Suit by Doctors, Hospitals Seeks Change in How Arbitrators Settle Surprise Billing Cases
The American Medical Association and American Hospital Association are not arguing to halt the law that protects patients from unexpected bills from providers they didn’t know were outside their insurance network. Instead, they want to change the rules for the mediators who will settle the dispute between insurers and providers.
Post-Pandemic, What’s a Phone Call From Your Physician Worth?
Medicare billing codes for audio-only follow-up check-ins lead to new reimbursement battles.
Oncology Doctors Say the Build Back Better Act Will Slash Cancer Care Funding — A Skewed Argument
The Community Oncology Alliance is targeting the prescription drug provisions of the Build Back Better Act, saying they will trigger deep cuts in oncologists’ pay, causing clinics to close and health care costs to rise. But it leaves out some important details.
New Health Plans Offer Twists on Existing Options, With a Dose of ‘Buyer Beware’
Fueled by consumer frustration with high premiums and deductibles, two new offerings promise a means for consumers to take control of their health care costs. But experts say they pose risks.
¿Qué sabemos realmente sobre la eficacia de las vacunas contra covid?
¿Lo esencial? Vacunarse con cualquiera de las tres vacunas disponibles en los Estados Unidos disminuye la posibilidad de infectarse en primer lugar y reduce de manera significativa el riesgo de hospitalización o muerte si se contrae el coronavirus y se desarrolla covid-19.
What Do We Really Know About Vaccine Effectiveness?
Reports of waning effectiveness and mixed messages about booster shots fuel the politicization of vaccination.
Insurance Focused on Virtual Visits? The Pros and Cons of a New Twist in Health Plans
New, often lower-cost plans capitalize on the convenience of telemedicine — and patients’ growing familiarity with it. But consumers should weigh costs and care options before enrolling in a “virtual-first” plan.
Surprise-Billing Rule ‘Puts a Thumb on the Scale’ to Keep Arbitrated Costs in Check
Patients soon will not have to worry about the prospect of these often-costly unexpected bills, a federal law promises. Some experts say the new policy could also slow the growth of health insurance premiums.
Biden Releases a New Plan to Combat Covid, but Experts Say There’s Still a Ways to Go
There’s agreement that the plan includes important action items but also elements that will trigger political opposition.
Census: Insured Population Holds Steady, With a Slight Shift From Private to Public Coverage
The Census Bureau on Tuesday released its 2020 findings regarding Americans’ income, poverty and health insurance coverage.
Telehealth’s Limits: Battle Over State Lines and Licensing Threatens Patients’ Options
Televisits took off during the worst days of the pandemic, but states are now rolling back the temporary rules that facilitated them. That’s adding fuel to debates about states’ authority over medical licensing.
If the Unvaccinated Want to Work, They Face a Series of Hurdles
As employers create safety protocols for workers who refuse vaccination, we ask experts if they really work. Or is the point to pressure employees into getting a shot?
Diabetes Drug’s New Weight Loss Formula Fuels Cost-Benefit Debate
Health plans’ coverage of the medication, branded as Wegovy — which has a $1,300-a-month price tag — is not a sure thing.
Facing Headwinds on New Alzheimer’s Drug, Biogen Launches Controversial Campaign
The makers of Aduhelm, a drug approved last month despite concerns raised by experts about its effectiveness, have launched a website and ads designed to urge people who are worried about their memory to ask doctors about testing. But some health advocates say it is misleading because some memory loss with aging is normal.
Hospital Prices Must Now Be Transparent. For Many Consumers, They’re Still Anyone’s Guess.
A Trump administration rule mandating that hospitals disclose true prices on their websites took effect this year. But compliance is spotty and even when the data is public, it’s hard to find and understand.
Doctors Tell How to Make the Most of Your Telehealth Visits
Public health restrictions put in place during the pandemic are loosening, meaning it’s OK to go back to your doctor’s office. But will virtual visits remain an option?
Is Your Living Room the Future of Hospital Care?
In the latest sign that in-home acute care is catching on, two big players — Kaiser Permanente and the Mayo Clinic — announced plans to collectively invest $100 million into the company Medically Home to help scale up their programs.
A pesar de lo que se dice, la vacuna contra covid no infecta a las personas con culebrilla
En las redes sociales está apareciendo información que vincula las vacunas contra covid-19 con la culebrilla y otros trastornos dolorosos de la piel. No tienen base científica.
Despite All the Talk, Covid Vaccination Does Not Infect People With Shingles
Covid-19 vaccinations do not infect recipients with shingles or any form of herpes virus, despite some misleading headlines.
Time to Say Goodbye to Some Insurers’ Waivers for Covid Treatment Fees
Insurers voluntarily set the charges aside earlier in the pandemic — but that means those same health plans can decide to reinstate them.
