During a featured panel discussion at Becker's Payer Issues Roundtable, panelists discussed care access trends among older patient populations. Panelists highlighted the fragmented health system, shortage of providers across skill levels and significant variations in access to care as systemic…
Author: Staff
Immune-mediated diseases such as psoriasis, psoriatic arthritis, rheumatoid arthritis, Crohn’s disease, and other conditions impact millions of people in the United States. To help reduce the health burden of these chronic diseases, industry players are exploring ways to translate immune…
Many health plans offer virtual mental health services, which have been in high demand since the pandemic began. But many solutions only identify people when they are symptomatic with mental health issues such as depression and anxiety.
The Transparency in Coverage (TiC) final rule went into effect July 1, 2022, and requires insurers to include provider-negotiated rates, as well as allowed billable amounts for all out-of-network providers.
$4.1T (or $12,530 per person) was spent in the United States on healthcare in 2020. That’s a 9.7% increase from 2019.
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L.A. Care, a publicly operated health plan in California with 2.5 million members, was fined $55 million for failing to authorize members' needed care, ensure timely access to care and address patient complaints, according to The Los Angeles Times.
HHS' Office of the National Coordinator for Health Information Technology is looking for public comments on prior authorization to help guide standards, implementation and certification.
The state of Georgia is suing HHS after the agency implemented changes that removed a requirement for Medicaid beneficiaries to work in order to be eligible for coverage, Bloomberg reported Jan. 21.
Health insurers are covering between 61 percent and 74 percent of the costs of ivermectin, a treatment for parasites in humans and animals, despite guidance from the FDA that it should not be used to treat COVID-19.
Health New England is expanding federally mandated coverage of at-home COVID-19 tests to include its Medicare Advantage members.