A friend of mine who wants to stay anonymous (for now at any rate) had a crazy waste of time proving that he was eligibile for a medication on his plan. I thought his story might trigger a few of you! And yes Optum is of course part of United HealthGroup–Matthew Holt Here is the…
Quality-adjusted life years (QALYs) are commonly used to evaluate the impact of new medical technologies on patient mortality and morbidity. However, use of QALYs Many authors have discussed the fact that standard assumptions result in utility functions that are unrealistically linear and separable, overlooking the diminishing marginal utility a fundamental property of utility functions in…
Medicare Part D spending on 10 diabetes drugs increased 364% between 2019 and 2023. The post Medicare Part D Spending on 10 Diabetes Drugs Hit $35.8B in 2023 appeared first on MedCity News.
The contract negotiation process between providers and payers is now more complex than ever, according to Baptist Health CEO Michael Mayo. In an interview, he spoke about his health system’s recent protracted negotiation with Florida Blue — which required months of preparation, external consultants, and even a task force of board members. The post The…
There is nothing so useless as doing efficiently that which should not be done at all. Peter Drucker
Thermo Fisher Scientific agreed to acquire the Purification and Filtration business of 3M spinoff Solventum. Filters and membranes from this business segment are used globally in applications such as biopharmaceutical manufacturing. The post Thermo Fisher Beefs Up in Bioprocessing With $4B Acquisition of Solventum Biz Segment appeared first on MedCity News.
The operational benefits of automated eligibility and payment workflows are clear, but its impact on people — both patients and staff — may be even more profound. The post Automating Insurance Verification: A Game-Changer for Pre-Visit Payment Collection appeared first on MedCity News.
The Republican-led Congress is considering plans to cut Medicaid to help pay for tax cuts, with the House budget resolution targeting $880 billion or more in potential reductions to federal Medicaid spending. To better understand the experiences of Medicaid enrollees and their perceptions of potential changes to the program, KFF conducted five virtual focus groups…
[Sponsored] Balancing healthcare benefits and insurance costs requires research. From becoming a Difference Card member to offering wellness resources, there are many ways to improve healthcare at low cost. The post How to Improve Employee Benefits While Reducing Insurance Costs appeared first on MedCity News.
This analysis estimates that 1.4 million uninsured individuals in the ten states without Medicaid expansion, including many working adults, people of color, and those with disabilities, remain in the “coverage gap,” ineligible for Medicaid or for tax credits that would make coverage through the Affordable Care Act’s Marketplaces affordable to them.