consumers
publication date
Payer
Republican Megabill Will Mean Higher Health Costs for Many Americans
The bill would reverse many of the health coverage gains of the Biden and Obama administrations, whose policies made it...
Payer
5 Takeaways from Health Insurers' New Pledge to Improve Prior Authorization
Trump administration officials applauded the insurance industry for its willingness to change, but also acknowledged limitations of the agreement.
Payer
The Price of an Obamacare Plan Could Surge Next Year
Without enhanced subsidies, ACA insurance premiums would rise by more than 75% on average.
Payer
Asthma Sufferers Could Be at Greater Risk if Trump Cuts Health Program
Asthma experts fear the cumulative impact of the reductions could result in more ER visits and deaths.
CEO
Ballad Health's Hospital Monopoly Underperformed. Then TN Lowered the Bar.
The monopoly can now be considered a 'clear and convincing' benefit to the public with performance that would earn a...
Innovation
Recipe for Success: Virtua Health's Food Is Medicine Program Goes Mobile
The New Jersey health system is rolling out two new vehicles this summer as part of its Eat Well program,...
Payer
Bill of the Month: A Medicaid Patient Had a Heart Attack While Traveling. He Owed Almost $78K.
A South Dakota hospital refused to bill to a Florida Medicaid plan, instead sending it to the patient with a...
Payer
Trump Won't Force Medicaid to Cover GLP-1s for Obesity. A Few States Are Doing It Anyway.
The pricey medications remain out of reach for millions of patients across the country who could benefit from them.
Payer
Mostly False: Trump Exaggerates Speed and Certainty of Prescription Drug Price Reductions
Under a new executive order, prescription drug prices will be reduced 'almost immediately.' ? President Donald Trump, in a May...
CMO
Rural Patients Face Tough Choices When Their Hospitals Stop Delivering Babies
More than a hundred rural hospitals have stopped delivering babies since 2021 owing to shortages of staff and money.
Payer
Trump's DOJ Accuses Medicare Advantage Insurers of Paying 'Kickbacks' for Primo Customers
DOJ alleges insurers labeled payments as 'marketing' or 'sponsorship' fees to get around rules that set caps on broker commissions.
Pharma
Pharmacists Stockpile Most Common Drugs on Chance of Targeted Trump Tariffs
Pharmacists find themselves on the front lines of a tariff storm.