The Checkup by Singlecare

DECEMBER 5, 2022

Is naproxen covered by insurance? | How much does naproxen cost without insurance? | How to get naproxen without insurance. Is naproxen covered by insurance? OTC naproxen, like most OTC drugs, is generally not covered by health insurance. How much does naproxen cost without insurance? SingleCare price.

Insurance 52

Insurance Dosage Documentation FDA 52

STAT

MARCH 26, 2024

Troubled hospital operator Steward Health Care, grappling with a financial crisis that’s engulfed its eight Massachusetts hospitals, has moved to shore up its finances by striking a deal to sell its nationwide physician network to insurance giant UnitedHealth’s Optum Care unit. Continue to STAT+ to read the full story…

Hospitals 139

Hospitals Documentation Insurance 139

STAT

FEBRUARY 27, 2024

antitrust regulators into pharmaceutical industry middlemen has been stymied because the companies have failed to provide many of the documents that, in some cases, were requested as far back as June 2022. A much-anticipated inquiry by U.S.

Documentation 143

Documentation Insurance 143

The Checkup by Singlecare

APRIL 25, 2024

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.

Insurance Coverage 52

Insurance Coverage Insurance Documentation Communication 52

The Checkup by Singlecare

APRIL 5, 2024

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.

Insurance 78

Insurance Documentation Insurance Coverage FDA 78

STAT

NOVEMBER 14, 2023

The nation’s largest health insurance company pressured its medical staff to cut off payments for seriously ill patients in lockstep with a computer algorithm’s calculations, denying rehabilitation care for older and disabled Americans as profits soared, a STAT investigation has found.

Health Insurance Companies 145

Health Insurance Companies Insurance Documentation 145

STAT

NOVEMBER 2, 2023

Mothers, children, and the disabled clutch passels of documents along the sidewalk. They wait to reauthorize their Medicaid insurance. We would all be healthier if we brought the two lines together. The first line forms every morning before the building opens. Read the rest…

Documentation 91

Documentation Insurance Hospitals 91

STAT

NOVEMBER 14, 2023

For more than a year, our reporters have documented how the use of artificial intelligence is driving denial of claims or delaying treatment for seriously ill patients. This latest story goes even deeper, establishing how the denial of claims was by design.

Health Insurance Companies 121

Health Insurance Companies Documentation Insurance 121

STAT

JANUARY 30, 2023

The federal government and health insurance companies have been clashing for more than a decade over how Medicare Advantage plans should be audited and how the well-documented overpayments to those plans should be clawed back.

Health Insurance Companies 112

Health Insurance Companies Insurance Documentation 112

STAT

FEBRUARY 23, 2023

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.

Communication 93

Communication Insurance Documentation 93

STAT

DECEMBER 29, 2022

The downfall of Aduhelm, the first new treatment for Alzheimer’s disease in two decades, is largely the story of a drug company choosing to maximize its potential profits at the expense of patients and taxpayers, according to a congressional investigation that cites thousands of pages of internal Biogen documents.

Insurance 98

Insurance Documentation FDA 98

The Checkup by Singlecare

SEPTEMBER 7, 2023

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?

Insurance 97

Insurance Health Insurance Companies Documentation Communication 97

The Checkup by Singlecare

FEBRUARY 23, 2024

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.

Insurance 52

Insurance Documentation Dosage Packaging 52

STAT

MAY 17, 2023

By seeking documents from Zinc Health Services and Ascent Health Services, the agency is attempting to unravel what critics complain is an opaque set of business practices and relationships. Pharmacy benefit managers are linchpins in the pharmaceutical pricing system, and are under increased scrutiny for allegedly driving up consumer costs.

Documentation 98

Documentation Insurance 98

The Checkup by Singlecare

APRIL 17, 2024

At first glance, Mounjaro might look pretty pricey, but its out-of-pocket costs can vary drastically based on insurance coverage, discounts, pharmacy location, and more. Without help from a health insurance plan, Medicare Part D, or Medicaid, the drug’s list price is $1,069.08 How much does Mounjaro cost? Does Medicaid cover Mounjaro?

Insurance 98

Insurance Insurance Coverage Compounding Pharmacies Compounding 98

The Checkup by Singlecare

DECEMBER 28, 2023

Does insurance cover Ozempic for weight loss? Because Ozempic is currently approved by the FDA for only diabetes management, health insurance plans are unlikely to cover the prescription medication for off-label uses such as weight loss. Some providers may require lab tests or documentation of previous weight loss efforts.

Insurance 104

Insurance Insurance Coverage FDA Documentation 104

STAT

FEBRUARY 28, 2024

antitrust regulators into pharmaceutical industry middlemen has been stymied because the companies have failed to provide many of the documents that, in some cases, were requested as far back as June 2022 , STAT writes. The … A much-anticipated inquiry by U.S.

FDA 110

FDA Documentation Insurance 110

STAT

JUNE 8, 2023

… The pharmaceutical industry has spent the past year speaking out against new mechanisms that could limit how much governments or insurers pay for certain new medicines, but U.S. Wall Street analysts wrote investors that the documents seemed to suggest the agency will approve the drug. Have a smashing time.

FDA 93

FDA Documentation Insurance 93

STAT

MARCH 11, 2024

Food and Drug Administration approved a label expansion for Novo Nordisk’s obesity drug Wegovy to tout its benefits for the heart, a move that could boost demand and insurance coverage for the already highly popular treatment , STAT notes. The  Continue to STAT+ to read the full story…

Insurance Coverage 98

Insurance Coverage Labelling Documentation Insurance 98

STAT

MARCH 18, 2024

CVS Caremark, the PBM owned by CVS Health that oversees the prescription drug benefits of 103 million people, told its employer clients that it anticipated “more lower-cost products (including specialty biosimilars) may become preferred products” on its lists of approved drugs for 2024, according to documents obtained by STAT.

Documentation 145

Documentation Pharmaceutical Companies Pharmaceutical Companies Insurance 145

The Checkup by Singlecare

AUGUST 30, 2023

This vital program aims to assist individuals with low incomes who may struggle to afford health insurance independently. However, the state does offer a children’s health insurance program (CHIP) to provide coverage to kids without other forms of health insurance. At the beginning of 2023, the state of Florida had more than 3.9

Documentation 52

Documentation Insurance Nursing Homes Hospitals 52

The Checkup by Singlecare

FEBRUARY 7, 2023

The rising cost of living in the United States is making it harder to pay for prescription medicines, even among individuals with health insurance. PAPs are programs that help people with no health insurance and those who are underinsured pay for their medications. Here’s how they work. How do patient assistance programs work?

Insurance 98

Insurance Insurance Coverage Pharmaceutical Companies Pharmaceutical Companies 98

pharmaphorum

JANUARY 27, 2023

While SaveOnSP is the nominal target of the lawsuit, it claims to expose one of the failings in the US health insurance sector, adding fire to an increasingly heated exchange between pharma manufacturers and pharmacy benefit managers (PBMs), which have blamed each other for high medicine prices in the US.

Specialty Pharmacies 105

Specialty Pharmacies Insurance Health Insurance Companies Documentation 105

Pharmaceutical Technology

JULY 15, 2022

The documents state that a partnership with a CMO would be cheaper than the state directly manufacturing insulin. In April, the US House of Representatives passed the Affordable Insulin Act, which set a price cap of $35 a month for Medicare and private insurance users.

Insurance 131

Insurance Documentation Packaging 131

STAT

JANUARY 8, 2024

In a country with a well-documented obesity epidemic, Wegovy and other members of a new type of weight-loss drug are highly effective: In clinical trials, people on Wegovy typically lose 15% of body weight , and a similar medication, retatrutide, has shown up to 24% weight loss.

Documentation 109

Documentation Insurance 109

STAT

OCTOBER 23, 2023

Starting in the first quarter of 2024, Optum’s post-acute-care companies will be called Home & Community Care, according to internal documents obtained by STAT. However, Optum advised employees that “Home & Community Care should not be directly next to the Optum logo” in marketing materials.

Documentation 145

Documentation Patient Care Hospitals Insurance 145

STAT

DECEMBER 6, 2023

million worth of stock on Tuesday, according to the documents filed with the Securities and Exchange Commission. Stephen Hemsley, the board chair and former CEO of UnitedHealth Group, has sold nearly $113 million worth of company stock since the middle of October, new filings show. Hemsley most recently sold $36.4 The other $76.5

Documentation 124

Documentation Insurance 124

STAT

JUNE 20, 2023

Some consulting firms often are getting paid more — a lot more — by the PBMs and health insurance carriers that they are supposed to scrutinize than by companies they are supposed to be looking out for.

Insurance 119

Insurance Documentation 119

The Checkup by Singlecare

MAY 1, 2024

Financial assistance for hearing aids There are several ways to make hearing aids more affordable, including insurance coverage, nonprofit organizations, and discount programs. Insurance coverage Private health insurance through employers and commercial plans vary in terms of coverage, with only some offering assistance for hearing devices.

Health and Personal Care Stores 52

Health and Personal Care Stores Insurance Insurance Coverage Communication 52

STAT

NOVEMBER 14, 2023

Internal documents revealed that managers within the company set a goal for clinical employees to keep patients rehab stays within 1% of the days projected by the algorithm. The lawsuit filed in the U.S.

Nursing Homes 145

Nursing Homes Documentation Insurance 145

Pharmaceutical Technology

SEPTEMBER 7, 2022

Pharmaceutical benefit managers and management companies serve as intermediaries between insurance companies, pharmacies, and drug manufacturers. They bring together employers/plan sponsors, health insurers, plan members, drug wholesalers, pharmacies, and drug companies to facilitate better health outcomes at an affordable cost.

Insurance 52

Insurance Documentation 52

The Checkup by Singlecare

OCTOBER 16, 2023

Social Security Disability Insurance (SSDI) is a benefit provided to people who meet the SSA’s criteria for disability, have worked in a job in which you paid Social Security taxes, and are unable to work due to a disabling condition that is expected to last at least one year or be fatal.

Documentation 105

Documentation Immunization Mayo Clinic Insurance 105

The Checkup by Singlecare

NOVEMBER 30, 2023

These include the following: Adults 19-64 years of age who are not eligible for Medicare Children 1-18 years of age Infants (younger than 1) Youth in foster care and former foster care youth Children not eligible for Medicaid may be able to get coverage through Child Health Plus , an expanded health insurance program.

Nursing Homes 52

Nursing Homes Insurance Insurance Coverage Documentation 52

The Checkup by Singlecare

FEBRUARY 28, 2024

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. When applying for Medicaid in Pennsylvania, applicants must submit documentation to prove their U.S.

Packaging 52

Packaging Documentation Hospitals Insurance 52

The Checkup by Singlecare

NOVEMBER 9, 2023

This person may go by other names in the document, depending on the state you live in. The benefits of a medical power of attorney Having a signed and notarized medical power of attorney offers many perks, and it is one of the most important documents you’ll create in a lifetime. A copy should also be shared with family members.

Health and Personal Care Stores 52

Health and Personal Care Stores Documentation Communication Hospitals 52

The Checkup by Singlecare

MARCH 7, 2024

Factors influencing its price include insurance coverage, access to discounts and coupons, and the pharmacy filling the prescription. The list price is how much a drug costs without any insurance coverage, before any other discounts or rebates are applied. But how much each individual person will end up paying for Ozempic varies.

Insurance Coverage 52

Insurance Coverage Insurance FDA Dosage 52

The Checkup by Singlecare

SEPTEMBER 7, 2023

Unfortunately, insurance companies generally won’t cover Mounjaro for unapproved indications like weight loss. These drugs can get expensive, costing several hundreds of dollars a week for treatment if not covered by insurance. Other GLP-1 receptor agonists may be an acceptable alternative and are covered by insurance.

Insurance 52

Insurance Insurance Coverage FDA Dosage 52