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Some New Jersey patients can’t access medicine due to insurance hurdles. A new law is trying to speed up the prior authorization process

, February 21, 2024

Payer

When a law passed this January takes effect next year, health insurance companies will have three days — or sometimes 24 hours — to decide on prior authorization.

Medicare Advantage’s 33 million club

, February 21, 2024

Payer

Last year, after the Biden administration made some tweaks to Medicare Advantage, the health insurance industry screamed to the heavens.

In-network insurance claims jumped after surprise billing ban took effect

, February 21, 2024

Payer

The amount of in-network care patients received across different specialties and settings jumped significantly as surprise billing protections took effect, according to a FAIR Health analysis.

Medicaid unwinding draws scrutiny from state lawmakers

, February 20, 2024

Payer

Nevada legislators are expressing frustration over the state’s inability to track people who were wrongfully disenrolled from Medicaid last year.

New CMS rules will throttle access researchers need to Medicare, Medicaid data

, February 20, 2024

Payer

Groundbreaking research more than a decade ago showed that almost one-fifth of people enrolled in Medicare were being readmitted within 30 days after being discharged from the hospital, harming patients and increasing costs.

States clamping down on coverage of weight-loss drugs

, February 19, 2024

Payer

Around the Web

Some New Jersey patients can’t access medicine due to insurance hurdles. A new law is trying to speed up the prior authorization process

When a law passed this January takes effect next year, health insurance companies will have three days — or sometimes 24 hours — to decide on prior authorization.

Medicare Advantage’s 33 million club

Last year, after the Biden administration made some tweaks to Medicare Advantage, the health insurance industry screamed to the heavens.

In-network insurance claims jumped after surprise billing ban took effect

The amount of in-network care patients received across different specialties and settings jumped significantly as surprise billing protections took effect, according to a FAIR Health analysis.

Medicaid unwinding draws scrutiny from state lawmakers

Nevada legislators are expressing frustration over the state’s inability to track people who were wrongfully disenrolled from Medicaid last year.

New CMS rules will throttle access researchers need to Medicare, Medicaid data

Groundbreaking research more than a decade ago showed that almost one-fifth of people enrolled in Medicare were being readmitted within 30 days after being discharged from the hospital, harming patients and increasing costs.

States clamping down on coverage of weight-loss drugs

States are tightening access to blockbuster weight-loss and diabetes drugs to protect against the pricey treatments from blowing up their budgets.

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Around the Web

Some New Jersey patients can’t access medicine due to insurance hurdles. A new law is trying to speed up the prior authorization process

When a law passed this January takes effect next year, health insurance companies will have three days — or sometimes 24 hours — to decide on prior authorization.

Medicare Advantage’s 33 million club

Last year, after the Biden administration made some tweaks to Medicare Advantage, the health insurance industry screamed to the heavens.

In-network insurance claims jumped after surprise billing ban took effect

The amount of in-network care patients received across different specialties and settings jumped significantly as surprise billing protections took effect, according to a FAIR Health analysis.

Medicaid unwinding draws scrutiny from state lawmakers

Nevada legislators are expressing frustration over the state’s inability to track people who were wrongfully disenrolled from Medicaid last year.

New CMS rules will throttle access researchers need to Medicare, Medicaid data

Groundbreaking research more than a decade ago showed that almost one-fifth of people enrolled in Medicare were being readmitted within 30 days after being discharged from the hospital, harming patients and increasing costs.

States clamping down on coverage of weight-loss drugs

States are tightening access to blockbuster weight-loss and diabetes drugs to protect against the pricey treatments from blowing up their budgets.

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