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Anthem Blue Cross Blue Shield's policy that retroactively denies payment for emergency department care is unfair and places a dangerous burden on patients.
Executive health programs often include interventions that are high cost, low efficacy or both including screening tests offer no value & may even cause harm.
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.
Adding step-therapy to Medicare Advantage Part B drugs can delay access to effective medications putting patients at risk. 3 easy tweaks can mitigate the risk.
A recent study shows that value-based insurance desig reduces consumer cost-sharing for clinically indicated medications and increases adherence without changing total spending.
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.
The Medicare Donut Hole coverage gap is present in most Medicare plans but it has been getting smaller in recent years. Here's what to expect in 2019.
The transformation of U.S. healthcare revolves around that marvelous little computer in our pockets: the smartphone. Add in sensors, analytics, AI, the IoT, & telemedicine & you can see how we can create a healthcare system that is at once more personalized, people-centric, & efficient than our current model of care.
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.
Standing desks are being promoted as good for your health, but too much standing can have negative health consequences as well.
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.
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.