“Having to choose between paying rent and getting the testing they need can be a serious dilemma for some patients. Under the Affordable Care Act, many preventive services — such as breast and colorectal cancer screening — are covered at no cost. … But […]
Breaking News in Healthcare Reform “Medicare researchers are ringing warning bells that time is running out for Congress to find a long-term solution to Medicare’s fiscal woes….” Despite Rosier Trust Fund Outlook, Time Running Out to Stabilize Medicare Funding, Researchers Warn Fierce Healthcare […]
“In the 1980s, many insurers began adopting what are known as behavioral health carve-outs. …the model separates physical and mental health care, forcing patients to navigate two sets of rules and two networks of providers and to deal with two times the complexity. … […]
“For years, AARP has drawn intermittent scrutiny for its longtime partnership with UnitedHealthcare, which uses the AARP seal of approval to market products that fill gaps in the traditional Medicare program — gaps filled by private insurers. The arrangement has brought in hundreds of […]
Breaking News in Healthcare Reform “…because hospitals don’t bill insurers for the care that nurses provide … they end up on the other side of the balance sheet as a labor cost.” The Way the United States Pays for Nurses is Broken […]
“Long-standing tension between the state, which oversees Medi-Cal, and county officials who do the nitty-gritty work of determining eligibility and enrolling those who qualify doesn’t help. And, sometimes, people applying for coverage unwittingly answer questions in a way that causes eligibility officers to switch […]
“California’s five-year initiative, known as CalAIM, will test whether Democratic Gov. Gavin Newsom can slow public spending on Medi-Cal, the state’s Medicaid program for people with low incomes, which skyrocketed to $124 billion this fiscal year, up nearly threefold from a decade ago. Medi-Cal managed-care […]
Breaking News in Healthcare Reform “…the AMA questions whether the health insurance industry can be relied upon to voluntarily expedite comprehensive reform to the cumbersome prior authorization process that delays and disrupts patient-centric care.” AMA Says Health Insurance Industry Failing on Prior Auth […]
