Reimbursement
In today's tepid economy, recent divorcees may be reliant on their former spouses' insurance or may seek to enroll after the fact, something health plan administrators should watch out for.
Humana is working with a health IT company to roll out an electronic prior authorization model that enables physicians to simplify prescription prior authorization requests so patients can get quicker access to their medications.
The Aetna Foundation, the charitable arm of the Hartford-based insurance giant, is looking to make the cellphone the centerpiece of efforts to improve public health access with a three-year, $4 million Digital Health Initiative.
When CVS Caremark announced that it would no longer sell cigarettes, it was the latest sign of the direction retail pharmacies have been moving in over the last few years.
People in much of Minnesota, northwestern Pennsylvania and Tucson, Ariz., are getting the best bargains from the health care law's new insurance marketplaces: premiums half the price or less than what insurers in the country's most expensive places are charging.
The Obama Administration's latest delays and policy tweaks have credit rating analysts getting more worried about insurers, even as large companies like Aetna and Cigna insist that insurance exchanges are only minor parts of their business strategies.
Most uninsured Latinos are eligible for tax credits or Medicaid, but insurers may need to rethink their outreach approaches, and absent federal immigration reform, states may have to help fill gaps for those who are both uninsured and undocumented.
Between 20 years researching leukemia at Harvard and four years directing Merck's oncology program, Gary Gilliland, MD, has seen a lot of ups and even more downs. Now, as the head of precision medicine at Penn, he's fairly optimistic about emerging therapies like immunologics, but just as concerned about how to pay for them.
A newly released update to the landmark 2008 Nachimson study says two-thirds of practices would fall in the upper range of implementation cost projections.
Young adults were a rising portion of those who signed up for coverage in January, accounting for 27 percent of enrollees compared to 24 percent in the previous three months, in the latest report on insurance exchange enrollment.