Category: Health Insurance

Senators Agree Surprise Medical Bills Must Go. But How?

The Senate Health, Education, Labor and Pensions Committee is scheduled next week to mark up a massive legislative package on curbing health costs, but some of the details remain unresolved, including what formula to use to pay doctors and hospitals involved in surprise medical bills.

Providers and payers should negotiate without government interference, AHA tells Senate committee

The Lower Health Care Costs Act from the Senate HELP committee will be marked up next week prior to going before the full Senate.

Kaiser Permanente plunking down $900 million on new Oakland headquarters

Officials say the new building will reduce operational costs by more than $60 million annually and support affordable care for the community.

CMS proposes prior authorization update for Part D drugs

The expedited process and drug access would allow clinicians to complete the process online under new e-prescribing standards.

Healthcare leaders need the right technology philosophy, to succeed in transitioning to value-based care

The appropriate use of technology will play an important role in the switch from volume to value, but it helps to have the right approach.

Texas Is Latest State To Attack Surprise Medical Bills

A new state law says hospitals and insurers will have to work it out among themselves when they can’t agree on a price — instead of sending huge bills to patients. “Bill of the Month” patient Drew Calver galvanized attention on the issue after he told his story to KHN, NPR and “CBS This Morning.”

Democratic Voters Want To Hear Candidates’ Views On Health, But Priorities Vary

Nearly 9 in 10 Democrats or Democratic-leaning independents said it is very important for candidates to discuss health issues. But they are sharply divided among the goals of lowering costs, increasing access, protecting the Affordable Care Act or moving to a “Medicare for All” plan, a poll by the Kaiser Family Foundation reported.

Why health professionals need to be cautious on social media

Just one subtle comment expressing workplace frustration was enough for people to view someone as a less credible health professional.

Drug makers sue HHS over rule mandating they post the list price of drugs in TV ads

Rule misleads patients about their out-of-pocket costs for prescription drugs, a factor the manufacturers say HHS already concedes.

Analytics could prevent unnecessary helicopter rides for hospitals

Researchers at Case Western Reserve University are developing an analytics platform to help determine the medical necessity of using helicopters for emergency transport.