Colorado recently became one of the first states in the nation to offer a state-specific coverage plan that will reduce health care costs and allow citizens to have improved access to more reasonable care. Depending on how successful this is, it could mean more policies like this in more states around the US. Continue reading…
The current state of the U.S. specialty health care system is in need of improvements. Being that a large percentage of medical visits are for specialists, the efficiency of the system could be improved for the sake of customers and physicians. Continue reading for four potential solutions and the challenges that could follow. Specialists dominate…
Because of the hardships physicians have faced in the past few years, many of them are experiencing issues like burnout and exhaustion. In order to attempt to better this, the American Medical Association has developed a plan with ideas to bring morale back. Continue reading to learn more about these developments. The American Medical Association…
The American Medical Association conducted a survey in late 2021. The results of this 1,000 physician survey show that prior deals made with payers are not being upheld. Continue reading to learn more about the authorization reforms and what this means for insurers. Health insurers are not holding up their end of the bargain on…
As Medicare Advantage expands, it is important to be aware of the advantages and disadvantages that it presents. Varying from the kinds of providers patients can see to the privatization of conventional Medicare, there are different factors that will have different effects on everyone. Continue reading to learn more. Participants, supporters, and opponents weigh in…
Since 2014, Lisa French has been disputing the accusations that she was informed and agreed to the hospital’s “chargemaster” rates which allowed them to charge her incorrectly for a procedure at the time. This past week, the courts ruled in her favor. Continue reading to learn more about the incident. After Lisa French’s doctors warned that…
Health insurance company, UnitedHealth, is being sued on accusations of not reimbursing providers the proper amount of money. Now directly affecting worker’s and customers’ payments, Envision Healthcare is suing for millions. Continue reading to find out more about the lawsuit. The payer giant is accused of forcing physician groups out of network to lure them…
Concerns arise over the Medicare Advantage payment model. Medicare Advantage organizations are now denying services to those that have been previously authorized in an attempt to increase their own profit. Continue reading to learn what this might mean for those enrolled in Medicare Advantage. Medicare Advantage organizations (MAOs) often delay or deny services for medically…
Studies show that patients tend to feel more comfortable disclosing information when they have healthcare providers that are similar to them. The state of Colorado has a plan to have all healthcare providers disclose personal information about themselves such as race and sexual orientation so it can help patients choose which provider is best for…
Big changes are being imposed in the healthcare world with over 1,000 new changes in diagnosis codes! CMS is proposing various changes to the inpatient prospective payment system (IPPS) proposed rule. Continue reading to find out what these changes are and how you can get involved. CMS suggests 1,495 total changes to the ICD-10-CM diagnosis…