Paul Nicolaus

05/18/2020

New and improved cancer treatments have the potential to save lives, but only for those who can afford the seemingly ever-growing price tag. Experts break down the financial challenges faced by payers and predict what managed care markets may...

New and improved cancer...

05/18/2020

First Report Managed Care

Third-Party Payment Assistance Programs: The Good, the Bad, and the Ugly

07/19/2018

Paul Nicolaus ;

As alternative methods for connecting low-income consumers with health insurance and care emerge and evolve, some stakeholders see the potential of third-party payment (TPP) programs while others raise concerns. Experts help sort out the...

As alternative methods for...

07/19/2018

First Report Managed Care

Feature Story

Many Fast-Tracked Drugs Fail to Offer High Added Therapeutic Value, Study Finds

09/23/2022

Paul Nicolaus ;

Researchers of a recent study evaluated the therapeutic value of new drugs granted either accelerated approval or conditional marketing authorization compared with drugs already available on the market.

Researchers of a recent study...

09/23/2022

First Report Managed Care

California Bill Falters Amidst Drug Price Transparency Dispute

09/15/2016

Paul Nicolaus ;

All eyes are on California’s prescription drug price battle as this heavily contested issue of national importance plays out.

All eyes are on California’s...

09/15/2016

First Report Managed Care

New Report Offers Updated Look at Spending Waste

11/20/2019

Paul Nicolaus ;

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...

A recent analysis estimates...

11/20/2019

First Report Managed Care

House of Cards: How Much Longer Can the ACA Hold Up?

10/20/2016

Paul Nicolaus ;

With insurers pulling out, premiums on the rise, and the presidential election on the way, the fate of Obamacare hangs in the balance.

With insurers pulling out,...

10/20/2016

First Report Managed Care

Acquisitions: Payers Gobble Up Provider Networks

07/05/2018

Paul Nicolaus ;

While the media is focused on the impact of threats to the health care industry from outside forces like Amazon and Walmart, Payers have been quietly buying up huge provider groups from across the country, indicating that the biggest changes...

While the media is focused on...

07/05/2018

First Report Managed Care

Feature

What Will Telehealth Look Like Post Pandemic?

12/22/2022

Paul Nicolaus ;

As the United States and the rest of the world continue to return to normalcy after COVID-19, a question of whether certain pandemic-prompted services may begin to fade away must be addressed.

As the United States and the...

12/22/2022

First Report Managed Care

News

07/14/2016

Paul Nicolaus ;

Highly anticipated cancer drug knock-offs provide the possibility of improved access, but cost benefits have not yet been demonstrated.

Highly anticipated cancer drug...

07/14/2016

First Report Managed Care

New Payment Models Tackle Medicaid Drug Spending

10/17/2019

Paul Nicolaus ;

Several states are pursuing alternative payment models for prescription drugs to curb spending and address public health crises, but experts say these new strategies face a variety of challenges on their way to implementation.

Several states are pursuing...

10/17/2019

First Report Managed Care