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Everything You Need to Know About Prior Authorizations in Healthcare

Referral MD

Prior authorization is a pivotal component of healthcare, bridging the relationship between patients, healthcare providers, and insurance companies. While a physician may determine a treatment plan, they must get the insurers green light to ensure coverage. Prescription drugs with high misuse potential.

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America’s healthcare costs are in deep crisis

World of DTC Marketing

Forget the fact that prescription drugs only account for $.10 10 of every healthcare dollar spent and that hospital chains are raking in cash with PBM’s and insurers we love to place blame. Healthcare providers make more money treating poor health than preventing it.

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Value-based healthcare can help reduce costs

World of DTC Marketing

According to the Kaiser Family Foundation (KFF), in 2021, the average cost of employee health insurance premiums for family coverage increased by 4% from the previous year to $22,221. Why haven’t more employers addressed the rising costs of employee healthcare with value-based care? employers during June and July 2021.

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Amazon’s big gamble

World of DTC Marketing

One Medical is a subscription-based primary care provider that leans into technology to build “a seamless combination of in-person, digital, and virtual care services convenient to where people work, shop, and live.” 2wo: One of the continued challenges for healthcare is coordinating tests such as MRIs and blood work.

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Sorry, the Inflation Bill won’t lower healthcare costs

World of DTC Marketing

The Inflation Reduction Act’s health insurance subsidies and drug pricing reforms will improve health care affordability for Americans but won’t do a damn thing for our overall healthcare costs, which will keep rising. A staggering 85% of healthcare costs in the U.S. are for the care of chronic health conditions.

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Breaking Down Patient Access Barriers

PM360

Rising medical debt and high out-of-pocket expensesdriven in part by pharmaceutical price hikes, limited insurance coverage, shifts to high-deductible health plans, and the growing complexity of treatmentsplace an unprecedented burden on patients and providers.

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Getting an Rx does not address health problems

World of DTC Marketing

There isn’t one method to get people exercising; it will take an approach for every healthcare provider to communicate the importance of exercise. Pharma websites provide the prescription that can help people overcome health problems but too often, they ignore the patient’s responsibility to lose weight and exercise.

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