News
Tell us: Have you lost insurance coverage for GLP-1 weight-loss drugs? - The Boston Globe
5+ hour, 47+ min ago (187+ words) With health care spending on wildly popular GLP-1 drugs for weight loss soaring, local insurers got stricter this year on how they would cover the medications. Tell us: Have you lost insurance coverage for GLP-1 weight-loss drugs? With health care…...
Messes around every corner: A year under new ownership, former Steward hospitals continued to bleed
2+ day, 19+ hour ago (123+ words) It's like buying the fixer-upper from hell. The health care systems acquiring the former Steward Health Care hospitals knew they were walking into a tough situation, after years of Steward's neglect, deterioration, and negative headlines around the bankrupt company. But…...
Most insurance claim denials are due to clerical error. The system needs to be simplified.
1+ week, 4+ day ago (720+ words) Your doctor submits a claim to your health insurance. The claim is denied. You might be justified in thinking the denial is due to a medical disagreement. After all, adjudicating what health care services are necessary and paying for them…...
One in five commercial health insurance claims denied in 2024, Mass. report shows
2+ week, 1+ day ago (735+ words) About one in five claims submitted by providers to commercial health insurers in Massachusetts in 2024 were denied, the vast majority for administrative reasons, according to a new state report released Thursday. Health insurers reported 45.9 million total commercial claims filed that…...
Enrollment in Connector health plans rises by 1.6 percent
3+ week, 2+ day ago (1168+ words) Enrollment in Connector health plans rises by 1.6 percent'The Boston Globe Enrollment in Connector health plans rises by 1.6 percent Just over 97,000 Bay Staters enrolled in unsubsidized plans accessed through the Massachusetts Health Connector for 2026 coverage, according to numbers posted following the…...
‘A life-or-death issue’: Obamacare premiums have skyrocketed. New England is feeling the crunch. - The Boston Globe
3+ week, 5+ day ago (1011+ words) WASHINGTON " For months, Democrats warned that the expiration of enhanced Affordable Care Act tax credits would have dire implications. They predicted skyrocketing health insurance premiums that would leave many Americans in precarious financial situations and some would be forced to…...
Most medical care shouldn’t require insurance preapproval
4+ week, 2+ day ago (603+ words) There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor prescribes an unusual, experimental, or expensive medication or procedure, the insurer can make sure the care is appropriate or suggest a…...
Should Rhode Island save its failing hospitals?
1+ mon, 4+ day ago (641+ words) Two Rhode Island hospitals " Fatima and Roger Williams " are running out of money. Their owner is bankrupt and state leaders are now openly contemplating whether to take over the two hospitals if the approved buyer doesn't come through. Fatima and…...
Healey to eliminate insurer prior authorizations for some drugs and services
1+ mon, 6+ day ago (833+ words) Massachusetts health insurers will face new restrictions around the much-maligned practice of prior authorizations, eliminating the red tape around how patients access some drugs and services, Governor Maura Healey said Wednesday. At a State House news conference, Healey said she…...
Protecting health care is paramount as cuts eliminate coverage for tens of thousands of R.I. patients
1+ mon, 6+ day ago (582+ words) The One Big Beautiful Big Bill Act (OBBBA), a centerpiece of President Trump's economic agenda, will cause 30,000 to 50,000 Rhode Islanders to lose health insurance in the next two years. Our relatives, friends, and neighbors will lose access to lifesaving medical…...