Fierce Healthcare

JUNE 27, 2024

Health insurance premiums are putting major pressure on small businesses, according to a new analysis from the JPMorganChase Institute. Health insurance premiums are putting major pressure on small businesses, according to a new analysis from the JPMorganChase Institute.

Insurance 103

Insurance 103

The Checkup by Singlecare

APRIL 14, 2024

Without insurance coverage, Rexulti’s average price is around $1,926 for a 30-day supply. Is Rexulti covered by insurance? Insurance is often the go-to option for reducing prescription drug costs. The drug’s FAQs state that 97% of health insurance plans nationwide will cover it. at Albertsons, $1686.88 at CVS, $1719.42

Insurance 98

Insurance Insurance Coverage FDA Dosage 98

The Checkup by Singlecare

JUNE 27, 2024

A transmitter costs $366 without insurance and lasts for about 90 days. Is a Dexcom G6 transmitter covered by insurance? Dexcom G6 transmitters, along with other components of the system, are typically covered by insurance, Medicare , and Medicaid when certain criteria, such as Type 1 diabetes, are met.

Insurance 97

Insurance Insurance Coverage FDA 97

STAT

MAY 29, 2024

Health insurers are telling shareholders that they are ramping up the use of artificial intelligence and are hiring talent to implement the technology across their organizations. However, all five of the insurers STAT contacted declined to elaborate on how they are using AI. Continue to STAT+ to read the full story…

Insurance 136

Insurance 136

Fierce Healthcare

MAY 13, 2024

The gap between insurance plans and Medicare's payments to hospitals for inpatient and outpatient services widened over the course of just a couple of years, a new study from RAND Corporation | A new report from RAND Corporation highlighted just how much more employers and private insurers are paying hospitals for inpatient and outpatient services. (..)

Insurance 132

Insurance Hospitals 132

Drug Topics

APRIL 6, 2024

Joe McKamey, general manager at Marcrom’s Pharmacy in Manchester, Tennessee, talks about why pharmacies should open their own Medicare-focused insurance agency and what steps and preparations they can take to ensure a successful launch and operation.

Independent Pharmacies 144

Independent Pharmacies Insurance 144

Fierce Healthcare

JUNE 6, 2024

Insurers are likely to pay $1.1 Insurers are likely to pay $1.1 billion in Affordable Care Act medical loss ratio rebates in 2024, according to a new analysis. billion in Affordable Care Act medical loss ratio rebates in 2024, according to a new analysis.

Insurance 110

Insurance 110

Fierce Healthcare

SEPTEMBER 5, 2023

Self-insured employers pay more for a host of medical procedures than fully insured employers, and just why should be investigated by policymakers, according to a

Insurance 117

Insurance 117

The Checkup by Singlecare

JUNE 13, 2024

Without insurance, the prescription birth control, NuvaRing, costs $234 for 1, 0.12-0.015 Is NuvaRing covered by insurance? Most health insurance plans usually cover NuvaRing. This means your insurance company wants to verify NuvaRing is medically necessary before they agree to cover it. 0.015 mg/24-hour ring.

Insurance 83

Insurance Insurance Coverage Independent Pharmacies Dosage 83

STAT

JUNE 10, 2024

He was also previously chief financial officer at FPIC Insurance group, a publicly traded insurance company focused on medical liability. Chuck Divita, who took on the role Monday, previously led the commercial markets business at GuideWell, the parent company of health plan Florida Blue.

Insurance 97

Insurance 97

STAT

MARCH 25, 2024

The public will soon find out whether the federal government is willing to meet the health insurance industry’s demands and deposit more money into the bank accounts of next year’s Medicare Advantage plans.

Insurance 106

Insurance 106

Drug Topics

JUNE 21, 2023

Antiobesity medications are considered to be 'vanity drugs' by many private insurers, and the refusal to cover obesity treatment is counterproductive because of obesity's many health consequences.

Insurance Coverage 183

Insurance Coverage Insurance 183

Fierce Healthcare

JUNE 17, 2024

Insured patients are often better off buying their generic prescriptions through their health insurance benefits than through Mark Cuban Cost Plus Drug Company, though those without insurance could | Only about 12% of generic prescription fills bring higher costs than the billionaire-backed pharmacy, with median savings among these landing at about (..)

Insurance 111

Insurance Prescription Filling 111

PhRMA

DECEMBER 14, 2022

A survey of more than 5,000 Americans conducted with Ipsos found that insured Americans want better health care coverage.

Insurance 258

Insurance 258

The Checkup by Singlecare

JUNE 9, 2024

Although Tresiba may be covered by insurance, people without health insurance may bear the full retail cost of the medication. Is Tresiba covered by insurance? Most commercial insurance plans cover Tresiba. How much does Tresiba cost without insurance? A 10 mL vial may cost around $450 without insurance.

Insurance 72

Insurance Insurance Coverage Dosage Independent Pharmacies 72

STAT

FEBRUARY 7, 2024

In recent months, the federal government has repeatedly told Medicare Advantage insurers that they cannot use artificial intelligence or algorithms to deny medical services the government routinely covers.

Insurance 145

Insurance 145

Fierce Healthcare

MARCH 4, 2024

Insurance network coverage dramatically impacts whether a person remains in treatment for opioid use disorder, according to results shared by treatment provider Ophelia. | In-network insurance coverage goes a long way in making sure individuals continue opioid use disorder treatment, according to a study out of Health Affairs.

Insurance Coverage 117

Insurance Coverage Insurance 117

STAT

APRIL 9, 2024

One of the country’s biggest life insurers is venturing into genetic testing, an area that’s historically been a minefield for that industry, in a purported effort to keep its members alive longer.    MassMutual announced Tuesday that it’s offering many of its 4.2 The Springfield, Mass.-based

Insurance 144

Insurance 144

STAT

JANUARY 31, 2024

Cigna is officially exiting the Medicare business, agreeing to sell all of its Medicare insurance plans to Health Care Service Corp., a large Blue Cross Blue Shield insurer, for $3.3

Insurance 141

Insurance 141

The Checkup by Singlecare

MAY 29, 2024

Is OneTouch Verio covered by insurance? With a prescription from your healthcare provider, your insurance may cover glucose testing supplies. Insurance coverage for OneTouch Verio glucose test strips will vary based on an individual plan formulary. How much does OneTouch Verio cost without insurance?

Insurance 78

Insurance Insurance Coverage 78

The Checkup by Singlecare

JULY 8, 2024

Some people may get insurance coverage for their Qulipta prescriptions, but without insurance or Medicare, 30, 60 milligram (mg) tablets cost close to $1,500. Is Qulipta covered by insurance? It depends on the specific insurance company and plan. Check the formulary or contact the insurance provider to find out. “I’ve

Insurance 52

Insurance Insurance Coverage Dosage 52

Fierce Healthcare

JULY 2, 2024

A new analysis from KFF digs into insurers' financial performance across multiple markets and found the highest gross margins in the Medicare Advantage (MA) space. | A new analysis from KFF digs into insurers' financial performance across multiple markets and found the highest gross margins in the Medicare Advantage space.

Insurance 75

Insurance 75

STAT

FEBRUARY 23, 2024

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

Insurance Hospitals Insurance Processing 145

pharmaphorum

MARCH 21, 2024

A partnership between Eisai and Lifenet that aims to improve insurance cover for people with early dementia has generated its first policy, part of an effort by the pharma group to develop an ‘ecosystem’ to support patients.

Insurance 110

Insurance 110

STAT

FEBRUARY 16, 2024

On Tuesday, two different proposed insurance plan acquisitions on different sides of the country called it quits — one of them for the second time. National insurer Elevance has also been trying to buy Blue Cross and Blue Shield of Louisiana since last January.

Insurance 105

Insurance 105

Fierce Healthcare

FEBRUARY 12, 2024

The Federal Trade Commission has secured a $195 million judgement against Florida-based insurer Simple Health following allegations that it sold "sham" coverage to consumers. |

Insurance 117

Insurance 117

Fierce Healthcare

NOVEMBER 29, 2023

A health insurance megamerger is reportedly brewing. | The Wall Street Journal, citing people familiar with the matter, reported on Wednesday that payer giants Cigna and Humana are exploring a combination that could shake up the power dynamics of the industry.

Insurance 120

Insurance 120

The Checkup by Singlecare

AUGUST 31, 2023

Is Mounjaro covered by insurance? | How much does Mounjaro cost without insurance? | How to get Mounjaro without insurance Mounjaro (tirzepatide) is a brand-name prescription drug FDA-approved to control blood sugar levels in people with Type 2 diabetes. Only some insurance providers will cover it. mL of 5 mg/0.5

Insurance 98

Insurance Compounding Insurance Coverage Labelling 98

STAT

MAY 16, 2024

Limited access stems from three main issues: the discontinuation of a common branded asthma medication, lack of insurance coverage for its generic alternative, and shortages of a similar branded alternative. This increase in child asthma acuity and deaths is likely multifactorial, but access to basic medications is one modifiable driver.

Insurance 144

Insurance Insurance Coverage 144

STAT

DECEMBER 11, 2023

WASHINGTON — An executive at insurance giant UnitedHealth Group is slated to be the next leader of the health insurance industry’s largest lobbying group, the group announced Monday. AHIP has selected Mike Tuffin, who’s currently UnitedHealth’s senior vice president for external affairs and head of U.S.

Insurance 105

Insurance 105

The Checkup by Singlecare

JUNE 12, 2024

There are no over-the-counter (OTC) equivalents or comparable alternatives, and insurance coverage of Zepbound can be difficult to navigate for some. Is Zepbound covered by insurance? Insurance coverage of Zepbound and many other weight loss medications may require many steps. How much does Zepbound cost without insurance?

Insurance 52

Insurance Insurance Coverage Documentation FDA 52

The Checkup by Singlecare

JULY 3, 2024

The list price for Semglee without insurance can cost over $110 per 3 mL pen of 100 unit/ mL solution. Is Semglee covered by insurance? The presence or extent of Semglee insurance coverage may vary from insurance plan to insurance plan. How much does Semglee cost without insurance?

Insurance 52

Insurance Insurance Coverage Dosage Pharmaceutical Companies 52

STAT

NOVEMBER 29, 2023

Cigna and Humana are in discussions to merge, a potential move that would create a health insurance and prescription drug benefits titan with approximately $300 billion of annual revenue. A proposed transaction would almost certainly prompt a close review from antitrust enforcers at the Department of Justice and the Federal Trade Commission.

Insurance 134

Insurance 134

STAT

MARCH 5, 2024

Some of the country’s biggest health insurers said Tuesday that up to one-quarter of their claims are run through Change Healthcare, UnitedHealth Group’s technology company that sustained a massive cyberattack two weeks ago.

Insurance 121

Insurance Hospitals 121

The Checkup by Singlecare

MAY 8, 2024

Is Skyrizi covered by insurance? | How much does Skyrizi cost without insurance? | How to get Skyrizi without insurance Skyrizi is a brand-name prescription medication approved by the U.S. Without insurance, the retail price of Skyrizi is $11,382 for 1, 10 mL of 600 mg/10 mL vial. What is the generic for Skyrizi?

Insurance 52

Insurance Insurance Coverage Dosage Immunization 52

STAT

MAY 1, 2024

 Adding to this budgetary stranglehold are payment delays and insurance claim denials by payers, which compromise patients’ access to health care and providers’ financial viability.

Insurance 111

Insurance Patient Care 111

Fierce Healthcare

JULY 3, 2024

Uninsured and under-insured Virginians now have access to free virtual mental healthcare statewide through the Virginia Telemental Health Initiative (VTMHI). | The Viriginia Telemental Health Initiative has expanded its services statewide to serve Virginians with free, virtual mental health care through local clinics.

Insurance 73

Insurance 73