Florida Gov. Ron DeSantis (R)spent years complaining that the Biden administration was slow-walking federal approval of his plan to import lower-cost prescription drugs from Canada — a concept endorsed by Donald Trump in 2020 just before his first presidential term ended. But nearly a year since the Food and Drug Administration green-lit the state’s importation…
Providence Health Plan and the American Heart Association will create blood pressure programs in 20 community organizations and clinics over three years. The post Providence Health Plan, American Heart Association Launch Cardiovascular Health Initiative appeared first on MedCity News.
The Silicon Valley startup formerly known as Ciitizen relaunched as Citizen Health. The company seeks to empower patients with access to their complete health history — and it’s starting off by focusing on patients with rare diseases. The post Ex-Invitae Spinoff Relaunches as Citizen Health, Picks Up $14.5 in Seed Funding appeared first on MedCity…
With the Trump administration scaling back federal efforts to protect Americans from medical bills they can’t pay, advocates for patients and consumers have shifted their work to contain the nation’s medical debt problem to state Capitols. Despite progress in some mostly blue states this year, however, recent setbacks in more conservative legislatures underscore the persistent…
That is the title of a new paper published in the American Journal of Managed Care (AJMC) with co-authors Jacob Fajnor, Shurui Zhang, and Donald Nichols. The abstract is below. Objectives: To (1) develop a metric that quantitatively measures the risk that utilization management (UM) policies pose to patients and (2) measure the relationship between…
The bill clarifies very specific patient protections and codifies a Patient’s Bill of Rights, all of which would ensure that individuals receiving supplemental oxygen in the home – and their suppliers – understand requirements around equipment, communications, and care options. The post SOAR Act Would Help Individuals Relying on Oxygen Thrive appeared first on MedCity…
Providers and payers have an obligation to fulfill contractual obligations to one another. However, mistakes happen, and when they do, they can be costly. More and more, providers are turning to healthcare contract management technology to ensure accountability, protect against revenue losses and streamline efficiencies – all while improving the relationship between providers and payers….
Trends in cost-related non-adherence.Optum Rx reduces reauthorization requirements.Changes in insulin out-of-pocket costs over time.AI and billable hours.Value in Health to include ‘Plan Language Summaries’
On July 11, CMS notified states that, going forward, it does not anticipate approving new 1115 demonstration workforce initiatives or extending existing waivers. Such changes may limit states’ abilities to pursue initiatives investing in the Medicaid workforce,
Among NHPI people, there is significant variation in key factors that influence health, including health coverage, income, and homeownership, with Marshallese people faring the worst across all examined measures. Data gaps prevent the ability to fully identify and understand health disparities for NHPI people. Among available data, NHPI people fare worse than White people for…