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Prior Authorization: Why It’s Essential in Healthcare

Referral MD

Prior authorization is a crucial healthcare topic related to the relationship between a patient, their healthcare provider, and the insurance company. This blog will outline everything you need to know about prior authorization , its definition, and its importance to healthcare. What is prior authorization?

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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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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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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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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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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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Pharma’s pain from the Inflation Reduction Act will be felt well beyond the first 10 brands facing price cuts

Clarivate

Private health insurers had not been expecting such steep cuts — in all ten negotiations, the federal Centers for Medicare & Medicare Services (CMS) obtained reductions greater than the mandatory minimums required under the IRA of 25% or 60% (depending on the drug’s time on market).