Higher Bills Are Leading Americans to Delay Medical Care
Inflation and pressing household expenses are forcing some people to postpone health needs, an emerging trend that has health experts worried that conditions may only worsen. (Source: NYT Health)
Source: NYT Health - February 16, 2023 Category: Consumer Health News Authors: Reed Abelson Tags: Coronavirus (2019-nCoV) Health Insurance and Managed Care Layoffs and Job Reductions Medicaid Commonwealth Fund Source Type: news

Bernie Sanders Has a New Role. It Could Be His Final Act in Washington.
After two unsuccessful runs for the presidency, the Vermont senator now leads the Senate health committee, a job that gives him sweeping jurisdiction over issues he cares about. (Source: NYT)
Source: NYT - February 12, 2023 Category: American Health Authors: Sheryl Gay Stolberg Tags: Sanders, Bernard Senate Committee on Health, Education, Labor and Pensions Law and Legislation Drugs (Pharmaceuticals) Health Insurance and Managed Care Labor and Jobs Coronavirus (2019-nCoV) Workplace Hazards and Violations Content Type: Source Type: news

Centene PBM settlement with California boosts total over $800M
The Clayton-based managed care giant has reached settlements that have been announced by more than a dozen states, requiring the nation ’s largest Medicaid managed care provider to make at least $833 million in payments. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - February 8, 2023 Category: American Health Authors: James Drew Source Type: news

The Medicine Is a Miracle, but Only if You Can Afford It
A wave of new treatments have cured devastating diseases. When the costs are too much, even for the insured, patients hunt for other ways to pay. (Source: NYT)
Source: NYT - February 7, 2023 Category: American Health Authors: Gina Kolata and Francesca Paris Tags: Drugs (Pharmaceuticals) Health Insurance and Managed Care Medicare Immunotherapy Philanthropy Research Inflation Reduction Act of 2022 Genetic Engineering Income Inequality Cancer Clinical Trials Eczema Multiple Sclerosis Leukemi Source Type: news

Roche announces positive data from global phase III programme for crovalimab in PNH, a rare life-threatening blood condition
The COMMODORE 2 study met its co-primary efficacy endpoints, showingcrovalimab achieved disease control in people with paroxysmal nocturnalhaemoglobinuria (PNH) who have not been previously treated with complement inhibitorsThe results of the phase III COMMODORE 1 study in people with PNH switching from currently approved C5 inhibitors, supported thefavourable benefit-risk profile ofcrovalimab, as seen in the pivotal COMMODORE 2 studyResults from both studies will be submitted to regulatory authorities around the world and presented at an upcoming medical meetingBasel, 7 February 2023 - Roche (SIX: RO, ROG; OTCQX: RHHBY) t...
Source: Roche Media News - February 7, 2023 Category: Pharmaceuticals Source Type: news

Roche announces positive data from global phase III programme for crovalimab in PNH, a rare life-threatening blood condition
The COMMODORE 2 study met its co-primary efficacy endpoints, showingcrovalimab achieved disease control in people with paroxysmal nocturnalhaemoglobinuria (PNH) who have not been previously treated with complement inhibitorsThe results of the phase III COMMODORE 1 study in people with PNH switching from currently approved C5 inhibitors, supported thefavourable benefit-risk profile ofcrovalimab, as seen in the pivotal COMMODORE 2 studyResults from both studies will be submitted to regulatory authorities around the world and presented at an upcoming medical meetingBasel, 7 February 2023 - Roche (SIX: RO, ROG; OTCQX: RHHBY) t...
Source: Roche Investor Update - February 7, 2023 Category: Pharmaceuticals Source Type: news

Centene Corp. agrees to pay $66.5M to Indiana in latest PBM settlement
So far, Centene has reached settlements that have been announced by more than a dozen states, requiring the nation ’s largest Medicaid managed care provider to make at least $618 million in payments. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - February 2, 2023 Category: Biotechnology Authors: James Drew Source Type: news

Centene Corp. agrees to pay $66.5M to Indiana in latest PBM settlement
So far, Centene has reached settlements that have been announced by more than a dozen states, requiring the nation ’s largest Medicaid managed care provider to make at least $618 million in payments. (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - February 1, 2023 Category: Health Management Authors: James Drew Source Type: news

New Medicare Rule Aims to Take Back $4.7 Billion From Insurers
The government plans to aggressively audit Medicare Advantage plans for overbilling but may face lawsuits. (Source: NYT Health)
Source: NYT Health - January 31, 2023 Category: Consumer Health News Authors: Reed Abelson and Margot Sanger-Katz Tags: Medicare Advantage Health Insurance and Managed Care United States Politics and Government Regulation and Deregulation of Industry Elderly Source Type: news

Your Next Hospital Bed Might Be at Home
In a time of strained capacity, the “hospital at home” movement is figuring out how to create an inpatient level of care anywhere. (Source: NYT Health)
Source: NYT Health - January 26, 2023 Category: Consumer Health News Authors: Helen Ouyang Tags: Health Insurance and Managed Care Hospitals Coronavirus (2019-nCoV) Emergency Medical Treatment Rural Areas CMS Innovation Center (Centers for Medicare and Medicaid Services) Source Type: news

The Hospital Makes a House Call
In a time of strained capacity, the “hospital at home” movement is figuring out how to create an inpatient level of care anywhere. (Source: NYT Health)
Source: NYT Health - January 26, 2023 Category: Consumer Health News Authors: Helen Ouyang Tags: Health Insurance and Managed Care Hospitals Coronavirus (2019-nCoV) Emergency Medical Treatment Rural Areas CMS Innovation Center (Centers for Medicare and Medicaid Services) Source Type: news

Obamacare Sign-ups Top 16 Million for 2023, Setting Another Record
Enrollment in plans through the Affordable Care Act ’s marketplaces broke last year’s record, with particularly high growth in Florida, Texas and Georgia. (Source: NYT)
Source: NYT - January 26, 2023 Category: American Health Authors: Margot Sanger-Katz Tags: Patient Protection and Affordable Care Act (2010) Biden, Joseph R Jr Health Insurance and Managed Care Coronavirus (2019-nCoV) Stimulus (Economic) Medicaid American Rescue Plan (2021) Federal Aid (US) Health and Human Services Department Source Type: news

Emailing Your Doctor May Carry a Fee
More hospitals and medical practices have begun charging for doctors ’ responses to patient queries, depending on the level of medical advice. (Source: NYT Health)
Source: NYT Health - January 24, 2023 Category: Consumer Health News Authors: Benjamin Ryan Tags: Health Insurance and Managed Care Computers and the Internet Hospitals Prices (Fares, Fees and Rates) Doctors Coronavirus (2019-nCoV) E-Mail Electronic Health Records Medicare Telemedicine Centers for Medicare and Medicaid Services Source Type: news

A Dilemma for Governments: How to Pay for Million-Dollar Therapies
A wave of transformative but hugely expensive treatments is challenging the budgets of health systems in wealthy nations. Now countries with far fewer resources are wrestling with how to cover the therapies. (Source: NYT Health)
Source: NYT Health - January 24, 2023 Category: Consumer Health News Authors: Rebecca Robbins, Stephanie Nolen and Dado Galdieri Tags: Drugs (Pharmaceuticals) Health Insurance and Managed Care Genetic Engineering Babies and Infants Genetics and Heredity Children and Childhood Suits and Litigation (Civil) Spinal Muscular Atrophy Disabilities Novartis AG Brazil Zolgen Source Type: news

The Government Thinks It Is Overpaying for Medicare, Spelling Trouble for Insurers
Health insurers had the best of both worlds last year. Their stocks benefited from a rotation into value and their profits weathered the inflationary environment as healthcare utilization remained low. But as managed-care companies kick off earnings season, sentiment has shifted. That isn’t…#unitedhealthgroupinc (Source: Reuters: Health)
Source: Reuters: Health - January 23, 2023 Category: Consumer Health News Source Type: news