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Encourage conversation about costs between clinician and patient

June 19th, 2019 | Posted in Clinical Trends, Consumer Focus, Insurance Coverage

By Alexandra Wilson Pecci | HealthLeaders Media Many revenue cycle leaders want to be the gatekeepers of cost information, but clinicians need to have those conversations, too. Clinicians should be able to discuss healthcare costs with patients and need tools for doing so. That’s the key takeaway from a research partnership between the Robert Wood Johnson Foundation, AvalereRead More

CMS wants input on selling health insurance across state lines

March 20th, 2019 | Posted in Insurance Coverage

BY John Commins  |   HealthLeaders Media The Centers for Medicare & Medicaid Services wants suggestions on how to “eliminate regulatory, operational and financial barriers” that hinder the sale of health insurance plans across state lines. “Americans are in desperate need of more affordable health insurance options,” CMS Administrator Seema Verma said Wednesday in a media release announcing the request forRead More

New health plans expose the insured to more risk

March 20th, 2019 | Posted in Consumer Focus, Insurance Coverage

By Julie Appleby | Kaiser Health News One health plan from a well-known insurer promises lower premiums but warns that consumers may need to file their own claims and negotiate over charges from hospitals and doctors. Another does away with annual deductibles but requires policyholders to pay extra if they need certain surgeries and procedures. BothRead More

Analysis: Single-payer healthcare is not ‘one-size-fits-all’

February 20th, 2019 | Posted in Consumer Focus, Insurance Coverage

BY JACK O’BRIEN  |   HealthLeaders Media As some federal lawmakers and state legislatures consider implementing a single-payer healthcare system, there are numerous options across the spectrum available to them, according to researchers from RAND Corporation. With the growth of the Medicare-for-All Caucus on Capitol Hill and legislation pending in both California and New York, the proposal ofRead More

The high cost of sex: Insurers often don’t pay for drugs to treat problems

February 20th, 2019 | Posted in Consumer Focus, Insurance Coverage, Prescription Drug Coverage

By Michelle Andrews | Kaiser Health News For some older people, the joy of sex may be tempered by financial concerns: Can they afford the medications they need to improve their experience between the sheets? Medicare and many private insurers don’t cover drugs that are prescribed to treat problems people have engaging in sex. Recent developments,Read More

Taking surprise medical bills to court

December 20th, 2018 | Posted in Advocacy 101, Consumer Focus, Insurance Coverage

By Julie Appleby | Kaiser Health News Joaquin Lopez had emergency gallbladder surgery after rushing to an ER last year. He has been haggling with Baptist Memorial Hospital in Memphis over what he owes ever since. The 37-year-old college professor was hit with a nearly $8,000 bill from the out-of-network hospital — that was after theRead More