Federal Rule Takes Aim at Health Care Bureaucracy, Reducing Dispute Fees, and Boosting Transparency

Major reforms were finalized today to strengthen the No Surprises Act by making the Federal Independent Dispute Resolution (IDR) process more efficient and transparent, while also saving money for millions of Americans. The final rule improves the process used to resolve out-of-network payment disputes between providers and payers—cutting administrative costs and improving how disputes are ...

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Nevada Ranks Last In Nation For Mental Health Care Access, UMC Doctors Warn Crisis Growing

Nevada now ranks last in the nation for mental health care access and outcomes for the second year in a row, according to a new report from Mental Health America. In Las Vegas, doctors said they’re seeing the crisis play out every single day in emergency rooms across the valley. “Overall, with a growing city, ...

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Hospitals, Clinics Want Nevada To Bolster Protections For Discount Drug Program

Nevada hospitals and health clinics say drug manufacturers are restricting the number of pharmacies in the state that can participate in a federal discount drug program. The limitations put in place by drug companies make it harder for patients to refill prescriptions at reduced rates, and they affect a revenue stream hospitals rely on to ...

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GoodRx Launches Subscription Program For Low-Cost Generic Medications, Telehealth Services

GoodRx announced Wednesday the launch of GoodRx Companion, a subscription program that offers access to virtual healthcare services and prescription medications at discounted prices. Through the $14.99 monthly GoodRx Companion subscription, users can access free and low-cost generic medications, online care visits and additional healthcare services. The company says the new subscription advances its strategy by adding ...

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Mark Cuban’s Cost Plus Drugs Often Beats Employer Plan Cost-Sharing Amounts

The Mark Cuban Cost Plus Drug Company pharmacy often charges prices for prescription drugs that are lower than employer plan cost-sharing requirements for those drugs, according to a new peer-reviewed research paper. Dr. John Lin, a researcher at the University of Texas MD Anderson Cancer Center in Houston, and his colleagues found that employer plans usually ...

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Amazon Taps Roy Schoenberg To Lead Healthcare Business As Neil Lindsay Plans To Step Down

Amazon has tapped digital health executive Roy Schoenberg, M.D., to lead its healthcare business as Neil Lindsay plans to step away from Amazon after 15 years. Lindsay, who led global marketing for Kindle and was a top executive in Amazon’s Prime business, shifted over to the online retail giant’s healthcare business in late 2021. At that time, ...

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Nevada’s First Stand-Alone Children’s Hospital Receives Key Approvals From Clark County

Nevada’s first stand-alone children’s hospital received key approvals Wednesday from the Clark County Zoning Commission. Representatives from the UNLV Research Foundation and Intermountain Health were present at the Clark County Zoning Commission meeting, seeking a variety of approvals for the Nevada Children’s Hospital, which is slated to start construction this year and hire thousands of workers. Renderings ...

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Millions Expected to Lose Affordable Care Act Coverage As Costs Spike

The affordability crisis for many people who have health insurance under the Affordable Care Act came into sharper focus Tuesday, with a new analysis projecting that higher premiums will cause millions more people to lose insurance this year. Another sign of economic distress: Average deductiblesfor policyholders are now the highest ever, a result of people ...

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Hospital Stays, Specialty Drugs Drive High-Cost Claims

Secondary (comorbid) conditions, long inpatient hospitalizations and injectable drugs are the biggest drivers of expensive claims, according to the latest High-Cost Claims and Injectable Drug Trends report from Sun Life U.S. Other contributing factors include congenital anomalies, complicated surgeries and gene therapies, an analysis of more than 70,000 high-dollar claims medical claims from self-funding employers found. ...

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Thousands Still Evacuated Near Southern California Chemical Tank Despite Eased Explosion Fears

A crack that formed by chance in an overheated chemical tank in Southern California relieved pressure and helped avert a catastrophic explosion, but officials said Tuesday it still wasn’t safe enough for 16,000 people living closest to the aerospace plant to return home. The crisis forced 50,000 people to evacuate in and around the Orange County city ...

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