Paul Nicolaus

Study Examines Regional Disparities in Prior Authorization Requirements for HIV PrEP

08/20/2020

Researchers reveal that the proportion of qualified health plans that require prior authorization for HIV PrEP is highest in the South, suggesting this may be a barrier to access in the region arguably in most need of the drug.

Researchers reveal that the...

08/20/2020

First Report Managed Care

News

Oncology Clinical Trials: A Win-Win for Payers

05/12/2017

Paul Nicolaus ;

Clinical trials could represent a unique opportunity for significant cost savings while getting patients access to cutting-edge treatments.

Clinical trials could represent...

05/12/2017

First Report Managed Care

News Connection

CMS Unveils New AHEAD Model Aimed at State Populations

05/30/2024

Paul Nicolaus ;

The Centers for Medicare & Medicaid Services (CMS)'s AHEAD model aims to improve population health management by awarding funding to states and promoting primary care investment and enhanced equity measures, but implementation challenges and...

The Centers for Medicare &...

05/30/2024

First Report Managed Care

More Americans Stuggle to See a Doctor Despite Gains in Coverage

03/31/2020

Paul Nicolaus ;

Although health coverage has improved over the past two decades, new research reveals that a growing proportion of US adults are missing out on medical care due to its high costs.

Although health coverage has...

03/31/2020

First Report Managed Care

Are all Co-ops Really Doomed to Fail?

12/18/2015

Paul Nicolaus ;

Are all Co-ops Really Doomed to Fail? Intended to serve as alternatives to the policies offered by for-profit insurers, the nonprofit health insurance co-ops created under the Affordable Care Act have been failing at an alarming rate.

Are all Co-ops Really Doomed to...

12/18/2015

First Report Managed Care

Trump Administration Issues Final Rule Expanding Short-term Insurance

09/18/2018

Paul Nicolaus ;

Consumers will now have the ability to purchase short-term, limited-duration insurance policies for more extended periods of time. Experts weigh in on the potential impact of increased access to less comprehensive plans.

Consumers will now have the...

09/18/2018

First Report Managed Care

Feature Story

Long-term Effects of COVID-19 Pose Challenges for Patients, Providers, and Payers

02/02/2022

Paul Nicolaus ;

Issues like fatigue, muscle pain, and brain fog affect some COVID-19 survivors for lengthy periods. Experts suggest there is a growing need to better understand and respond to this phenomenon.

Issues like fatigue, muscle...

02/02/2022

First Report Managed Care

News

Deregulating The FDA to Cut Drug Prices

03/17/2017

Paul Nicolaus ;

The Trump Administration advocated for slashing the regulatory burden at the FDA in order to jumpstart competition on the pharmaceuticals market.

The Trump...

03/17/2017

First Report Managed Care