Medicaid Eligibility Changes Set to Hit Hospitals, Insurers, States
Hospital leaders worry they will be left covering the costs of more uninsured patients as millions of people lose Medicaid coverage. WASHINGTON—An unprecedented effort by states to review the eligibility of the more than 90 million people on Medicaid carries high financial stakes for industry…#medicaid (Source: Reuters: Health)
Source: Reuters: Health - April 1, 2023 Category: Consumer Health News Source Type: news

Experts Call for PBM Transparency During Senate Hearing
(MedPage Today) -- Most expert witnesses at a hearing of the Senate Finance Committee on Thursday agreed that pharmacy benefit managers (PBMs) -- middlemen between the drug companies and insurers -- drive up the prices of prescription drugs... (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - April 1, 2023 Category: American Health Source Type: news

Medicare Delays a Full Crackdown on Private Health Plans
After intense lobbying by insurers, U.S. health officials say changes to reduce overbilling in Medicare Advantage will be phased in over three years. The Biden administration on Friday finalized new rules meant to cut down on widespread overbilling by private Medicare Advantage insurance plans,…#medicareadvantage #medicare #capitolhill #chiquitabrookslasure #centersformedicare #medicaidservices #humana #medicaid #cms #marybethdonahue (Source: Reuters: Health)
Source: Reuters: Health - March 31, 2023 Category: Consumer Health News Source Type: news

Medicare Delays a Full Crackdown on Private Health Plans
After intense lobbying by insurers, U.S. health officials say changes to reduce overbilling in Medicare Advantage will be phased in over three years. (Source: NYT Health)
Source: NYT Health - March 31, 2023 Category: Consumer Health News Authors: Margot Sanger-Katz and Reed Abelson Tags: United States Politics and Government Law and Legislation Health Insurance and Managed Care Medicare Health and Human Services Department Medicare Advantage Source Type: news

Christ Hospital, Anthem reach agreement on new contract hours before deadline
Christ Hospital Health Network and insurer Anthem Blue Cross and Blue Shield in Ohio announced Friday the finalization of a new agreement hours before their deadline that continues health care coverage for tens of thousands of patients in the Tri-State. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - March 31, 2023 Category: Biotechnology Authors: Liz Engel Source Type: news

New Antiobesity Drugs Will Benefit Many. Is That Bad? New Antiobesity Drugs Will Benefit Many. Is That Bad?
New antiobesity medicines are being deemed too costly for insurers despite the success patients have had with losing weight and improving their health. Dr Yoni Freedhoff ponders why.Medscape Diabetes & Endocrinology (Source: Medscape Diabetes Headlines)
Source: Medscape Diabetes Headlines - March 31, 2023 Category: Endocrinology Tags: Diabetes & Endocrinology Commentary Source Type: news

Exclusive-Climate row roils U.N.-backed group of insurers and pension funds
A member of a United Nations-backed coalition of insurance firms and pension funds seeking to tackle climate change told Reuters it was considering quitting after disagreements about curbing investment in the oil and gas sector split the group. Danish pension fund AkademikerPension may leave the…#unitednations #danish #akademikerpension #gfanz #bankofengland #markcarney #nzaoa #dorriskirui #guntherthallinger #allianz (Source: Reuters: Health)
Source: Reuters: Health - March 31, 2023 Category: Consumer Health News Source Type: news

Judge's Ruling Undercuts US Health Law's Preventive Care
Experts cautioned that insurers are unlikely to stop any coverage immediately. (Source: Arkansas Business - Health Care)
Source: Arkansas Business - Health Care - March 31, 2023 Category: American Health Source Type: news

Federal Judge Strikes Down Obamacare ’ s Preventive Services Provision
A federal judge in Texas who previously ruled to dismantle the Affordable Care Act struck down a narrower but key part of the nation’s health law Thursday that requires most insurers to cover preventive services that include screenings for cancer, diabetes and mental health. Other no-cost services, including HIV screenings, are also impacted under the ruling by U.S. District Judge Reed O’Connor that opponents say will jeopardize preventive care for millions of Americans. Experts cautioned that insurers are unlikely to stop any coverage immediately. The Biden administration was expected to appeal and seek a stay...
Source: TIME: Health - March 31, 2023 Category: Consumer Health News Authors: PAUL J. WEBER / AP Tags: Uncategorized Public Health wire Source Type: news

The Unspoken Reason Why Many Doctors and Nurses Are Quitting
On a recent shift, I arrived to find our emergency department full and our waiting room overflowing with suffering patients. Half of our ER beds were occupied by “boarders”—patients who were ill enough to require hospital admission, but with no inpatient bed available for them in our hospital, or at any other in the state. These boarding patients included a seriously ill infant with respiratory distress from RSV, a moribund elderly woman on a ventilator, and a teenaged boy who had been held under security watch in the ER for three straight days, waiting for transfer to a psychiatric bed. In the hour after...
Source: TIME: Health - March 31, 2023 Category: Consumer Health News Authors: Dr. Gita Pensa Tags: Uncategorized freelance health Source Type: news

DPH calls on health plans to continue covering Narcan, following OTC approval
The FDA approved, Narcan, a medicine that can reverse opioid-related overdoses, for over the counter use this week. State health officials are calling on insurers to continue covering the medicine. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - March 31, 2023 Category: Biotechnology Authors: Cassie McGrath Source Type: news

Blue Cross bill makes good sense
The bill's critics argue it is a back-door attempt to transfer the value of the nonprofit health insurer into private hands. (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - March 31, 2023 Category: Health Management Authors: John Hood Source Type: news

Lloyd ’s of London battles insurers over ‘state-backed’ cyber attacks
Demand to exclude state-backed attacks from policies stirs controversy (Source: Reuters: Health)
Source: Reuters: Health - March 31, 2023 Category: Consumer Health News Source Type: news

HIV Infections Could Spike After Ruling on Affordable Care Act: Experts
Ending coverage of the medication known as PrEP, which was mandated for health insurers under the Affordable Care Act, will result in at least 2,000 new HIV infections within a year, experts said. (Source: WebMD Health)
Source: WebMD Health - March 30, 2023 Category: Consumer Health News Source Type: news

Federal Judge Strikes Down ACA's Preventive Care Coverage Requirements
(MedPage Today) -- A federal judge on Thursday struck down the Affordable Care Act (ACA) provision requiring all insurers to cover certain preventive services free of charge, angering the law's supporters. "Individual Plaintiffs need not comply... (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - March 30, 2023 Category: American Health Source Type: news