traditional healthcare system for homeless HIV patients and the importance of mobile care clinics. 

HIV Mobile Care Clinics Can Overcome Healthcare Barriers 

The financial balancing act between providers, government programs and commercial insurers, according to Christoph Dankert, chief network officer of Carrum Health.

The Shifting Landscape of Healthcare Payments

Managed Healthcare Executive gives C-suite executives in health plans and provider organizations news and strategies for value-driven solutions.

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1rem

Jeffrey Casberg, M.S., of IPD Analytics and Luke Greenwalt, MBA, of IQVIA, both members of the 

editorial advisory board, will provide a midyear assessment of the pharmacy market and the policy and politics affecting it. Topics to be discussed include the possibility of tariffs, the most-favored nation drug pricing executive order, aspect of the reconciliation bill that could affect the pharmaceutical and pharmacy benefit management industries, pressure on the gross-to-net “bubble,” implementation of the Inflation Reduction Act price negotiations, GLP-1s and notable FDA approvals in the second half of 2025. Note that this a menu and some topics may be added or subtracted depending on time and news up to airtime on June 12. Peter Wehrwein, managing editor of 

The 2025 Pharma Trajectory

In a panel moderated by Peter Wehrwein, managing editor of 

 three Washington, D.C., healthcare lobbyists with extensive D.C. experience discussed healthcare politics and policy dynamics under the Trump administration. Ryann Hill, M.P.H.; Patrick Cooney and Lindsay Greenleaf, J.D., MBA, said healthcare remains a top issue despite all the attention on immigration, tariffs and universities. Key issues include staffing cuts at HHS, with potential effects on the operations of the FDA and the Centers for Disease Control and Prevention. They also discussed the massive reconciliation bill and Medicaid changes, including work requirements and provider tax freezes, Medicare Advantage plan rate hikes and audits, and the May 12 drug pricing executive order and the implications of most-favored nation pricing.

The New Healthcare Reality Under the Trump Administration

Three Washington, D.C., healthcare policy experts and the former chief of staff of HHS dive into the healthcare politics and policies of the new administration: RFK Jr.’s confirmation hearings; the future of IRA drug price negotiations and PBM reform; Medicare Advantage under the new administration; DOGE cuts at HHS; and ant-DEI and the social determinants of health.

What ‘Going Wild’ on Healthcare Could Mean: The Early Days of Trump Healthcare

This webinar, “Your Guide to 2025: Pharma, Formularies, the Pipeline and More” featured Luke Greenwalt, MBA,vice president and lead of the Market Access Center of Excellence at IQVIA, an Jeff Casberg, RPh, M.S., senior vice president, clinical pharmacy at IPD Analytics. Greenwalt and Casberg, both of whom are on the

editorial advisory board, discussed the market trends for GLP-1s and biosimilars; the ’25 drug pipeline; and the prospects for PBM legislation.

Your Guide to 2025: Pharma, Formularies, the Pipeline and More

This webinar on "What the Trump Presidency Will Mean for U.S. Healthcare and Managed Care" includes panelists Lindsay Greenleaf, J.D., MBA; Ryann Hill, M.P.H. and Patrick Cooney, discussing possible changes to healthcare policies and programs under the Trump administration, including the future of the Inflation Reduction and Affordable Care Acts, PBM reform and Medicare Advantage.

Ryann Hill, M.P.H., Indigo Hill Strategies; Patrick Cooney, The Federal Group; and Lindsay Bealor Greenleaf, J.D., MBA, ADVI Health. With special guest, Sean McCluskie, J.D., Ph.D., former HHS chief of staff.

What the Trump Presidency Will Mean for U.S. Healthcare and Managed Care