News
Analysis Highlights Financial Stakes for Families as Debate Over Federal Preventive Care Recommendations Intensifies
1+ hour, 9+ min ago (303+ words) Newswise " Amid federal changes affecting the U. S. Preventive Services Task Force (USPSTF) and growing uncertainty about evidence-based preventive care recommendations, researchers at the George Washington University Milken Institute School of Public Health are highlighting the importance of the Affordable Care Act's…...
ACP Calls for Reform of the Medicare Advantage Program to Protect Patient Health | Newswise
2+ day, 16+ hour ago (579+ words) The Centers for Medicare and Medicaid Services (CMS) should reform Medicare Advantage to protect patient health and realign the plan option with its original purpose, says the American College of Physicians (ACP). ACP Calls for Reform of the Medicare Advantage…...
Prior Authorization Rules Vary Widely Among Major Commercial Insurers | Newswise
2+ day, 16+ hour ago (294+ words) A brief research report reviewed the prior authorization rules for Aetna, Humana, and United Healthcare and found little consistency in their prior authorization rules. Prior Authorization Rules Vary Widely Among Major Commercial Insurers Prior authorization rules vary widely among major…...
Medicaid Expansion Helped Enrollees" Long-Term Financial Health, Study Finds | Newswise
3+ week, 2+ day ago (659+ words) Newswise " Twelve years ago this spring, the first Michiganders began getting their health care coverage from the Medicaid expansion program known as the Healthy Michigan Plan. Today, more than 650, 000 are enrolled in the program, which provides health care to individuals…...
The Medical Debt Vortex
1+ mon, 3+ week ago (207+ words) Emerging research points to a "vortex" of medical debt in which opaque hospital pricing, hidden fees, and aggressive legal tactics can transform routine care into long-term financial strain." Researchers found that providers in Virginia alone filed more than 1 million medical…...
National Health Insurers vs. Anesthesiology Practices: ASA Weighs in on No Surprises Act Dispute | Newswise
2+ mon, 1+ day ago (333+ words) In the brief, ASA urged the court to dismiss United Healthcare's fraud claims, warning that allowing insurers to pursue fraud allegations based on disputed IDR eligibility determinations undermines the administrative framework Congress created in the NSA, which could open the…...
Medicaid Disenrollment Spikes at Age 19, Study Finds
2+ mon, 3+ week ago (586+ words) Newswise " In most states, Medicaid eligibility rules shift at age 19, when individuals transition from child to adult classification. A new study led by the University of Chicago finds that this policy threshold coincides with a sharp spike in Medicaid disenrollment,…...
Wash U Expert: Why Prescription Drug Prices Stay High " and What Congress Can Do About It
3+ mon, 4+ day ago (383+ words) Newswise " High prescription drug prices are not caused by any single company or practice, but by the system itself, said an expert on prescription prices at Washington University in St. Louis. If Congress wants to lower drug prices, it need…...
Big data and LASSO improve health insurance risk prediction
3+ mon, 2+ week ago (246+ words) | Newswise'Newswise Big data and LASSO improve health insurance risk prediction Variable-group selection results indicate which categories of information are most informative for predicting the study's health-risk proxies. Insurers must price and underwrite policies with incomplete information, while applicants often know…...
Georgia Insurance Claims Database Provides Health Care Cost Comparisons | Newswise
3+ mon, 2+ week ago (167+ words) The Georgia APCD All-Payer Claims Database Cost Comparison Tool contains information on more than 200 medical procedures. Georgia Insurance Claims Database Provides Health Care Cost Comparisons Newswise " Georgia residents now have a new way to compare the estimated costs paid for…...