Category
Insurance
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Medicare and Medicaid will cover weight-loss drugs next year
The Medicare GLP-1 Bridge program will operate outside Part D benefit’s coverage and payment flow, so part D insurers don’t…
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Report: Health disparities are set to widen, again
A new report from The Commonwealth Fund on health care disparities delivers a clear message: the U.S. health system is…
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AI is shaping medical coverage decisions. Here’s how to tell the story
Insurers are increasingly using AI in various parts of the process including prior authorization. Here are some ideas to report…
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How high-deductible health plans can harm patients’ health
Americans with high-deductible health plans often are forced to skip needed care, picking up prescriptions and going to the doctor.
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High deductibles, higher stakes: Story angles for journalists
The widespread requirement that many Americans have “skin in the game” in the form of high deductibles is a big…
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Reports show Medicare insurers boosted income in questionable ways
Insurers added questionable diagnoses to 1.7 million Medicare Advantage members in 2024, netting $7.5 billion in extra revenue, reports show.
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Are bigger hospitals and insurers better for consumers?
As health insurers, hospitals and physicians consolidate into larger organizations, do consumers see lower costs and improved quality?
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How Wall Street Journal reporters uncovered Medicare Advantage overbilling
A team of Wall Street Journal reporters applied to CMS to be treated as researchers for a series into Medicare…
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Report shows weak hospital and health plan price transparency across 10 US markets
A recent report on health industry price transparency identified fees hidden from employers — raising questions on what else was concealed.
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Deep federal cuts will make health care financially toxic, driving up medical debt
Federal cuts to Medicaid, Medicare and other health programs will make it much more difficult for families to pay for…