STAT

OCTOBER 17, 2024

The nation’s three largest Medicare Advantage insurers increasingly refused to pay for rehabilitative care for seniors in the years after adopting sophisticated technologies to aid in their coverage decisions, a Senate investigation found. The report, conducted by the U.S.

Insurance 145

Insurance Nursing Homes Hospitals 145

STAT

OCTOBER 4, 2024

Health insurance companies will still offer older adults a lot of plan choices with low, or completely free, premiums. However, insurers have made important but subtle tweaks to next year’s plans that will force millions of members to shell out more for their prescription drugs and overall medical care than they do currently.

Insurance 133

Insurance Health Insurance Companies 133

STAT

SEPTEMBER 13, 2024

For years, health insurers battled to gain market share in the lucrative privatized Medicare program. When insurers release their 2025 plan offerings on Oct. Now, the opposite is true. Some of the companies say they designed their 2025 plans with an eye toward ditching members.  1, there likely will be fewer choices and freebies. 

Insurance 134

Insurance 134

Pharmacy Times

DECEMBER 21, 2023

Overtime, children can outgrow food allergies, like milk and eggs—however, children with private insurance are more likely to outgrow allergies than those with public insurance.

Insurance 145

Insurance 145

STAT

SEPTEMBER 10, 2024

Elevance Health, the parent of more than a dozen state Blue Cross Blue Shield plans, is purchasing Indiana University Health’s insurance business in a deal that would increase its dominance in several key cities in the state. Several other hospital-owned insurance companies have flamed out over the past several years.

Insurance 102

Insurance Health Insurance Companies Hospitals 102

The Checkup by Singlecare

NOVEMBER 6, 2024

The cost of Azstarys without insurance can vary depending on the dosage and pharmacy location. RELATED: ADHD medication and children How much does Azstarys cost without insurance? Is Azstarys covered by insurance? The listed price without insurance references the price of brand-name drugs (unless otherwise specified).

Insurance 59

Insurance Insurance Coverage Controlled Substances Dosage 59

Drug Topics

APRIL 11, 2024

Joe McKamey, general manager at Marcrom’s Pharmacy, highlights the potential pitfalls or misconceptions that pharmacies may encounter when opening a Medicare-focused insurance agency.

Insurance 154

Insurance 154

The Checkup by Singlecare

NOVEMBER 18, 2024

Is Lantus Solostar covered by insurance? Per Dr. Sylejmani, “Private insurance plans might cover Lantus Solostar, but it’s crucial to verify this with individual policies. Every insurance plan is different. How much does Lantus Solostar cost without insurance? Of course, those prices aren’t set in stone.

Insurance 52

Insurance Dosage Insurance Coverage 52

Fierce Healthcare

SEPTEMBER 25, 2024

Startup Medicare Advantage insurer Zing Health banked a $140 million funding round it intends to use to enhance its special needs plans. Startup Medicare Advantage insurer Zing Health banked a $140 million funding round it intends to use to enhance its special needs plans.

Insurance 117

Insurance 117

Fierce Healthcare

SEPTEMBER 19, 2024

Major Indiana managed care organizations and health systems are blamed for defrauding the state Medicaid system by tens, if not hundreds, of millions of dollars, says a newly unsealed whistleblower | A newly unsealed lawsuit alleges major health insurers and health systems defrauded Indiana Medicaid by hundreds of millions of dollars, with the government (..)

Insurance 136

Insurance Hospitals 136

Pharmacy Times

SEPTEMBER 3, 2024

Patients with DLBCL on Medicaid had worse survival outcomes than those on commercial insurance, but there were no statistically significant differences in survival between races.

Insurance 132

Insurance 132

The Checkup by Singlecare

NOVEMBER 8, 2024

The cost of the Omnipod system without insurance depends on the model: Omnipod 5 costs $797 for 1 box of 10 pods, whereas Omnipod Dash costs $767 for 1 box of 10 pods. Is Omnipod covered by insurance? Insurance coverage for medical devices is often more complicated than for prescription drugs.

Insurance 52

Insurance Insurance Coverage FDA 52

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

NOVEMBER 6, 2024

The cost of the Omnipod system without insurance depends on the model: Omnipod 5 costs $797 for 1 box of 10 pods, whereas Omnipod Dash costs $767 for 1 box of 10 pods. Is Omnipod covered by insurance? Insurance coverage for medical devices is often more complicated than for prescription drugs.

Insurance 52

Insurance Insurance Coverage FDA 52

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 120

Insurance 120

The Checkup by Singlecare

NOVEMBER 6, 2024

Without insurance, Velphoro averages about $2,000 per month. How much does Velphoro cost without insurance? When not covered by insurance, the cost of Velphoro can vary. However, Velphoro copays with insurance and Medicare vary by plan. Is Velphoro covered by insurance? That’s true for Velphoro, too.

Insurance 52

Insurance Dosage 52

The Checkup by Singlecare

JUNE 28, 2024

Although some healthcare providers prescribe Ozempic off-label for weight loss, insurance often won’t cover Ozempic for these uses unless it’s medically justified and no alternative treatments exist. We’ll explain when insurance covers Ozempic and how to advocate for coverage. When does insurance cover Ozempic for weight loss?

Insurance 96

Insurance Insurance Coverage Labelling Medical Records 96

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 134

Insurance Hospitals 134

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 104

Insurance 104

The Checkup by Singlecare

JULY 2, 2024

Without insurance, it could cost about $363 for each dose of the Gardasil 9 vaccine. Many commercial, private, and state-funded health plans cover some or all of the cost of Gardasil 9, but there are ways to save money if you don’t have insurance. Is Gardasil 9 covered by insurance? Here’s how. Is there a generic Gardasil 9?

Insurance 98

Insurance Vaccines Insurance Coverage FDA 98

STAT

JULY 3, 2024

More than two dozen Medicare Advantage insurers received higher quality marks for 2024, based on a STAT review of new data released July 2 by the federal government. Federal courts required the Centers for Medicare and Medicaid Services to make changes after ruling the agency made mistakes with its own methodology.

Insurance 115

Insurance Health Insurance Companies 115

STAT

OCTOBER 17, 2024

People who rely on Medicaid continue to get medical care at high rates, and it’s presenting a growing challenge for the major health insurers who cover them. 

Insurance 101

Insurance 101

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

The Checkup by Singlecare

MARCH 8, 2024

Is Restasis covered by insurance? | How much does Restasis cost without insurance? | How to get Restasis without insurance Restasis is a prescription eye drop with the active ingredient cyclosporine approved by the U.S. Is Restasis covered by insurance? Restasis is typically covered by private insurance and Medicare.

Insurance 98

Insurance Insurance Coverage Compounding FDA 98

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

The Guardian - Pharmaceutical Industry

NOVEMBER 5, 2024

Pharmaceutical’s weight loss pill described as ‘underwhelming’, also piling pressure on share price AstraZeneca shares tumbled on Tuesday wiping £14bn off the value of Britain’s biggest drug maker, after a report that dozens of senior executives at its China unit could be implicated in an insurance fraud case in the country’s pharmaceutical sector.

Insurance 102

Insurance 102

The Checkup by Singlecare

OCTOBER 8, 2024

Although it’s effective, it can be expensive without insurance. How much does Kerendia cost without insurance? Prices fluctuate, though, and the cost of Kerendia without insurance varies by pharmacy and the dosage prescribed. Is Kerendia covered by insurance? This translates to approximately $28 per pill.

Insurance 52

Insurance Insurance Coverage Dosage FDA 52

The Checkup by Singlecare

NOVEMBER 5, 2024

The value of a good night’s sleep may seem priceless, but at $790 for 30, 10 mg tablets of brand-name Ambien without health insurance , the cost could be prohibitive. With a SingleCare coupon, the same amount of zolpidem can be had for only $10 without insurance. Is Ambien covered by insurance? mg tablets $20 per 30, 12.5

Insurance 52

Insurance Labelling Insurance Coverage Controlled Substances 52

Fierce Healthcare

NOVEMBER 5, 2024

Yet another major insurer is taking the federal government to court over all-important star ratings results. Elevance Health is hitting back at CMS star ratings over statistical variation and inability of replication in the latest lawsuit to face the feds.

Insurance 67

Insurance 67

STAT

JULY 17, 2024

Wall Street’s reaction was swift Wednesday after Elevance Health said that the amount of care its Medicaid members are getting is outpacing what states are paying the insurer to treat those members.

Insurance 126

Insurance 126

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

Pharmacy Times

OCTOBER 21, 2024

The implementation of accountable care organizations (ACOs) also worsened disparities in any emergency department or hospital use for Medicaid-insured children with asthma.

Insurance 123

Insurance Hospitals 123

The Checkup by Singlecare

OCTOBER 8, 2024

Without insurance, the cost of Xigduo XR varies by dosage, averaging about $390 per month, but there are ways to make it more affordable. Is Xigduo XR covered by insurance? Most Medicare and insurance plans do not usually cover Xigduo XR oral tablets. How much does Xigduo XR cost without insurance?

Insurance 52

Insurance Dosage Generic Medicine FDA 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 120

Insurance Coverage Insurance 120

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 144

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 112

Insurance 112

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 138

Insurance 138