Tag: health insurance

Proposed bill seeks to end costly insurance fees on electronic healthcare payments

Editor's Note A new bill introduced by a bipartisan group in Congress seeks to ban fees on electronic healthcare payments from insurance companies, which cost hospitals millions and are a particular burden on hospitals in rural areas, according to a November 28 press release. The bill is called the No…

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By: Brita Belli
November 29, 2023
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Healthcare costs making Americans poorer, sicker

Editor's Note The high cost of healthcare is leading many Americans to skip care and forgo medications, according to the 2023 Healthcare Affordability Survey by the Commonwealth Fund published on October 26. Some highlights of the survey include: A large number of insured working-age adults surveyed admitted difficulty affording their…

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By: Brita Belli
November 2, 2023
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A closer look at variations in regional health insurance prices

Editor's Note This new study in JAMA Health Forum is one of the first to review publicly available insurer price data and compare regional rate differences. The research was published by JAMA Network on October 27. Following are some highlights: Over half of the US population receives health insurance from…

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By: Brita Belli
October 30, 2023
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New agreement between HHS, Pfizer to ensure access to Paxlovid

Editor's Note The US Department of Health and Human Services (HHS) and Pfizer have announced an agreement to extend patient access to the COVID-19 drug Paxlovid, Healthcare Purchasing News October 16 reports. According to the article, Pfizer is readying the drug for more availability in the commercial market in November…

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By: Brita Belli
October 19, 2023
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Problems with prior authorization, utilizing health insurance coverage are prevalent, survey finds

Editor's Note This KFF survey from June 2023 found that some six in 10 adults with health insurance have experienced problems when trying to use their insurance, KFF Health News September 29 reports. The problems included denied claims, network adequacy issues, and preauthorization delays and denials.  According to the survey,…

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By: Brita Belli
October 4, 2023
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Effect of unmet social health needs on surgical outcomes

Editor's Note This study, led by researchers at the University of Michigan, Ann Arbor, examines opportunities to improve inequitable postoperative outcomes by evaluating unmet social health needs by race, ethnicity, and insurance type. Outcomes included poor health status (self-reported), socioeconomic status (income, education, employment), and unmet social health needs (food,…

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By: Judy Mathias
August 8, 2023
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Price transparency in surgical settings

Takeaways • Healthcare consumers are not aware that they can ask how much something costs. • There is disconnect between the law and common knowledge, and patients generally are confused about what they receive as good faith estimates. • In addition to incorrect CPT codes and OON allowable charges, the…

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By: Uyen Vo, BSN, MBA
July 20, 2023
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Study: Race, income, insurance associated with delayed appendicitis diagnosis, long hospital stays

Editor's Note A study led by researchers at Feinberg School of Medicine, Northwestern University in Chicago finds non-Hispanic Black, low income, and publicly insured patients received higher rates of delayed appendicitis diagnoses and long postoperative hospital stays. The cohort study included 80,312 patients who underwent open or laparoscopic appendectomy in…

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By: Lindsay Botts
March 9, 2023
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House passes mental health parity bill to boost worker protection, impose fines

Editor's Note On Thursday, September 29, the House of Representatives voted 220-205 to pass legislation to impose new fines on insures that do not follow federal mental health pay parity requirements, in order to "hold employer-based health plans more accountable for improper denials of mental health and substance use benefits,"…

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By: Tarsilla Moura
September 30, 2022
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Senate passes healthcare bill including drug price reforms

Editor's Note On Sunday, August 7, the Senate passed a spending bill allocating billions of dollars to climate reform and healthcare focused programs, including provisions that give “Medicare the power to negotiate drug prices for a small subset of drugs” and extend “enhanced Affordable Care Act subsidies” for 3 years,…

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By: Tarsilla Moura
August 9, 2022
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