| Date | Title | Description |
| 04.09.2026 | Trump and Kennedy’s health industry deals haven’t been enforced and are at risk of vanishing | Getting your Trinity Audio player ready...
By Stephanie Armour, KFF Health News
In the thick of his competitive reelection race in Michigan, Republican Rep. Tom Barrett joined Health and Human Services Secretary Robert F. Kennedy Jr. at a s... |
| 02.09.2026 | The Medicare GLP-1 discount has one big catch: Some sick patients don’t qualify | Getting your Trinity Audio player ready...
By Jackie Fortiér, KFF Health News
In January, Jeff La Marca got a prescription for the popular weight loss drug Zepbound. But he couldn’t afford the $750 monthly price tag.
Then Medicare launched ... |
| 27.08.2026 | Texas Senate hopeful Talarico teams with Mark Cuban on plan to break up healthcare ‘monopolies’ | James Talarico, the Texas Democrat running for Senate against Texas Attorney General Ken Paxton, is promoting a new healthcare plan, first shared with CNBC, that he said would take aim at industry consolidation and lower costs.
Talarico unv... |
| 12.08.2026 | Doctors say Trump’s vaccine order will raise fears, cause confusion and endanger kids | Getting your Trinity Audio player ready...
By LAURA UNGAR, AP Medical Writer
Doctors say President Donald Trump’s new executive order on vaccines is misguided and likely to stoke fear and confusion among parents at a time when measles is ra... |
| 28.07.2026 | Electronic Prior Authorization Arrives Jan. 1, 2027: What Hospitals Need to Know | As major provisions of the 2024 Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization final rule take effect next year, hospitals and health systems should begin preparing for changes to prior authoriza... |
| 27.07.2026 | Patients face a thicket of red tape trying to maintain consistent health coverage | Getting your Trinity Audio player ready...
By Renuka Rayasam, KFF Health News
By the time Derion Blackman collapsed in front of a Dollar General in Kissimmee, Florida, in March, he had been waiting two months to regain access to some of the... |
| 19.07.2026 | Copay assistance is meant to defray patient drug costs. Some insurers keep it instead | Getting your Trinity Audio player ready...
By Daniel Chang, KFF Health News
For 16 years, Larry Gruber, a fitness coach from Wilton Manors, Florida, received a coupon card to help him pay for a psoriatic arthritis medication he needs that c... |
| 22.06.2026 | Upcoming billing change could make pregnancy pricier | Getting your Trinity Audio player ready...
By Michelle Andrews, KFF Health News
Having a baby in the United States is about to get more complicated.
Under new billing codes that take effect in January, doctors who manage maternity care will... |
| 31.03.2026 | A Medicaid ‘spend down’ may get an older person long-term care coverage but isn’t a DIY strategy | Getting your Trinity Audio player ready...
By KEN SWEET, AP Business Writer
The U.S. Department of Health and Human Services estimates that more than half people over age 65 will need help with daily activities such as bathing, dressing or ... |
| 16.03.2026 | Even patients are shocked by the prices their insurers will pay — and it costs all of us | Getting your Trinity Audio player ready...
By Elisabeth Rosenthal, KFF Health News
Samantha Smith of Harrisburg, Pennsylvania, went into the operating room for emergency removal of an ectopic pregnancy. “I’m grateful I didn’t die,” she said... |
| 01.03.2026 | Red and blue states alike want to limit AI in insurance. Trump wants to limit the states | Getting your Trinity Audio player ready...
By Darius Tahir, Lauren Sausser, KFF Health News
It’s the rare policy question that unites Republican Gov. Ron DeSantis of Florida and the Democratic-led Maryland government against President Donal... |
| 21.01.2026 | States go their own way as RFK Jr. shifts federal vaccine policy | Getting your Trinity Audio player ready...
By Tim Henderson, Stateline.org
New federal guidance to reduce the number of vaccines recommended for all children from 17 vaccines down to 11 comes as states already are charting their own courses... |
| 21.01.2026 | New vaccine guidance for children is ‘a recipe for disaster,’ doctor says: Here’s what he and other public health experts recommend | The recommended vaccine schedule for children has been reduced from 17 to 11 vaccines, according to a recent announcement by the U.S. Department of Health and Human Services.
The decision comes after a presidential memorandum directing the ... |
| 12.12.2025 | Plan-switching, sign-up impersonations: Obamacare enrollment fraud persists | Getting your Trinity Audio player ready...
By Julie Appleby, KFF Health News
Florida resident Keith Jones says his Affordable Care Act insurance plan was changed multiple times this year without his permission. Now the 52-year-old is strugg... |
| 04.11.2025 | Pfizer COVID-19 vaccine sales tumble after government guidance on the shots narrows | By TOM MURPHY, AP Health Writer
The fall COVID-19 vaccine season is starting slowly for Pfizer, with U.S. sales of its Comirnaty shots sinking 25% after federal regulators narrowed recommendations on who should get them. Related Articles
Ma... |
| 15.10.2025 | Shutdown forces Medicare patients off popular telehealth and hospital-at-home programs | By Tim Henderson, Stateline.org
The federal government shutdown is forcing a reckoning for two remote health care programs because they automatically expired Oct. 1.
The telehealth and in-home hospital care programs were both temporary — bu... |
| 24.09.2025 | Patty’s Takes: Getting Yourself Ready for Medicare Open Enrollment | Washington state Insurance Commissioner Patty Kuderer’s newsletter, Patty’s Takes, goes out each quarter. Subscribe here.
Even if you’re not old enough to qualify for Medicare, there’s a good chance someone in your life is. There’s almost 7... |
| 23.09.2025 | How to get a COVID-19 shot and ensure it’s covered by your insurance | By TOM MURPHY
Drugstores are ready to deliver updated COVID-19 vaccines this fall and insurers plan to pay for them, even though the shots no longer come recommended by an important government committee. Related Articles
Keenesburg’s Wild A... |
| 19.09.2025 | Vaccine Panel Shifts Threaten US Public Health | A key government vaccine panel, hand-picked by Health Secretary Robert F. Kennedy Jr., prepares to overhaul U.S. immunization policy. Critical votes on Covid, hepatitis B, and MMRV vaccines are imminent. These shifts could severely limit pu... |
| 19.09.2025 | RFK Jr.’s vaccine panel weakens Covid shot recommendations, calling it an individual decision | Health and Human Services Secretary Robert F. Kennedy Jr.’s hand-picked vaccine panel weakened Covid shot recommendations in the U.S., advising that all Americans consult a health-care provider before deciding whether to receive the vaccine... |
| 19.09.2025 | Kennedy’s vaccine advisers change COVID shot guidance, calling them an individual choice | By MIKE STOBBE and LAURAN NEERGAARD
ATLANTA (AP) — Health Secretary Robert F. Kennedy Jr.’s new vaccine advisers added confusion Friday to this fall’s COVID-19 vaccinations — declining to recommend them for anyone and leaving the choice up ... |
| 18.09.2025 | Covid shot access, coverage at stake as RFK Jr.’s hand-picked vaccine panel convenes | Covid shot access and coverage in the U.S. hang in the balance as an influential government vaccine panel hand-picked by Health and Human Services Secretary Robert F. Kennedy Jr. convenes this week in Atlanta.
The Advisory Committee on Immu... |
| 10.09.2025 | When hospitals and insurers fight, patients get caught in the middle | By Bram Sable-Smith, KFF Health News
Amy Frank said it took 17 hours on the phone over nearly three weeks, bouncing between her insurer and her local hospital system, to make sure her plan would cover her husband’s post-surgery care.
Many o... |
| 05.09.2025 | Beyond the Black Box: Why Health Plans Must Redesign Utilization Management for Transparency | Matt Cunningham, Executive Vice President of Product at Availity
For too long, utilization management (UM) has been the most painful source of abrasion between health plans and healthcare providers.
Care decisions are too often made by thir... |
| 12.08.2025 | Sorting out COVID vaccine confusion: New and conflicting federal policies raise questions | With so much in flux, it’s important to check with your employer or insurer about coverage policies before you roll up your sleeve.
Here’s what we know so far, and what remains unclear.
Q: How have the recommendations changed?
What used to ... |
| 16.07.2025 | Insurers fight state laws restricting surprise ambulance bills | States are trying to fill a gap left by the federal No Surprises Act, which covers air ambulances but not ground services, including ambulances that travel by road and water. This year, Utah and North Dakota joined 18 other states that have... |
| 18.01.2025 | A New Era in Obesity Diagnosis and Alcohol Labeling: Health Policies Under Scrutiny | In the realm of health, change is a constant. Recently, two significant developments have emerged that could reshape our understanding of obesity and alcohol consumption. These changes are not just policy tweaks; they are shifts in how we p... |
| 15.01.2025 | Health | Health insurers limit coverage of prosthetic limbs, questioning their medical necessity | To people in the amputee community, the coverage disparity amounts to discrimination.
“Insurance covers a knee replacement if it’s covered with skin, but if it’s covered with plastic, it’s not going to cover it,” said Jeffrey Cain, a family... |
| 14.01.2025 | Health | Obesity won’t be solely defined by BMI under new plan for diagnosis by global experts | People with clinical obesity meet BMI and other markers of obesity and have evidence of organ, tissue or other problems caused by excess weight. That could include heart disease, high blood pressure, liver or kidney disease or chronic sever... |
| 21.10.2024 | Health | White House says health insurance needs to fully cover condoms, other over-the-counter birth control | Without a doctor’s prescription, women may pay as much as $50 for a pack of the pills. And women who delay buying the medication in order to get a doctor’s prescription might jeopardize the pill’s effectiveness, since it is most likely to p... |
| 11.10.2024 | The L.A. Trust Honors John Baackes and Jayanth Kumar at Annual Salute to Student Health | The L.A. Trust honored John Baackes, CEO of L.A. Care Health Plan, with the Visionary Award, and Dr. Jayanth Kumar, retired State Dental Director, with the Champion Award at its 2024 Salute to Student Health event, celebrating their dedicat... |
| 10.10.2024 | The Health Care Tightrope: Immigration Status and Medicare Advantage | In the vast landscape of American health care, two significant issues are unfolding: the treatment of immigrants in hospitals and the growing influence of Medicare Advantage plans. Both topics reveal a complex interplay of policy, economics... |
| 08.10.2024 | Health | The Medicare Advantage influence machine | David Lipschutz, an attorney with the Center for Medicare Advocacy, a nonprofit public interest law firm, said policymakers have an unsettling history of yielding to industry pressure. “The health plans throw a temper tantrum and then CMS w... |
| 02.07.2024 | The Supreme Court just limited federal power. Health care is feeling the shockwaves | Groups that oppose a regulation could search for and secure partisan judges to roll back agency decision-making, said Andrew Twinamatsiko, director of the Health Policy and the Law Initiative at Georgetown University’s O’Neill Institute. On... |
| 21.06.2024 | Health | States struggle to help patients navigate insurance hurdle known as ‘step therapy’ | But patient advocacy groups and physicians say doctors, not insurers, are best qualified to know which drug or treatment is likely to be most effective. Delaying the implementation of that decision, they say, often harms patients.
At least ... |
| 04.06.2024 | MCG Thought Leaders to Explore AI's Role in Streamlining Prior Authorization at AHIP 2024 | Experienced technology leaders illuminate the appropriate use of artificial intelligence and automation in prior auth workflows
LAS VEGAS, June 4, 2024 /PRNewswire-PRWeb/ -- MCG Health, part of the Hearst Health network and an industry lead... |
| 14.05.2024 | National Politics | Biden team’s tightrope: Reining in rogue Obamacare agents without slowing enrollment | Some consumers are pursued when they respond to misleading social media marketing ads promising government subsidies, but most have no idea how they fell victim to plan-switching. Problems seem concentrated in the 32 states using the federa... |
| 07.05.2024 | Lucid Diagnostics Closes Series B / B-1 Preferred Stock Offering and Appoints Healthcare Industry Veteran Dennis Matheis to Board of Directors | Final closing yields total gross proceeds of $29.8 million from offering
Mr. Matheis serves as President and CEO of Sentara Health, one of the largest not-for-profit integrated health systems in the U.S., which encompasses hospitals, a phys... |
| 19.04.2024 | Health | States want to make it harder for health insurers to deny care, but firms might evade enforcement | Shalina Chatlani | (TNS) Stateline.org
For decades, Amina Tollin struggled with mysterious, debilitating pain that radiated throughout her body. A few years ago, when a doctor finally diagnosed her with polyneuropathy, a chronic nerve condi... |
| 19.04.2024 | Major health insurance companies are nearing too big to fail status | figcaption>span]:font-sans">
Data: Axios research; Chart: Erin Davis/Axios Visuals
Health insurance companies have swelled in both size and scope over the last decade, with the revenues of six for-profit parent companies making u... |
| 02.04.2024 | Medicare Advantage plans to see 2025 base pay fall | The Biden administration on Monday followed through on its proposal to cut next year's base payments to Medicare Advantage plans an average of 0.16%, despite pressure from insurers and their allies in Congress.
Why it matters: While the pla... |
| 12.03.2024 | Readout of Biden-Harris Administration Convening with Health Care Community Concerning Cyberattack on Change Healthcare | Leaders from HHS, White House, DOL, and the health care community convened to discuss ways to mitigate harms to patient and providers caused by the cyberattack.
On Tuesday, March 12, the U.S. Department of Health and Human Services (HHS) Se... |
| 30.01.2024 | There's a big gap in a new plan to speed up health insurance authorizations | There's a notable gap in new federal rules requiring insurers to streamline decisions on whether they'll cover treatments ordered by doctors: They don't apply to drugs.
Why it matters: Drugs account for a significant share of prior authoriz... |
| 22.01.2024 | Congress eyes another run at prior authorization | Congress is dipping back into the prior authorization debate now that the Biden administration has issued a long-awaited rule that's expected to lower the cost — and improve the odds — of passing a legislative fix.
Why it matters: Overhauli... |
| 09.01.2024 | Unlocking Prior Authorization Access With a Green Lighting Approach | Prior authorization is a significant pain point for physicians and their care teams, as the process can delay care and create a mountain of time-consuming administrative tasks. The paperwork and approval process is so cumbersome that, accor... |
| 01.08.2023 | A major provider shortage bedevils Biden's plan to boost mental health coverage | The Biden administration's new effort to improve insurance coverage for mental health services is on a collision course with the nation's shortage of behavioral health professionals.
Why it matters: More than 160 million Americans live in a... |
| 28.07.2023 | Congress dips back into prior authorization fight | Congress is wading back into the prior authorization debate with calls to streamline and make more transparent the process through which insurers can deny access to covered services.
What's happening: House Ways and Means lawmakers on Wedne... |
| 13.07.2023 | Health
Health | Patients squeezed in fight over who gets to bill for pricey infusion drugs | Samantha Liss | (TNS) KFF Health News
Health insurers and medical providers are battling over who should supply high-cost infusion drugs for patients, with the tussle over profits now spilling into statehouses across the country.
The issue ... |
| 20.06.2023 | CVS Health Exec: The Behavioral Health Industry Needs a ‘Common App’ for Insurance | More than half of adults with a mental illness don’t receive treatment. Part of this is due to not only a lack of behavioral health providers, but also a lack of behavioral health providers who are in-network.
To be part of an insurer’s net... |
| 08.06.2023 | MCG to Host Payer-Provider Panel at AHIP 2023 Conference | MCG will host a payer-provider panel discussion at AHIP 2023 in Portland, Oregon. Regence, MultiCare Connected Care, and MCG were the first members of the HL7® Da Vinci Project to complete a scalable, end-to-end automation workflow for prio... |
| 24.05.2023 | Matt Eyles, CEO of America’s Health Insurance Plans, to depart | Matt Eyles, CEO of America’s Health Insurance Plans, is leaving by this October, the lobbying group said Wednesday.
Eyles has led AHIP for the past five years — a historically profitable time for health insurers — and his departure surprise... |
| 26.04.2023 | AHIP Targets Big Pharma in New Campaign | The debate over who’s to blame for rising drug prices continues.
America’s Health Insurance Plans (AHIP) launched an advertising campaign Monday that aims to show how health insurers are working to create savings for Americans while also ta... |
| 25.01.2023 | Record-breaking 16.3M People Choose ACA Marketplace Health Plans | A historic 16.3 million people signed up for Affordable Care Act (ACA) Marketplace coverage during the 2023 open enrollment period, the Centers for Medicare & Medicaid Services (CMS) announced Wednesday.
This year’s ACA Marketplace enro... |
| 06.12.2022 | Sunwave Health Announces Top Five Behavioral Health Provider Predictions for 2023 | “Behavioral health must learn to change even in the face of pre-existing disadvantages compared to traditional healthcare practices.”
DELRAY BEACH, Fla. (PRWEB) December 06, 2022
Sunwave Health, a leading provider of technology-driven treat... |
| 26.09.2022 | Health insurers are painting a misleading picture of Medicare Advantage savings, experts say | The health insurance industry is continuing its campaign to convince the public that Medicare Advantage saves taxpayers money, but experts say federal data still concludes the exact opposite — and that the program as currently designed is a... |
| 26.09.2022 | Medicare Advantage boosterism, providers’ surprise billing savior in Texas, and a health insurance firewall | You’re reading the web edition of Health Care Inc., STAT’s weekly newsletter following the flow of money through the health care system. Sign up here to get it in your inbox. The latest in the Medicare Advantage Discourse™
We are at the poi... |
| 23.08.2022 | Health Insurance Lobby Rolls Out Mental Health Goals As ‘Whole Person Care’ Takes Hold | AHIP, the lobby for health insurance companies, vowed to “further improve access to mental health ... [+] care and substance use disorder (SUD) treatment for every American.” In this photo illustration, a therapist listens to the client sha... |
| 07.08.2022 | Health Insurers And 13M Enrollees Cheer Senate’s Extension Of Obamacare Credits | The U.S. Senate Sunday, Aug. 7, 2022, passed the Inflation Reduction Act, which expands tax credits ... [+] to buy individual coverage under the Affordable Care Act for millions Americans. This vote is in sharp contrast to this photo and ti... |
| 07.06.2022 | MCG and CareSource Interoperability Experts to Co-Present at AHIP 2022 Conference | MCG Interoperability Experts to Speak at AHIP 2022 "In this presentation, we will be describing realized savings that health plans can achieve while working towards regulatory mandates like the pending CMS rule for prior authorization.... |
| 21.04.2022 | RAM Technologies to Showcase Comprehensive BPaaS Offering for Medicare Advantage and Managed Medicaid Health Plans at AHIP 2022 | With this complete technology and services option, small and entry level health plans can achieve the same efficiencies and productivity as much larger payers.
FORT WASHINGTON, Pa. (PRWEB) April 21, 2022
RAM Technologies, Inc., the perennia... |
| 25.01.2022 | AONN+ Joins Organizations in Letter to Congress on Reinstatement of Telehealth Policy | CRANBURY, N.J. (PRWEB) January 25, 2022
The Academy of Oncology Nurse & Patient Navigators (AONN+) joined the Alliance for Connected Care and other organizations in writing to Congress and urging the reinstatement of a policy that permi... |
| 02.09.2021 | It’s time to relieve electronic prior authorization bottlenecks | Healthcare policies and regulations are generally enacted with the best of intentions. Ironically, even the best-intentioned programs can create bottlenecks that negatively impact patient care. Prior authorization (PA) – established more th... |
| 26.08.2021 | Accolade : Save your HR team time and bandwidth | Your HR team is tasked with the essential job of securing and retaining talent. But when they're flooded with questions about healthcare benefits and claims, it makes it impossible to focus on the larger organizational strategy.
Instead of ... |
| 02.07.2021 | Federal agencies issue rule enforcing surprise billing ban | The Department of Health and Human Services, along with two other agencies, have issued the first set of regulations implementing the No Surprises Act, which was enacted into law at the end of 2020.
The interim final rule released on Thursd... |
| 11.06.2021 | Why Provider-Payer Collaboration is the Secret to Value-Based Success | Rachael Jones is SVP, Performance Analytics and Quality, CotivitiEmad Rizk, M.D.,President and CEO, Cotiviti
Just before the COVID-19 pandemic emerged, 48% of healthcare providers surveyed said three-quarters of their organization’s payment... |
| 05.05.2021 | RAM Technologies to Showcase Comprehensive BPaaS Offering for Medicare Advantage Health Plans at AHIP’s Institute & Expo Online 2021 | RAM Health Services sets the bar for Medicare Advantage and Managed Medicaid administration,
FORT WASHINGTON, Pa. (PRWEB) May 05, 2021
RAM Technologies, Inc., the perennial leader in the development of end-to-end solutions (technology and p... |
| 13.04.2021 | Cohere Health gains $36M to expand digital prior authorization platform | Cohere Health will use the funds to expand its electronic prior authorization platform, said CEO Siva Namasivayam, in a phone call.
The company’s main focus is to reduce the hefty burden imposed by the manual prior authorization process, wh... |
| 24.03.2021 | New Analysis Shows Benefits of Electronic Prior Authorization for Patients and Providers | WASHINGTON--(BUSINESS WIRE)--Mar 24, 2021--
Electronic prior authorization (ePA) can significantly reduce the time between a request for prior authorization and a decision and the time to a patient receiving care. These were two of the top ... |
| 03.03.2021 | Health Insurance Providers Commit to Help Millions of Seniors in Underserved Communities Receive COVID Vaccines | WASHINGTON--(BUSINESS WIRE)--Mar 3, 2021--
Health insurance providers today committed to supporting a new effort that will promote health equity by removing barriers to vaccinations for 2 million Americans most at risk of COVID-19. Every Am... |
| 21.12.2020 | New stimulus bill to axe surprise billing practices | Surprise billing, or balance billing, refers to out-of-network charges that patients must pay, often unexpectedly. Surprise billing can occur in many scenarios, including when a patient goes to an in-network hospital but is treated by an ou... |
| 30.11.2020 | In Australia, The Future Of Telemedicine Is Here | getty |
| 16.08.2020 | Big profits put insurers on awkward footing | As they set premiums for next year, insurers will have to walk a tight line between not setting rates too high, triggering premium rebates, while not underestimating future costs related to care that might have been deferred today.
“They’re... |
| 14.08.2020 | Health insurer profits amid pandemic prompt federal probe | More On: health insurance
Hochul's Medicaid shake-up — if done right — could help both patients and taxpayers NYC selects Anthem for retirees' coverage — after feds sue over alleged fraud Feds bust doctors, law firm workers, NYPD officer in... |
| 14.08.2020 | US government wants to distribute coronavirus vaccines for free | More On: Coronavirus
Bidens to attend White House Correspondents' Dinner after Trump absence Shanghai allows 4 million people out of homes as COVID-lockdown rules ease Ditch the masks and breathe easier already -- it's time to 'face' the fa... |
| 16.06.2020 | COVID-19, Recession And Racial Disparities: A New Agenda For America’s Health Plans | At the start of 2020, Americans’ primary healthcare concern was the affordability of care – focused largely on prescription pharmaceuticals and other unpredictable expenses. The landscape has now changed profoundly. The COVID-19 pandemic, e... |
| 09.04.2020 | Insurers Turn To Congress After Trump Refuses To Open Obamacare Market | WASHINGTON, DC - APRIL 08: U.S. President Donald Trump speaks during his coronavirus task force ... [+] briefing in the Brady Press Briefing Room at the White House on April 08, 2020 in Washington, DC. Trump vowed to hold back funding for t... |
| 01.04.2020 | Trump Rejects ACA Special Enrollment Period Amid Coronavirus Pandemic | WASHINGTON, DC - MARCH 31: U.S. President Donald Trump speaks during the daily coronavirus task ... [+] force briefing in the Brady Briefing room at the White House on March 31, 2020 in Washington, DC. (Photo by Win McNamee/Getty Images)Get... |
| 27.03.2020 | How to get health insurance if you lose your job | There are a few options for getting health insurance if you lose your job. Johner Images/Getty
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Insider's experts choose the best products and services to help make smart decisions with your money (here’s how). In some cases, we r... |
| 21.03.2020 | Calls Grow To Open Special Obamacare Sign-Up As Coronavirus Spreads | Amid the Coronavirus outbreak, Congress may consider a special Obamacare open enrollment period. The ... [+] Healthcare.gov website is arranged on laptop computers in Washington, D.C., U.S., on Monday, Nov. 4, 2013. Photographer: Andrew Har... |
| 18.03.2020 | COVID-19 Edition: COVID-19 as a Catalyst for Change | *Covid-19: We are committed to helping our community through this crisis. To that end, our incredible portfolio companies have put together helpful materials and products to assist in this time of need, and we will be promoting them in this... |
| 05.03.2020 | Make it free, states tell insurers on coronavirus charges | Aaron Katz, a principal lecturer for the University of Washington’s School of Public Health, said the recent rash of cases has highlighted the cracks in the U.S. health system where many patients slip through.
“It’s important to remember th... |
| 05.03.2020 | 11 mind-blowing facts that show how coronavirus could create a new financial crisis for everyday Americans | Advertisement
The novel coronavirus, which originated in Wuhan, China, has spread to at least 81 other countries, including the US.
While CDC testing for coronavirus is free, a hospital trip and other procedures to rule out coronavirus can ... |
| 04.03.2020 | A US resident racked up a $3,200 hospital bill for suspected coronavirus treatment, and his insurance only covered part of it. Here's how the costs broke down. | Advertisement
A Miami resident checked into a hospital for flu-like symptoms after a work trip to China, concerned he may have the novel coronavirus, the Miami Herald reported.
He found out he didn't have a coronavirus infection, but the wh... |
| 03.03.2020 | New York's governor is forcing health insurers to cut patients' costs for coronavirus testing | Advertisement
New York Governor Andrew Cuomo just made a move that could make getting care for coronavirus more affordable for New York residents.
Cuomo said Monday night that he's issued a directive requiring health insurers in New York to... |
| 23.06.2019 | AHIP launches new social determinants of health initiative | Part of the goal of the initiative is establishing business rationales to support investment in social determinants, collaborating on lobbying for policy changes that may make it easier to focus on social issues and sharing examples and cas... |
| 03.04.2019 | Medicare Advantage is nudging aside ‘old Medicare’ with a free ride, a warm meal, and a handyman | Nearly a quarter century ago, then Speaker of the House Newt Gingrich said this about the original Medicare program: “We believe it’s going to wither on the vine because we think people are voluntarily going to leave it — voluntarily.”
Ging... |
| 07.09.2018 | Rush to end drug rebates may be bad for patients, payers, and pharma | In health care circles, 21 words have rarely caused as much speculation as “Removal of Safe Harbor Protection for Rebates to Plans or PBMs Involving Prescription Pharmaceuticals and Creation of New Safe Harbor Protection,” the title of prop... |
| 01.08.2018 | In latest blow to ACA, Trump administration extends life of short-term health insurance | The rule will “help increase choices for Americans faced with escalating premiums and dwindling options in the individual market, said James Parker, a senior adviser to Health and Human Services Secretary Alex Azar.
But the plans could also... |
| 18.05.2018 | Healthcare startup Decent nabs $8 millions to build affordable care for all | The cost of healthcare continues to rise. According to a recent survey, 56% of employees say health coverage is the biggest reason for staying at their current job. That’s a high percentage. Do you also know that Americans spend $3 trillion... |
| 27.04.2018 | In big data boost to healthcare research, CMS is releasing Medicare Advantage encounter data | Previously, only Medicare claims data for the fee-for-service program was available. CMS has collected data from private insurers that provide Medicare Advantage plans since 2012 and has used it since 2016 to help calculate risk-adjustment ... |
| 16.11.2017 | Looking beyond medical data to deliver better care using social determinants of health | Value-Based Reimbursement (VBR) models, along with these advances in healthcare technology and a growing demand for analytics, have kicked off a new era of transformation. The new era will focus on developing a deeper understanding of the p... |
| 15.11.2017 | Column:: Suddenly, the GOP tax bill has morphed into an attack on your health care | The line going around Washington these days is that the Republicans previously tried to hide a tax cut for the rich in their Obamacare repeal measures; and now they’re hiding an Obamacare repeal inside their tax cut bill.
That’s correct. Th... |
| 21.09.2017 | Dinging Graham-Cassidy bill, insurers say it contributes to government-run single-payer system | The president and CEO of America’s Health Insurance Plans (AHIP) sent a letter Wednesday to Senate Majority Leader Mitch McConnell and Minority Leader Chuck Schumer Wednesday saying it is not in support o the Graham-Cassidy bill. More impor... |
| 28.07.2017 | Senate fails to pass “Skinny Repeal” in GOP’s Jenga-style approach to dismantling ACA | McCain offered a statement explaining his vote as part of the drama that unfolded in the Senate Chamber captured by The Washington Post in a dramatic In a statement explaining his vote.
“I’ve stated time and time again that one of the major... |
| 20.05.2017 | Column:: The entire health care industry is panicking that Trump is about to blow up Obamacare | Organizations representing most of the health care industry — along with attorneys general from 15 states and the District of Columbia — took desperate steps Friday in a last-ditch attempt to keep President Trump from blowing up the Afforda... |
| 28.04.2017 | The new top 10 most expensive drugs on the planet | BioMarin’s decision last night to set the wholesale acquisition cost of its new ultra rare disease drug Brineura for CLN2 at $702,000 — with a significantly lower net amount — creates a new entry in the list of the 10 most ... |
| 09.01.2017 | CMS never recouped millions in Medicare Advantage overpayments | But officials never recovered most of that money. Under intense pressure from the health insurance industry, the Centers for Medicare and Medicaid Services quietly backed off their repayment demands and settled the audits in 2012 for just u... |
| 22.08.2016 | Are insurance policies saving patients money, or keeping them from the treatment they need? | As science makes once-unthinkable treatments available, patients are increasingly facing a harsh reality: Insurance companies are forcing them to try older, less expensive therapies for months before covering pricier ones.
Insurers have lon... |
| 16.04.2015 | Medical devices are facing tougher scrutiny – from regulators, and insurers too | As far as the morcellator goes, the FDA said in November that it shouldn’t be used in the vast majority of women. Trade group America’s Health Insurance Plans wrote to Sen. Bob Casey (D-Penn) that the dangers of the morcellator are indicati... |
| 04.04.2015 | Take an inside look at the lab designed to foster health insurance innovation | The animosity toward health insurance companies that was so widespread in decades past is waning in this era of big data and value-based payments.
With that in mind, the time seemed right for America’s Health Insurance Plans (AHIP) to open ... |
