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 ...

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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 ...

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73% Of Workers Would Jump Ship For Better Family Benefits

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

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Employers, Employees Facing Complications, After Drug ‘Copay Accumulator’ Ruling

The HHS rule, which mandates that health insurers not count copay assistance toward out-of-pocket costs, was struck down last fall, however, it is backfiring on patients with chronic diseases that need expensive drugs.

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Providers ‘Wasted’ $10.6B In 2022 Overturning Claims Denials, Survey Finds

More than 100 provider organizations want the Centers for Medicare & Medicaid Services (CMS) to take a tougher stance on Medicare Advantage (MA) plans’ practices following an industry survey estimating billions per year are spent fighting claims denials. Providers spent nearly $20 billion in 2022 pursuing delays and denials across all payer types, yet those ...

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Popular Weight-Loss Strategy May Raise Risk Of Cardiovascular Death

A popular weight-loss strategy that limits the hours during which calories can be consumed might nearly double a person’s long-term risk of dying from cardiovascular disease, new research finds, especially among people with underlying cardiovascular disease or cancer. But questions remain about just how time-restricted eating, which limits calorie consumption to part of the day, ...

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Key Health Care Takeaways From President Biden’s State Of The Union Speech

President Joe Biden made health care affordability a centerpiece of Thursday evening's address, announcing he is calling on Congress to expand the $2,000 out-of-pocket Medicare prescription cap to all private insurance.

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Despite Increased Focus By Employers, Workers Expect More Wellbeing Benefits

A troublesome 2 in 3 employees would change their jobs for better benefits, and 46% of workers are actively considering a job change in 2024.

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*OPINION* – Nevada Public Option Is Not Just Bad Policy, It’s Unconstitutional

Across the state, Nevadans are rightfully worried about whether they can afford the cost of a major health event. But is a taxpayer-backed health insurance system, which will raise revenues and expenditures for the state in a constitutionally dubious way, really the best solution to the problem

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Nevada Gets Federal Approval To Test Out Medicaid Funds For Housing

Nevada Medicaid recently received federal approval to use funds to cover housing and supportive services through Medicaid’s managed care providers. The pilot program will help an estimated 20,300 Nevadans who had identified themselves as homeless when applying for Medicaid. As the state implements the program, it is also seeking approval from the federal government to cover ...

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