Tag: Insurance: Misc.
Experts Offer Tips for Provider Appeal of Denied Medical Claims
Recommendations include asking for exceptions to payer policies and citing regulatory information
Insurance Status Tied to Higher Self-Perceived Poor/Fair Health
Underinsured and never insured adults more likely to report poor/fair health
Variation in Specialty Drug Coverage Across Health Plans
Plans restrict coverage of drugs indicated for cancer less often than drugs indicated for other diseases
New Short-Term Health Plans Have Large Coverage Gaps
Plans don't have to cover existing medical conditions, provide limited benefits
Health Coverage Interruptions Common in Adults With T1DM
Use of acute care service five-fold higher after interruption in insurance versus before interruption
Insurers May Be Underpaying Doctors
Practices need to incorporate efforts to double check reimbursement against contracts
One-Third of Hep C Rx Receive Absolute Denial From Insurers
Both private and public insurers continue to deny coverage for drugs at high rates
Cutting Insurance Eligibility Ups Peds Hospitalization Cost Burden
Reducing public insurance eligibility limits would raise numbers of ineligible pediatric hospitalizations
Coverage Policies Compared for Back Pain Medications
Utilization management common for opioids; often relies on 30-day limits rather than prior authorization
CDC: Prevalence of No Insurance Varies by Occupational Groups
Significant drop in prevalence of uninsured from 2013 to 2014; variation by occupation in both years
