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Payers Are Putting Profit Over Patients with Denials and Prior Auth Policies, Hospitals Say

MedCity News

Hospitals are facing increasingly burdensome policies from commercial insurers, leading to problems with cash flow and patient safety. The post Payers Are Putting Profit Over Patients with Denials and Prior Auth Policies, Hospitals Say appeared first on MedCity News.

Patients 319
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Correcting Provider Biases About Transgender and Gender Non-Conforming Patients Can Protect Their Health and Safety

MedCity News

Providers, administrators, health insurers and other healthcare-access gatekeepers can learn, train, change policies and remove barriers facing vulnerable groups so they can receive the long-overdue opportunity to pursue their best health and well-being.

Safety 275
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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? Who Approves Prior Authorization Requests?

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What Seniors Should Know About Home Health

MedCity News

If you have Original Medicare or a Medicare Advantage health plan, home health benefits are often covered at no cost – although it’s always good to check with your insurance provider. In addition to safety and convenience, it is usually less expensive and just as effective as the care provided in a hospital or skilled nursing facility.

Safety 276
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Scott Burrows, Motivational Insurance Industry Speaker

Scott Burrows

Flipping the Script on Public Distrust At the outset of this year, leadership in the insurance industry outlined the top challenges facing insurance sales reps in 2023. Insurance pricing models are constantly trying to catch up to these experiences to help forecast the future as social inflation becomes the new normal.”

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DTC forecasts are not really that reliable

World of DTC Marketing

They give us insights like this “dollars are being spent on advertising related to COVID-19, as public health organizations and private medical institutions raised awareness around testing, safety measures, and other pandemic-related information,” which aren’t insights at all.

Pharma 227
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Drug pricing increases are disgraceful

World of DTC Marketing

SUMMARY: (JAMA) The median drug wholesale list price (as defined by Average Wholesale Price) increased by 129% from 2010-2016, while median patient out-of-pocket costs increased by 53% and median insurance payments after rebates and discounts increased by 64%. Say goodbye to all the supposed goodwill.

Insurance 181