Doctors and Patients Try to Shame Insurers Online to Reverse Prior Authorization Denials

Prior authorization is a common tool used by health insurers for many tests, procedures, and prescriptions. Frustrated by the process, patients and doctors have turned to social media to publicly shame insurance companies and elevate their denials for further review.

Tribal Health Workers Aren’t Paid Like Their Peers. See Why Nevada Changed That.

Community health workers, who often help patients get to their appointments and pick up prescriptions for them, have increasingly been recognized as an integral part of treating chronic illnesses. But state-run Medicaid programs don’t always reimburse them equally, usually excluding those who work on tribal lands.

As a Union Pushes to Cap Hospital CEO Pay, It’s Accused of Playing Politics

A union is asking Los Angeles city voters to cap hospital executive pay at the U.S. president’s salary. However, hospitals accuse the union of using the proposal as political leverage, and policy experts question whether the policy, if enacted, would be workable.

Meet the People Deciding How to Spend $50 Billion in Opioid Settlement Cash

As settlement dollars land at the state level, state councils wield significant power in determining how the windfall gets spent. And, though they will likely include the most knowledgeable voices on addiction, these panels also face concerns about conflicts of interest and other issues.

Montana Adds Protections for Kids in Private Residential Treatment Programs

Programs in the so-called troubled teen industry will be required to provide a 24-hour hotline and unmonitored video calls with family and be subject to more inspections under a new Montana law.

As Low-Nicotine Cigarettes Hit the Market, Anti-Smoking Groups Press for Wider Standard

The first FDA-authorized cigarettes with 95% less nicotine than traditional smokes will go on sale in California, Florida, and Texas starting in early July. Anti-smoking groups oppose greenlighting just one plant biotech’s products and instead urge federal regulators to set a low-nicotine standard for the entire industry.