Paul Nicolaus

09/18/2019

Electronic health records have been blamed as a significant source of physician frustration and even burnout. Is it possible for managed care leaders to turn this technology from a burden to a boon?

Electronic health records have...

09/18/2019

First Report Managed Care

Cover Story

A Look at Hospitals and Pricing Transparency Compliance

09/16/2021

Paul Nicolaus ;

Findings from a pair of studies suggest many hospitals are not complying with a new Centers for Medicare & Medicaid Services price disclosure rule. Experts weigh in on whether adherence will improve over time and what sort of impact the new...

Findings from a pair of studies...

09/16/2021

First Report Managed Care

News

Game Changer: How CVS & Aetna Could Transform Health Care

01/19/2018

Paul Nicolaus ;

CVS & Aetna will combine retail pharmacy touchpoints with the power of a payer to reduce drug costs through a more fine-tuned pharmacy experience. However, this partnership could have an impact that changes more than just pharmacy.

CVS & Aetna will combine retail...

01/19/2018

First Report Managed Care

Feature Story

Payers Bet Big on Home Health Care

06/20/2023

Paul Nicolaus ;

Large health insurers are making multibillion-dollar deals to acquire home health care providers. Here’s why.

Large health insurers are making...

06/20/2023

First Report Managed Care

News

NCQA: Early Intervention, Quality Follow-Up Care to Combat High Cost of Mental Health Care

06/30/2016

Paul Nicolaus ;

A new study conducted by the National Committee for Quality Assurance hopes to aid in the development of measures intended to improve the quality of depression care.

A new study conducted by the...

06/30/2016

First Report Managed Care

New Efforts to End the HIV Epidemic

05/17/2019

Paul Nicolaus ;

A bold new initiative, along with proposed funding, seeks to eliminate the spread of HIV in the United States over the next decade. We gathered insight into this public health initiative’s implications for managed care stakeholders.

A bold new initiative, along...

05/17/2019

First Report Managed Care

Feature Story

New Updates, Efficiencies in New Member Enrollment

11/22/2021

Paul Nicolaus ;

The coronavirus pandemic has led to changes in the ways payers are attracting, enrolling, and retaining members in health care plans. Some of these recent changes and emerging strategies may stick around well beyond this historic health event.

The coronavirus pandemic has led...

11/22/2021

First Report Managed Care

News

The Cost Impact of Surprise Hospital Billing

12/20/2017

Paul Nicolaus ;

Patients can sometimes be seen by out-of-network providers in in-network facilities, leaving them stuck with surprisingly high health bills.

Patients can sometimes be seen...

12/20/2017

First Report Managed Care

Feature Story

Coverage Reshuffling Anticipated as Pandemic Policies Unwind

12/07/2023

Paul Nicolaus ;

The COVID-19 pandemic and policies initiated in response to it have altered the landscape of health insurance coverage, and recent projections indicate that there could be another significant shift taking place as these temporary policies...

The COVID-19 pandemic and...

12/07/2023

First Report Managed Care

Pandemic Presents New Possibilities for Cardiac Rehab Programs

11/20/2020

Paul Nicolaus ;

COVID-19 has thrown traditional cardiac rehabilitation programs a major curveball, but some experts say this crisis is also creating new opportunities to reimagine care delivery and payment for the long haul.

COVID-19 has thrown traditional...

11/20/2020

First Report Managed Care