health insurance
publication date
Payer
Cigna Announces 2024 Marketplace Plans
As the insurer limits expansion, what will others do amidst premium increases and continued enrollment growth?
Payer
Doctors and Patients Try to Shame Insurers Online to Reverse Prior Authorization Denials
Insurers say the prior authorization helps them control costs.
Payer
The Golden Age of Medicine Needs a Golden Age of Coverage
It will be difficult for the patchwork that is U.S. healthcare policy to bridge the gap.
Marketing
Seeking Medicare Coverage for Weight Loss Drugs, Pharma Giant Courts Black Influencers
The drugmaker started an educational campaign that obesity is a chronic disease and should be treated like other ailments.
Pharma
Birth Control Pill Is Available, What About Cost and Coverage?
Many details related to cost and coverage of an OTC pill still need to be sorted out.
Payer
Most Patients Experience Barriers to Care From Insurers
New polls reveal patients, nurses, and physicians face issues due to health insurance policies and practices.
Payer
Patients Squeezed in Fight Over Who Gets to Bill for Pricey Infusion Drugs
Some insurers are bypassing hospital pharmacies and physician offices and instead sending more complex drugs through third-party pharmacies.
Payer
How Often Do Health Insurers Say No to Patients? No One Knows.
Insurers' denial rates ? a critical measure of how reliably they pay for customers' care ? remain mostly secret to...
Payer
Most Adults Experience Problems With Their Health Insurance
Analysis by Kaiser Family Foundation (KFF) examines consumer experiences with health insurance.
Revenue Cycle
Perspective: Denials of Health Insurance Claims Are Rising — And Getting Weirder
Denials have become another predictable, miserable part of the patient experience.
Payer
Buprenorphine Battles Reveal Mixed Results
Pushback on DEA regulations is measured by medication coverage trends that are improving but still lag in many areas.
Revenue Cycle
GI Docs Rail Against UHC's Looming Prior Authorization Mandate
GI docs say the payer is using AI to move large volumes of services through prior authorization.