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Indiana Medicaid cuts targeting autism therapy less severe than expected
The Indiana Family and Social Services Administration has reduced Medicaid coverage for ABA therapy, but not as severely as ...
Dallas Representative files bill to end prior authorization requirements for HIV prevention drug
Dallas, filed a bill this legislative session to prohibit insurance companies from requiring prior authorization before covering medications intended to prevent the ...
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Approved or denied’: Health care providers say insurers too often deny care for profit
Amanda Watson was diagnosed with breast cancer three weeks after having an emergency cesarean section to deliver her second son. Her test results showed she had one of the most aggressive forms ...
Medicare Part B: Coverage, Costs And Eligibility
Original Medicare, the federal government’s health insurance program for older adults and people with qualifying disabilities ...
When Does Medicare Coverage Start?
As of April 2024, over 67 million people are enrolled in Medicare, according to the Centers for Medicare and Medicaid ...
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Prior authorization bill moves forward. But key reforms stripped out over fiscal concerns
Insurance companies may require what’s known as prior authorization for medical services before they will cover it. The ...
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Lawmakers in GOP-held Senate signal openness to continuing Medicaid expansion
A bipartisan coalition voted to strike down two bills that would have phased out or added requirements to the health coverage program.
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Healthcare lobbying 2025: Here are the top policy issues for hospitals, payers, docs and tech
| With budget reconciliation right around the corner, different slices of the healthcare industry have made their views clear on issues like physician pay, ACA subsidies, telehealth flexibilities, ...
Humana Continues to Face Headwinds in its Medicare Advantage Stronghold
Humana maintains a healthy balance sheet, in our opinion. Most of its cash and investments ($24 billion as of mid-2024) is held at its subsidiaries, though, and the company aims to hold about $500 ...
I'm an addiction doctor, and I can't get lifesaving meds for many of my patients
Opioid overdoses kill each day. But it's easier to access fentanyl in Arizona than the medications that can help keep people ...
Mastering Medicare Advantage Prior Authorization: Tips to Accelerate Your Approval
Understanding the reasoning and process of Medicare Advantage prior authorization can help you gain faster approval for a required prior authorization.
Taxpayers spend 22% more per patient to support Medicare Advantage – the private alternative to Medicare that promised to cost less
(THE CONVERSATION) Medicare Advantage – the commercial alternative to traditional Medicare – is drawing down federal health care funds, costing taxpayers an extra 22% per enrollee to the tune of US$83 ...