Medicare Will Cover Wegovy To Reduce Heart Disease Risk

Medicare will provide coverage for Wegovy for patients with an increased risk of heart attack, stroke or other serious cardiovascular problems, an agency spokesperson said Thursday.

Read More

California Doctors Struggle To Make Payroll One Month After Ransomware Attack

Four weeks since the cyberattack, some providers in California and elsewhere are still waiting to file claims and get reimbursed. In the meantime, they’re scrambling to pay bills and order medical supplies.

Read More

Change Healthcare To Start Processing $14B Claims Backlog As It Restores Clearinghouse Platforms

In its latest update on the response to the cyberattack on Change Healthcare, UnitedHealth Group said on Friday that its largest clearinghouse, called Relay Exchange, will be back online by the end of the weekend and the company will begin processing $14 billion in medical claims. UnitedHealth Group also posted an estimated timeline for restoring its systems ...

Read More

California Voters Pass Proposition 1 To Tackle The State’s Homelessness Crisis

California voters have approved a measure that will impose strict requirements on counties to spend on housing and drug treatment programs to tackle the state’s homelessness crisis, in a tissue-thin win for Gov. Gavin Newsom, who personally campaigned for the measure’s passage. Democrats outnumber Republicans by a staggering 2-to-1 in California, and the borderline vote ...

Read More

A Mom’s $97,000 Question: How Was Her Baby’s Air-Ambulance Ride Not Medically Necessary?

Sara England was putting together Ghostbusters costumes for Halloween when she noticed her baby wasn’t doing well. Her 3-month-old son, Amari Vaca, had undergone open-heart surgery two months before, so she called his cardiologist, who recommended getting him checked out. England assigned Amari’s grandparents to trick-or-treat duty with his three older siblings and headed to ...

Read More

No Matter The Risks, More Employers Are Choosing Self-Funded Plans

Although employers choose the plans in order to negotiate lower health care prices, they generally lack market power to do so effectively, so they need to critically assess whether it will help their bottom line, says a new study.

Read More

6 Bad Assumptions To Avoid In Benefit Planning

Here are some of the bad assumptions I have observed over the years that can destroy an employee benefit plan.

Read More

Hospitals Are Adding Billions in ‘Facility’ Fees for Routine Care

Tim Ebel’s visit with an ear, nose and throat specialist at an Ohio clinic last October came to $348. At the same time, he got a second bill for $645. The hospital system that owns the Avon, Ohio, clinic had charged him separately for use of the office where he met his physician. It is ...

Read More

Insulin Caps Lowered Costs But Didn’t Improve Access, Study Finds

State caps on insulin costs lowered privately insured patients’ out-of-pocket spending, but they didn’t appear to increase insulin use, according to a new Annals of Internal Medicine study. Why it matters: The research suggests increasingly popular insulin caps alone aren’t enough to improve insulin uptake among patients with diabetes in commercial insurance. At least half of states in recent years ...

Read More

73% Of Workers Would Jump Ship For Better Family Benefits

Nearly three quarters of employees would leave their jobs for better family benefits.

Read More
arrowcaret-downclosefacebook-squarehamburgerinstagram-squarelinkedin-squarepauseplaytwitter-squareyoutube-square