February, 2024

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STAT+: UnitedHealth cyberattack cripples pharmacies’ and hospitals’ ability to process insurance claims

STAT

Hospitals, pharmacies, and other health care providers are getting stuck in an insurance processing logjam after UnitedHealth Group disclosed a cyberattack within a recently acquired subsidiary that serves as a central hub for payments across the industry.

Insurance 145
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STAT+: White House to hold a listening session on reforming pharmacy benefit managers

STAT

The list of attendees includes representatives from the federal government and industry, who are expected to provide insights into how the largest pharmacy benefit managers determine which medicines are covered by insurers and employers, as well as prices that are paid at pharmacy counters.

Insurance 145
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STAT+: A ‘renaissance in neuroscience’ could deliver a fresh crop of psychiatric medicines

STAT

Their blockbuster treatments for depression and schizophrenia had reshaped society and made billions of dollars in the process, but the old cash cows were soon to go generic. And when insurance companies balked at paying brand-name prices for extended-release generics, the money dried up and the industry moved out.

Insurance 142
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Wegovy prior authorization criteria: Blue Cross Blue Shield

The Checkup by Singlecare

Depending on your specific insurance plan, Blue Cross Blue Shield (BCBS) may cover Wegovy if patients meet specific criteria. Blue Cross Blue Shield Wegovy coverage BCBS is one of the largest healthcare insurance companies in the United States. Each BCBS insurance plan varies in what they cover, including medications.

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Guide to Medicaid in Pennsylvania

The Checkup by Singlecare

In addition to pregnant women and children, the Medicaid health insurance plan in Pennsylvania, also called Medical Assistance (MA), is available to low-income adults, disabled persons, and seniors who meet certain requirements. CHIP is available statewide and provides free or low-cost insurance for uninsured children up to age 19.

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Repatha (evolocumab) alternatives: What can I take instead of Repatha?

The Checkup by Singlecare

Even with insurance, the cost burden of Repatha may be very high for some. There is no generic for Nexletol, and the average retail price is over $500 per month without insurance. This includes lean cuts of meat and avoiding processed meat like bologna. The cost of Repatha may be prohibitive for some.

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STAT+: Experts say scale of Change cyberattack shows risk of centralized claims processing

STAT

Change Healthcare’s recent cyberattack has hospitals, doctors’ offices, and pharmacies across the country reeling as they struggle to process claims and bill patients. Change, which is owned by UnitedHealth Group, is one of the nation’s largest insurance claim processing hubs.

Insurance 144