by Jordana Choucair | Jun 22, 2022 | Payers
he Supreme Court ruled 7-2 that an employer-sponsored health plan can designate all dialysis providers as out-of-network. In 2018, DaVita sued Marietta Memorial Hospital alleging that its plan violated federal law by not having an in-network option for dialysis and...
by Jordana Choucair | Jun 22, 2022 | Payers
Senators Jeanne Shaheen and Susan Collins introduced legislation to reduce insulin prices and cap monthly copays at $35 or 25 percent of the list price — whichever is lower — for both commercial and Medicare plans. The bill would block pharmacy benefit managers from...
by Jordana Choucair | Jun 21, 2022 | Payers
New research published in the Annals of Internal Medicine found that Medicare could have saved almost $4.0 billion if it were purchasing generic drugs directly from the Mark Cuban Cost Plus Drug Company (MCCPDC) online pharmacy. Specifically, Medicare could have saved...
by Jordana Choucair | Jun 16, 2022 | Payers
An investigative report by Kaiser Health News and NPR found that more than 100 million Americans have medical debt. According to a Kaiser Family Foundation poll, a quarter of those with debt owe $5,000 or more and approximately 13 percent owe $10,000 or more – 18...
by Jordana Choucair | Jun 15, 2022 | Payers
A new Gallup poll indicates that Americans aged 50-64 to have been skipping medications and cutting back on daily essentials to cover their medical needs. Eighteen percent, or approximately 11 million of older Americans, said they or a family member skipped a pill,...
by Jordana Choucair | Jun 14, 2022 | Payers
eHealth released a survey indicating that 13 percent of Medicare Advantage (MA) enrollees had a claim or pre-authorization request denied. Of those, 43 percent said their plan told them the claim was excluded from coverage. Another 15 percent said coverage was denied...
Recent Comments