Paul Nicolaus

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

News

PhRMA Maps Provide State-by-State Look at 340B Drug Program

04/05/2024

Paul Nicolaus

An interactive map made available by the Pharmaceutical Research and Manufacturers of America (PhRMA), a drugmaker advocacy group, shares state-specific data on the 340B Drug Pricing Program. The federal program, initially created over 30...

An interactive map made...

04/05/2024

First Report Managed Care

Feature Story

Medical Cost Increases Projected for 2024

03/01/2024

Paul Nicolaus

PwC's Health Research Institute surveyed health plan actuaries covering nearly 100 million employer-sponsored and 10 million Affordable Care Act marketplace members to project medical cost trends for 2023-2024, highlighting factors like...

PwC's Health Research Institute...

03/01/2024

First Report Managed Care

News

Medicare Drug Price Negotiations and Anticipated Ripple Effects

02/15/2024

Paul Nicolaus

The arrival of the Inflation Reduction Act has ushered in a new era of drug price regulation, giving the Centers for Medicare & Medicaid Services (CMS) the ability to negotiate directly with companies that make some of the costliest drugs...

The arrival of the Inflation...

02/15/2024

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

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

Online Exclusive

Lifestyle Intervention Could Benefit Older Adults With Diabetes

12/22/2022

Paul Nicolaus

A managed lifestyle intervention strategy may help improve both health and quality of life for older adults with diabetes, according to recent research.

A managed lifestyle intervention...

12/22/2022

Veterans Health Today

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

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

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