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Insurance companies putting profits ahead of patients

World of DTC Marketing

Five of America’s largest health insurers reported more than $11bn in profits in the second quarter – a decline from the same period last year when the Covid-19 pandemic helped drive sky-high profits yet they are having more of a say on patients’ treatments even when HCPs disagree. Then there is prior authorization.

Insurance 225
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Report: Firearm-related Injuries Cost US Healthcare $1B Annually

MedCity News

healthcare system $290 million, or about $6,400 per patient, according to a report from the Commonwealth Fund. These costs are mostly covered by Medicaid and other government insurance programs. In just 2020, deaths from gun violence cost the U.S.

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It’s Time for Healthcare To Embrace Patient-Friendly Language

MedCity News

If organizations present medical records, cost data, and descriptions of billing codes to patients without providing context or stripping out medical jargon, then the information is potentially subject to regulatory penalties. That means providing more patient-friendly terminology is more than just a compliance checkbox.

Patients 313
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The Healthcare System Isn’t a System, Health Exec Says

MedCity News

Patients are struggling to find the right care, and that’s because the healthcare system is fragmented, according to Andrea Walsh, president and CEO of HealthPartners, an integrated healthcare provider and insurance company. Walsh made these comments Wednesday at the HIMSS 2023 conference in Chicago.

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How to Help Physicians Generate More Revenue and Make Their Patients Healthier

MedCity News

Interest in using GLP-1 drugs to reduce obesity combined with a desire by physicians to become less dependent on insurance-based reimbursement after the recent Change Healthcare cyberattack is building. The post How to Help Physicians Generate More Revenue and Make Their Patients Healthier appeared first on MedCity News.

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PBMs and insurers want your prescription money

World of DTC Marketing

anti-kickback law that the drugmaker said prevented it from helping heart failure patients, many with low incomes, afford the medicine that costs $225,000 annually. Health insurers have started effectively stealing co-pay coupons, leaving patients on the hook for far higher expenses. Let’s take a step back for a minute.

Insurance 226
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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. Why Does Prior Authorization Exist?