Why So Slow? Legislators Take on Insurers’ Delays in Approving Prescribed Treatments
Insurers say prior authorization requirements are intended to reduce wasteful and inappropriate health care spending. But they can baffle patients waiting for approval. And doctors say that insurers have yet to follow through on commitments to improve the process.
Washington State Retools First-in-the-Nation Long-Term Care Benefit
The WA Cares Fund program, which would provide workers in the state a lifetime benefit of $36,500, was set to begin collecting money through a payroll tax in January, but it was delayed while lawmakers made adjustments to address equity problems. Now the payroll deductions will begin in July 2023, and benefits will become available in 2026.
Despite Doctors’ Concerns, Pharmacists Get More Leeway to Offer Treatment With Testing
In the battle against covid, pharmacies became a key place for consumers to seek vaccines and testing. Some states are expanding pharmacists’ work to include directly prescribing drugs for customers who seek some routine, point-of-care tests, such as those for flu or strep throat. But doctor groups oppose the move.
¿Por qué Medicare no paga por las pruebas caseras para covid?
Las mismas leyes del programa para los adultos mayores previenen que puedan comprar medicamentos de venta libre y obtener este tipo de pruebas sin una orden médica.
Why Medicare Doesn’t Pay for Rapid At-Home Covid Tests
The laws governing Medicare don’t provide coverage for self-administered diagnostic tests, which is precisely what the rapid antigen tests are and why they are an important tool for containing the pandemic.
Officials Struggle to Regulate Pop-Up Covid Testing Sites — And Warn Patients to Beware
High demand for covid screening and scarce supply have opened the door to bad actors, and officials in some states are sounding the alarm about dubious street testing operators that could put people’s personal data, their health or wallets at risk.
Funcionarios advierten sobre sitios de pruebas para covid de dudosa calidad
Lo sitios de pruebas de covid han proliferado en casi todas las grandes ciudades. Pero no todos ofrecen un servicio de calidad. Cómo detectarlos.
‘The Charges Seem Crazy’: Hospitals Impose a ‘Facility Fee’ — For a Video Visit
Facility fees, designed to help hospitals cover the high cost of staying open 24/7, have long rankled consumers. Now, some patients are assessed the fees while sitting at home for a telehealth appointment.
Muchos empleadores informaron que desde que comenzó la pandemia han realizado cambios en sus beneficios de salud mental y adicciones. La principal forma fue extender el uso de la telemedicina.
As Workers Struggle With Pandemic’s Impact, Employers Expand Mental Health Benefits
Many job-based health plans broadened their mental health and substance use coverage to make sure workers had the support they needed this year as pandemic stress lingered, the annual KFF survey finds. Also, the proportion of employers offering health insurance to their workers remained steady, and increases for premiums and out-of-pocket health expenses were moderate.
¿No estás vacunado? Si falleces por covid tu familia puede quedarse sin beneficios
La Autoridad de Transporte Metropolitano de Nueva York (MTA) ya no paga un beneficio por muerte de $500,000 a las familias de los trabajadores del metro, autobús y trenes suburbanos que mueren de covid, si los trabajadores no estaban vacunados al momento de la muerte.
Unvaccinated? Don’t Count on Leaving Your Family Death Benefits
Some front-line workers who die of covid-19 have been considered eligible for accidental death benefits because it is presumed their infection was contracted on the job. But some employers now suggest that if the workers didn’t follow established safety protocols, such as getting vaccinated, those benefits may be denied.
Democrats’ Plans to Expand Medicare Benefits May Pinch Advantage Plans’ Funding
As lawmakers weigh new spending provisions to cover dental, hearing and vision services for Medicare beneficiaries, a group supporting Medicare Advantage plans is airing commercials that raise concerns about the funding for those private plans.
Student Nurses Who Refuse Vaccination Struggle to Complete Degrees
The Biden administration is requiring workers at health care facilities that accept Medicare and Medicaid payments to be vaccinated. For the minority of nursing students who have refused a shot, the new policy could mean they can’t get the training they need in a hospital or other health care venue.
Biosimilar Drugs Are Cheaper Than Biologics. Are They Similar Enough to Switch?
Biologic drugs, made from living organisms, and the cheaper biosimilar drugs that mimic them are more complex than chemical drugs and their generic counterparts. The Food and Drug Administration says biosimilars are as safe and effective as the biologics, and doctors agree — but they are cautious about changing the treatment regimen of patients doing well.
Even in Red States, Colleges Gravitate to Requiring Vaccines and Masks
As students return to campus, schools across the country are taking steps to enforce public health advice to keep people safe from covid. In deeply conservative South Carolina when elected officials tried to stop that, a professor took on the establishment and won.
Reading, ’Rithmetic and Resisting Covid: The New 3 R’s as Kids Head Back to School
Children under 12 can’t get a vaccine, so parents are concerned about how to keep them safe as classes resume — especially as the delta variant spreads.
Sign-Up Window for Free COBRA Coverage for Many Laid-Off Workers Closes This Week
The most recent covid relief law offered federal funding to pay insurance premiums for workers who lost their jobs and opted to keep their workplace insurance through COBRA. But the window to take advantage of the subsidized coverage is closing: Many workers would need to enroll in the program by July 31.
Contraception Is Free to Women, Except When It’s Not
The landmark federal health law required most commercial health plans to cover a comprehensive list of birth control methods approved by the Food and Drug Administration free of charge to female patients. But health plans don’t have to cover every option, and newer methods are not included in the federal list of covered services.
Adolescentes voluntarios se abren paso como futuros profesionales en hogares de adultos mayores
Desde que se puso en marcha en 2006, el programa de desarrollo para la carrera en geriatría ha ayudado a más de 700 estudiantes de secundaria de 10 escuelas de bajos recursos, en la ciudad de Nueva York, a adquirir experiencia práctica en cuidados geriátricos.
