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Pharmacies Face Extra Audit Burdens That Threaten Their Existence
Pharmacy benefit managers have curtailed in-person audits of pharmacy claims during the pandemic, switching to virtual audits done by computer. That has markedly increased the number of claims they can review — and the chances for payment denials — squeezing pharmacies and bringing in more cash for the benefit companies.
Bus Stop by Bus Stop, Denver-Area Officials Microtarget Vaccine Hesitancy
Using detailed maps that show vaccination rates down to the ZIP code or census tract level, health departments highlight areas of greater Denver where vaccinations lag behind state or county averages, then partner with community organizations to overcome barriers. Can this be a model for President Joe Biden’s “neighborhood by neighborhood” approach?
What a Difference a Year Makes in Colorado’s Case for a Public Option Plan
Before the pandemic, Colorado was building momentum to pass what’s known as a “public option” health plan that would lower insurance premiums and force hospitals to accept lower payments. But now with hospitals and health care providers enjoying support as front-line heroes in the pandemic, state legislators have stripped the option from their bill.
Amid Covid Health Worker Shortage, Foreign-Trained Professionals Sit on Sidelines
Hospitals dealing with staff shortages during the current covid surge are unable to tap into one valuable resource: foreign-trained doctors, nurses and other health workers, many with experience treating infectious diseases. Colorado, Massachusetts, New Jersey, New York and Nevada are the only states to have eased credentialing requirements during the pandemic.