Health Insurance

[ad_1] Being a youngster is tough — balancing schoolwork, extracurricular actions, mates, and household whereas creating a way of self. Although these years will be thrilling, they may also be a supply of serious stress, which may negatively affect teen psychological well being. A latest report from the Facilities for Illness Management and Prevention confirms that … Read more

[ad_1] Final month, my colleague Lauren Sausser instructed you concerning the Biden administration’s crackdown on insurance policy’ prior authorization insurance policies, with new guidelines for sure well being plans collaborating in federal applications corresponding to Medicare Benefit or the Reasonably priced Care Act market. States are getting in on the motion, too. Prior authorization, typically … Read more

[ad_1] After we consider utilization administration (e.g., prior authorizations, step edits), we regularly suppose payers solely use these for larger value branded merchandise together with biologics. Generic medicine ought to have low value sharing and restricted utilization administration. One query, nonetheless, is whether or not payers’ utilization administration practices for biosimilars mirror these of biologic … Read more

[ad_1] The No Surprises Act, the landmark regulation meant to guard sufferers from shock out-of-network medical payments, has include, effectively, some surprises. Slightly greater than two years after it took impact, there’s good and unhealthy information about the way it’s working. First, it’s essential to notice that the regulation has efficiently protected thousands and thousands … Read more

[ad_1] Nothing melts our hearts like a well being coverage valentine. Readers made us swoon this season, writing poetic strains about prescription drug pricing, medical debt, main care shortages, and extra.  Listed below are a few of our favorites, beginning with the grand prize winner and first runner-up, whose entries had been every become a … Read more

[ad_1] Within the battle to manage well being care prices, hospitals are deploying their political energy to guard their backside strains. The purpose of rivalry: For many years, Medicare has paid hospitals — together with hospital-owned doctor practices that might not be bodily positioned in a hospital constructing — about double the charges it pays … Read more

[ad_1] That’s the questioned answered in a paper by Mukherjee et al. (2023). The authors outline an “HEOR research” for this paper as …real-world proof research that carried out a secondary/post-hoc evaluation utilizing randomizedmanaged trial (RCT) information, and a within-trial cost-utility evaluation wherein the result of curiosity was prices or PROs together with preference-based utilities … Read more

[ad_1] By Zeynep Çelik, JoAnn Volk, Lindsay Cox, and Kevin Lucia Dental care is a vital component of complete well being care. Oral well being impacts job alternatives and kids’s success at school, and dental problems, if left untreated, can result in detrimental well being outcomes and even loss of life. Incapacity to pay is … Read more