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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

Analysis: Azar tries to calm concerns over proposal’s impact on HIV drugs

January 16th, 2019 | Posted in Uncategorized

BY Steven Porter  |  HealthLeaders Media Health and Human Services Secretary Alex Azar sought to quell concerns recently that a drug pricing proposal announced in November could result in restricted access to HIV treatment. Some patient advocates have warned the Medicare Part D proposal also could undermine efforts to expand treatment for other serious conditions, including cancer. Public commentRead More

Who Is the Patient Advocate?

December 20th, 2018 | Posted in Advocacy 101, Business Development, Consumer Focus

By Megan Headley (The following article was originally published in December in HCPro’s Patient Safety and Quality Healthcare magazine for health professionals, and is a partner publication to DecisionHealth’s Patient Advocate Report.) If you think medical school is challenging, try navigating the labyrinth of medical challenges that chronic patients face. Sorting out payment, deciding amongRead 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

Patient Advocate Certification Board issues ‘State of the Industry’ report

November 21st, 2018 | Posted in Business Development, Professional Skills

The Patient Advocate Certification Board (PACB) announced another 188 patient advocates have passed the new exam to add the Board Certified Patient Advocate (BCPA) credential to their names. The record numbers of advocates who signed up to take the fall exam, on top of the 149 patient advocates earning the credential after the spring exam,Read More