Shedding Light On Payers And PBMs As Possible Drivers Of Opioid Crisis
There is a tendency to overlook the multiple factors and stakeholders that contributed to the Rx opioid crisis. This includes ...
John Cococcia's next venture: CFO at a health care industry startup
Niskayuna resident John Cococcia has spent most of his career in venture capital. Now, he's made the move to the other side ...
The American Journal of Managed Care3d
Lessons Learned From Medicaid Unwinding as States Tackle Eligibility Checks
Medicaid and CHIP enrollment surged from 71 million in February 2020 to 94 million by April 2023. However, with the pandemic ...
thecardiologyadvisor.com4d
Medicaid Covers GLP-1 Meds for Obesity in Just 13 States
Low-income patients' access to blockbuster weight-loss drugs through Medicaid remains limited, a new KFF analysis has found.
Reuters19d
US Medicaid programs say cost a key factor for weight-loss drug coverage, survey finds
The survey of the 50 states and the District of Columbia found that just 12 Medicaid programs covered ... pay less through health insurance or other drug company discounts. Coverage of the drugs ...
Yahoo19d
12 minute verdict in case with prior drug offender
WARREN, Ohio (WKBN) – It took a jury only 12 minutes to reach a verdict Monday in a drug trafficking case involving a previously convicted offender. Read next: Boardman woman sentenced for ...
Healthline20d
Understanding Medicare and Medicaid Waiver Programs
Medicaid waiver programs may allow you to get long-term medical care at home or in a community facility. Medicare usually limits the amount of these services you can receive. If you or a loved one ...
Medical News Today20d
Rexulti dosage
Rexulti (brexpiprazole) is a brand-name drug prescribed for certain mental health conditions. Rexulti comes as an oral tablet that’s typically taken once per day. The dosage can vary depending ...
aha.org25d
Senate report scrutinizes Medicare Advantage prior authorization denials for post-acute care services
A report released Oct. 17 by the Senate Homeland Security Committee’s investigative subcommittee scrutinizes some of the nation's largest Medicare Advantage insurers for their use of prior ...
Modern Healthcare25d
Senate report alleges MA insurers abuse prior authorization
The three largest Medicare Advantage insurers have dramatically increased prior authorization requirements ... criteria the Centers for Medicare and Medicaid Services set, "demanding greater ...
MedPage Today25d
Use of Prior Authorization Up in Medicare Advantage Plans, Senate Report Finds
Opens in a new tab or window Medicare Advantage plans have increased their use of prior authorization and appear to be targeting certain types of care -- such as expensive post-acute hospital care ...
Becker's Hospital Review25d
Medicare Advantage plans 'intentionally using prior authorization to boost profits': Senate report
Our Medicare Advantage prior authorization protocols are routinely audited by the Centers for Medicare & Medicaid Services and we recently received a perfect score on an audit examining compliance ...