Insurers’ contracts with doctors, hospitals and pharmaceutical companies (or their arbiters, so-called pharmacy benefit managers) can change abruptly at any time.
Insurers or employers can tap into funds provided to patients by drugmakers through copay assistance programs, which were designed by the companies to help patients afford increasingly expensive medications.
A new $16,000 postpartum depression drug is here. How will insurers handle it?
The American Hospital Association calls the suspected ransomware attack on Change Healthcare, “the most significant and consequential incident of its kind against the U.S. health care system in history.”
Patients see first savings from Biden’s drug price push, as pharma lines up its lawyers
A restructuring of the Medicare drug benefit has wiped out big drug price bills for people who need expensive medicines. But the legal battle over drug negotiations means uncertainty over long-term savings.
States target health insurers’ ‘prior authorization’ red tape
The practice has prompted backlash from patients like and groups representing medical professionals and hospitals that say prior authorization can interfere with treatment, cause medical provider burnout, and increase administrative costs.
Power to the Patients debuts Super Bowl PSA with Jelly Roll, Lainey Wilson
A new PSA out of Power to the Patients features rapper Jelly Roll and country music star Lainey Wilson calling for healthcare price transparency during Super Bowl LVIII.
Insurance doesn’t always cover hearing aids for kids
Former Olympic gymnast Mary Lou Retton spoke out last week on the NBC “Today” show about what she said was a rare pneumonia that almost killed her and resulted in an expensive, monthlong hospital stay.
Woman petitions health insurer after company approves — then rejects — her infusions
For more than a decade, Sally Nix has suffered from autoimmune diseases, chronic pain, and fatigue, as well as a condition called trigeminal neuralgia.
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MM+M Transform: The Patient, Provider and Payer Engagement Matrix