KFF’s health tracking poll finds that beyond costs, insured adults say prior authorization is their biggest challenges when accessing care. About seven in ten (69%) insured adults say prior authorizations are burdensome, and a third (34%) choose prior authorizations as their single biggest health care burden.
Health policy changes in Washington will ripple through the country, resulting in millions of Americans losing their Medicaid or Affordable Care Act coverage. But there are still ways to find care. Over the next decade, the GOP’s One Big Beautiful Bill Act is expected to slash nearly $1 trillion in spending from Medicaid, the state-federal…
When Noah Hulsman, who owns a skate shop in Louisville, Kentucky, learned he no longer qualified for federal subsidies to help him pay for his “gold” Affordable Care Act health plan, the 37-year-old opted for skimpier coverage. But the deductible is about a quarter of his yearly income. Loretta Forbes realized she would have to…
When her doctor died suddenly in August, Tammy MacDonald found herself among the roughly 17% of adults in America without a primary care physician. MacDonald wanted to find a new doctor right away. She needed refills for her blood pressure medications and wanted to book a follow-up appointment after a breast cancer scare. She called…
Premise Health and Crossover Health are merging to create a nearly $2 billion company. The partners plan to scale advanced primary care — an integrated bundle of primary care, behavioral health, pharmacy services and care navigation — for large self-insured employers. The post Premise-Crossover Merger: Inside the $2B Push for a New Employer Health Model…
The No Surprises Act protected patients from surprise bills, but its Independent Dispute Resolution process has become controversial as insurers accuse some providers of exploiting it at scale. The post Is It Time to Change the Independent Dispute Resolution Process of the No Surprises Act? appeared first on MedCity News.
At a time when 98 million prescriptions are abandoned due to cost surprises, it’s critical that all four categories of prescription drug prices are available so consumers can determine how to obtain needed medications at the lowest cost. The post Medication Affordability Depends on Total Price Transparency appeared first on MedCity News.
When paired with the expertise of health care providers, who serve as guides, partners in care, and healers, we have the critical elements in the formula for providing the patient with quality, personalized care, not merely on an episodic basis, but as the foundation of improved whole person care to take them through their life’s…
Tests of two Regenxbio gene therapies have been placed under an FDA clinical hold after a patient in one of the studies developed cancer. Our recap of recent regulatory news also includes one clinical hold removed, several complete response letters, and drug approvals in the U.S. and Europe. The post Clinical Trial Holds Cast Doubt…
January has seen a slew of executive hires, promotions and layoffs across the healthcare industry. For instance, Aidoc, Suki and Particle Health named new executives. There were also layoffs at organizations including Takeda, Trinity Health and Horizon BCBS New Jersey. The post Healthcare Moves: A Monthly Summary of Hires, Exits and Layoffs appeared first on…