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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Surprise Medical Bill Law Has Been Good For Providers

The federal process for resolving billing disputes for out-of-network care has to date yielded payouts well above what Medicare and most in-network private insurers would pay providers, according to a new Brookings Institution analysis provided first to Axios. Why it matters: That could lead to downstream effects like higher premiums — quite the opposite of what Congress intended ...

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