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Opinion: Unnecessary insurance claim denials compromise patient care and provider bottom lines

STAT

 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 110
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Industry Voices—UnitedHealthcare's Advance Notification program is getting in the way of patient care

Fierce Healthcare

Insurance policies are notoriously known for red tape and processes that burden both doctors and patients. | The time-sensitive GI procedures that UHC is targeting with prior authorization are critical in helping to detect, treat, and monitor a range of diseases that impact millions of Americans.

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Walmart Health inks partnerships with Orlando Health, Florida insurer to streamline care coordination

Fierce Healthcare

Walmart Health is making a move to better coordinate patient care between its health centers in Florida and a major health system. Walmart Health is making a move to better coordinate patient care between its health centers in Florida and a major health system.

Insurance 113
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STAT+: Hospitals try a new pitch to investors: other ways of making money

STAT

Morgan Healthcare Conference, it’s that they’ve all but abandoned the prospect of making significant profit on patient care. Instead, they’re fully throwing their weight into other ways of making money — things like developing drugs or selling insurance.

Hospitals 134
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How to help patients with prior authorization

The Checkup by Singlecare

Many patients arrive at the pharmacy ready to pick up their medication only to find out their prescription needs prior authorization , which can lead to frustration and confusion. Insurance companies use prior authorization to manage costs and ensure a procedure or medication is safe and appropriate for a patient.

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Listen: A CRISPR milestone, algorithms amok, & biotech mixology

STAT

Our colleague Casey Ross joins us to tell the bombshell story of how the nation’s largest health insurer used a computer algorithm to deny patient care and boost its profitability. We cover all that and more this week on “The Readout LOUD,” STAT’s biotech podcast.

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STAT+: As fear rises over AI, Google and Epic fight stronger regulation of the technology in health care

STAT

Big businesses poised to profit from the advance of artificial intelligence in health care are pushing back against newly proposed federal rules meant to increase oversight and fairness of AI tools used to help make decisions about patient care.