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Why Unfair ER Coverage Policies are Risky for Patients

Anthem Blue Cross Blue Shield's policy that retroactively denies payment for emergency department care is unfair and places a dangerous burden on patients.
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How to Kill Pre-existing Condition Protections

A.G. Jeff Sessions' letters to Congress outline the convoluted reasoning the DoJ is using to refuse to defend a legal assault on 3 key provisions of the ACA.
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Re-Shaping Patient Engagement in a Multicultural World

An increasing multicultural divide between patients and the healthcare workforce that serves them is leading to poor outcomes and higher costs.
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Lowering Cost-Share for High Value Meds Improves Adherence

A recent study shows that value-based insurance desig reduces consumer cost-sharing for clinically indicated medications and increases adherence without changing total spending.
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High-Value Healthcare: Is It the Wave Of The Future?

There's a growing number of providers committed to delivering high-value care & a group of purchasers willing to go around traditional arrangements to access it.
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Denying Coverage for Emergency Care is a Danger to Patients

New health insurance policies that deny coverage for emergency care after patients have already been seen and evaluated means that they will have to determine for themselves whether their symptoms are an emergency or be at risk for large bills. Keep in mind that it's hard to do even if you are a doctor.
American money and pills drug pricing

The Crazy Way Drugs are Priced and What Can Be Done...

Sticker shock contributes to 30% of prescriptions being abandoned or not picked up at all. PBM fees, chain pharmacy clout, and rebates all contribute to a lack of transparency and unnecessarily high drug prices.
Paper cutout of family on open hands (1000 x 668)

The Modern Patient Needs to be an Expert Insurance Navigator

Regardless if a person has private, public or combination health insurance coverage, to get the most from purchased benefits, chronic disease patients must implement three important P's to get through the inevitable and unavoidable paperwork: Patience, Persistence, and Politeness.
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How to Create Streamlined and Consumer-Friendly Healthcare

In an increasingly self-serve society, healthcare organizations must offer sophisticated patient portals and patient engagement technologies in order to bring value to patients and efficiencies to their organizations.
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What’s Shaking Up the Business of Healthcare?

In order to learn what's behind the recent efforts to shake up healthcare (CVS-Aetna merger & the Amazon, JP Morgan Berkshire Hathaway joint venture), Pat Salber, MD, MBA turned to Rita Numerof, Ph.D, President of Numerof & Associates, to find out what she thinks are the underlying factors for these huge changes.
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Cancer Death Rates are Way Down, Why?

American Cancer Society statistics show that the death rate from cancer has declined over the last 2 decades and dropped another 1.7% last year. There's also been a 2% decline in new cancer diagnoses in the last decade for men, but not for women. Otis Brawley, MD, Chief Medical and Scientific Officer for the ACS describes what's behind these stats.
Republican healthcare policies

Is Single-Payer a Better Option for America?

Don Berwick, former head of CMS joins Pat Salber (@docweighsin) to talk about health reform with a focus on single-payer. Can we get there in the U.S.?