Millions of Americans in the past few years have run into this experience: filing a health care insurance claim that once might have been paid immediately but instead is just as quickly denied. If the experience and the insurer’s explanation often seem arbitrary and absurd, that might be because companies appear increasingly likely to employ ...

When the pain kicked in again in February, Lahisha Marquez-Soto held off on going to the hospital for days, until she was struggling to walk out of her college dorm in Carson. Eight days into her stay at MLK Community Hospital, doctors knew she needed another facility. She needed a medical procedure that would allow ...

Four in 10 patients perceive implicit bias in their physicians, according to a MITRE-Harris survey on the patient experience. In addition to patients being extra sensitive to provider bias, the use of AI tools and machine learning models also have been shown to skew toward racial bias. On a related note, a recent study found 60% of Americans ...

Dive Brief: CVS expects its 2024 operating income to drop by $800 million to $1 billion next year due to lost bonus payments from lower plan star ratings in the Medicare Advantage program. Just 21% of CVS’ MA members are currently in plans with a star rating of at least four, down from 87% at the ...

If you want to boost your health and wellbeing, there are plenty of natural and home remedies to choose from, ranging from avoiding charred meats and added sugars to practicing meditation. When it comes to knowing what’s healthy, even qualified experts often seem to hold opposing opinions. This can make it difficult to figure out ...

Democrats beat back efforts to attach Medicaid work requirements to a debt limit deal, but the agreement reached over the weekend will claw back about $30 billion of unspent COVID relief funds and likely bring more budget austerity to federal health agencies. Why it matters: GOP negotiators had increasingly insisted that Medicaid work requirements needed to ...