Hospital-Backed Proposal Would Make Insurers Reveal Prior Auth Denial Rates

A recommendation on the 2024 Measures Under Consideration list, brought forward by the Federation of American Hospitals (FAH), would add a quality measure in the Medicare Advantage (MA) star ratings system that mandates health plans to report certain prior authorization denial rates. The Measures Under Consideration list gives feedback to the Centers for Medicare & ...

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No Pain, No Gain? Your Body Would Like a Word

As a sprint relay track cyclist on the U.S. Olympic Team, Joshua Hartman spends much of his training time lifting weights to build power and speed. In 2023, while trying to deadlift a load near the limit of his ability, he noticed that his form was off, and the weight wasn’t moving as quickly as ...

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The FTC Is Attacking Drugmakers’ ‘Patent Thickets’

The Federal Trade Commission has challenged the validity of over 100 drug product patents, focusing on devices used to deliver medicines, like inhalers and autoinjectors, in an effort to increase competition and potentially lower some prices.

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Anthem Blue Cross and Blue Shield in Nevada Earns NCQA Health Equity Accreditation Plus

Anthem Blue Cross and Blue Shield in Nevada (Anthem) recently earned the National Committee for Quality Assurance (NCQA) Health Equity Accreditation Plus, a recognition of Anthem’s leadership in developing solutions to enhance access to equitable, high-quality healthcare in Nevada.

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