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 52

Insurance Insurance Coverage FDA Dosage 52

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 121

Insurance Coverage Insurance 121

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 118

Insurance 118

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

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 121

Insurance 121

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 142

Insurance 142

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.

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Insurance Hospitals Insurance Processing 145

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 121

Insurance 121

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.

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Insurance Hospitals 129

PhRMA

DECEMBER 14, 2022

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

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Insurance 258

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 124

Insurance 124

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 110

Insurance 110

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

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Insurance Compounding Insurance Coverage Labelling 98

Fierce Healthcare

FEBRUARY 1, 2024

A recommendation on the 2024 Measures Under Consideration list, brought forward by the Federation of American Hospitals (FAH), would add a quality measure in the Medicare Advantage (MA) star rating | The Federation of American Hospitals is pushing CMS for the inclusion of a star ratings quality measure that shows how often insurers overturn or uphold (..)

Insurance 128

Insurance Hospitals 128

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

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 137

Insurance 137

STAT

JANUARY 18, 2024

Pear received Food and Drug Administration clearance for its app treating substance use disorders and insomnia but insurers mostly refused to cover the novel treatments. The bankruptcy of Pear Therapeutics last year proved that selling software-based treatments like drugs is harder than anticipated.

Insurance Coverage 138

Insurance Coverage Insurance FDA 138

Fierce Healthcare

DECEMBER 11, 2023

More than half of global health insurers are expecting significant increases in healthcare costs over the next several years, according to a new report. More than half of global health insurers are expecting significant increases in healthcare costs over the next several years, according to a new report.

Insurance 110

Insurance 110

STAT

FEBRUARY 5, 2024

As hospitals and health insurers release their profit projections for 2024, it’s become clear that this change — largely overlooked when it was announced — could have a marked effect on companies’ finances.

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Insurance Hospitals 131

The Checkup by Singlecare

AUGUST 16, 2023

Is Wegovy covered by insurance? | How much does Wegovy cost without insurance? | How to get Wegovy without insurance Wegovy is a brand-name prescription drug used along with a reduced-calorie diet and physical activity for chronic weight management. Is Wegovy covered by insurance? mL of 0.25 mL of 5 mg/0.5 mL of 5 mg/0.5

Insurance 98

Insurance Insurance Coverage FDA 98

Fierce Healthcare

JANUARY 4, 2024

Insurers in Maine will no longer be permitted to require patients meet a deductible or pay other cost-sharing measures before receiving access to an abortion, according to a new law that took effec | Legislators in Maine are removing financial barriers for patients to obtain access to an abortion.

Insurance 110

Insurance 110

Fierce Pharma

JANUARY 4, 2024

Merck has reportedly settled with insurance companies that contested the pharma giant’s $1.4 Merck has settled with insurance companies that contested the pharma giant’s $1.4 billion claim after it was victimized by a crippling cyberattack in 2017.

Insurance 97

Insurance 97

Fierce Healthcare

FEBRUARY 7, 2024

Patients living in poor neighborhoods are more likely to have worse postsurgical outcomes even if they’ve got insurance coverage, according to a

Insurance Coverage 115

Insurance Coverage Insurance 115

Fierce Healthcare

JANUARY 11, 2024

Enrollment in individual market coverage continues to grow, and insurers are expressing concern about their ability to tailor coverage to different populations given limits on nonstandard plan opti | Enrollment in individual market coverage continues to grow, and insurers are expressing concern about their ability to tailor coverage to different populations (..)

Insurance 105

Insurance 105

STAT

JANUARY 30, 2023

The federal government will audit Medicare Advantage insurers aggressively under a rule finalized Monday, which is expected to result in billions of dollars in overpayments going back toward Medicare’s trust fund and patients over the next decade.

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Insurance Immunization 145

The Checkup by Singlecare

FEBRUARY 8, 2024

Is Rinvoq covered by insurance? | How much does Rinvoq cost without insurance? | How to get Rinvoq without insurance Rinvoq (upadacitinib) is an oral prescription medication approved by the U.S. Without insurance, a one-month supply of Rinvoq costs about $7,812. Is Rinvoq covered by insurance?

Insurance 52

Insurance Specialty Pharmacies Dosage Pharmaceutical Companies 52

STAT

JANUARY 13, 2023

The health insurance company did not plan to be profitable immediately. It was staking its future on the new Affordable Care Act marketplaces and had to grow quickly to compete with larger insurance carriers. Oscar Health has excelled at one thing in particular since its inception a decade ago: burning cash.

Insurance 144

Insurance Health Insurance Companies 144

STAT

JUNE 27, 2023

WASHINGTON — Hundreds of activists rallied today outside of the headquarters of the country’s largest health insurance lobbying group to protest against restrictions to coverage in private Medicare plans. The protesters were crammed into an already busy part of the city.

Insurance 129

Insurance 129

Fierce Healthcare

OCTOBER 31, 2023

Entrepreneur Max Kauderer thinks the company he has co-founded, a third-party administrator called Yuzu Health, can disrupt major insurance companies by helping offer small businesses more affordab | Third-party administrator Yuzu Health says it can help insurance companies and brokers provide small businesses up to 40% in savings.

Insurance 102

Insurance 102

The Checkup by Singlecare

JANUARY 18, 2024

As you become unemployed, you lose important benefits, such as health insurance. Unfortunately, the United States doesn’t have universal health insurance , so Americans must obtain insurance through their employer, apply to federal or state programs, or purchase it through the Health Insurance Marketplace or other insurance sellers.

Insurance 52

Insurance Insurance Coverage Packaging Hospitals 52

STAT

AUGUST 3, 2023

Patients are bracing for “D-Day,” the date their insurance companies will stop covering the drugs. Doctors are getting letters from insurance investigators discouraging new prescriptions. And pharmacies are being told by insurers to check for a specific diagnosis when filling prescriptions.

Insurance 98

Insurance 98

STAT

NOVEMBER 3, 2023

1  start to the annual open enrollment period, the advertising engines for state health insurance marketplaces, and the federal exchange,  healthcare.gov , have been revving up. ’Tis the season — open enrollment season, that is. Since before the Nov.

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Insurance Documentation Hospitals 141

The Checkup by Singlecare

JANUARY 11, 2024

Is Qsymia covered by insurance? | How much does Qsymia cost without insurance? | How to get Qsymia without insurance Qsymia (phentermine and topiramate) is a brand-name drug prescribed along with a reduced-calorie diet and exercise for chronic weight management. Is Qsymia covered by insurance? 46 mg Qsymia capsules.

Insurance 52

Insurance Insurance Coverage Dosage FDA 52

The Checkup by Singlecare

DECEMBER 13, 2022

Meanwhile, the radiologist’s office contacts your insurance to get the service approved. Your insurance provider decided to deny the claim, which means you can’t have the scan. Or, worst-case scenario, you’ve already gotten it and your insurance denied the claim after the fact. What is an insurance appeal letter?

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Insurance Documentation Insurance Coverage HIPAA 98

STAT

APRIL 28, 2023

Bright Health Group started as a health insurance company. That is the last component of its health insurance business, after the company said this past October it was fully exiting all Affordable Care Act marketplaces. But it will no longer be one.

Insurance 110

Insurance Health Insurance Companies 110

STAT

NOVEMBER 15, 2023

Wesley Boyd talk about the stressors of medical training, privacy concerns within academic institutions, and how high insurance costs affect access to mental health care. This week on the “First Opinion Podcast,” medical student Amelia Mercado and her professor J. Read the rest…

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Insurance Medical Schools 125