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SXSW24: Better communication, collaboration, reimbursement needed to improve cancer care

Fierce Healthcare

Confusing insurance. Across multiple sessions, clinicians and patient advocates called for better access to specialty care, more thoughtful communication with patients and continued collaboration across stakeholders. Uncomfortable waiting rooms. Revealing hospital gowns. Exhausting travel between appointments.

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How to help patients with prior authorization

The Checkup by Singlecare

Insurance companies use prior authorization to manage costs and ensure a procedure or medication is safe and appropriate for a patient. Prior authorization is an insurance process in which healthcare providers must obtain approval from a patient’s insurance company before administering certain medications, treatments, or procedures.

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STAT+: Biden admin proposes fixes to No Surprises Act’s dispute resolution process

STAT

But the behind-the-scenes battles between those providers and health insurers over what that care should cost have gotten ugly. Since the beginning of 2022, the No Surprises Act has shielded patients in most cases against bills from out-of-network providers for care delivered at in-network facilities.

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STAT+: DaVita faces another probe over ties to kidney care charity

STAT

attorney general is specifically looking at “communications with AKF, documents relating to donations to the AKF, and communications with patients, providers, and insurers regarding the AKF.” DaVita disclosed the new “civil investigative demand” in its latest annual financial filing to investors.

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Does Blue Cross Blue Shield cover Ozempic?

The Checkup by Singlecare

Insurance companies and Medicare prescription drug plans may cover Ozempic when it’s prescribed for Type 2 diabetes, not weight loss, but it depends on the specific plan. The insurance landscape for Ozempic and similar medications is constantly in flux, and it might feel difficult to keep up with the changes.

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What is step therapy?

The Checkup by Singlecare

Step therapy focuses on using cost-effective treatments for various conditions, which may help save money in the long run for insurance companies and the people they cover. Step therapy is a process used by health insurance companies to manage and control prescription drug costs. Which insurance plans use step therapy?

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Hospitals want to buy doctors’ happiness with Nuance’s AI scribe. What they’re paying varies

STAT

Microsoft-owned Nuance Communications sells its AI medical scribe platform to health care providers on a simple promise: If they shell out big bucks for the high-tech product, they can decrease doctor burnout and ultimately make more money by enabling doctors to see more patients. Read the rest…