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To Preempt Government Action, Insurers Say They’re Fixing Prior Authorization

Forbes Healthcare

Representatives from several major health insurers said last week they had pledged to the Department of Health and Human Services they would improve their prior authorization protocols for diagnostic and screening tests, prescription medications and hospital or clinic procedures. In these instances, prior authorization is essential.

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How Two Fathers Turned Personal Crisis Into Preeclampsia Innovation

Forbes Healthcare

Follow Author Jun 11, 2025, 07:00am EDT Jun 11, 2025, 03:28pm EDT Share Save Comment Left to right Mirvie's cofounders: Maneesh Jain aand Stephen Quake Mirvie uses RNA technology to predict pregnancy complications, such as preeclampsia, through a simple blood test. The preeclampsia laboratory testing market is valued at $16.3

Insurance 183
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The Infomercial Comes to The Wall Street Journal

Sensible Medicine

For calcium deposits in breast arteries to be important, we would need to know that some action based on this finding, whether it be further diagnostic testing, lifestyle modification, or medical therapy, actually benefits a woman. One of them, the coronary artery calcium score (CAC) was reviewed in 2018 by the U.S.

Tests 209
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Tools for Paying Medical Bills Don’t Help Health Consumers Manage Their Financial Health

Health Populi

The big gap in supply to patients vs. demand by health consumers is highlighted by what the arrow in the chart below points to: managing payments and paying bills. Patient-facing digital tools help patients with fairly basic tasks like making appointments, seeking doctors, and paying bills.

Billing 96
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Doing Less Can Be Doing More for Healthcare – the Biggest Takeaway From ASCO 2018

Health Populi

The study, Adjuvant Chemotherapy Guided by a 21-Gene Expression Assay in Breast Cancer, was published in The New England Journal of Medicine on June 3, 2018, coinciding with the researchers’ ASCO presentation of the results. ” A genetic test that costs $3,000 helps to identify women who could benefit from avoiding chemo.

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Self-Care Is Healthcare In Consumers’ Hands, Peaking on Google Trends

Health Populi

I ran this little test because I’m speaking on Monday 18 March at the annual meeting of the Consumer Healthcare Products Association. As a short-term salve, check out this special digital section that staff from the New York Times published online in November 2018. A Google search overall yielded over 2 billion results.

Billing 117
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Consumers Expand Their Definition of Well-Being to Include Food-As-Medicine

Health Populi

The consumer-as-medical-bill-payor is now looking at foods with health benefits, first and foremost for heart health. Food stores gained in trust between 2017 and 2018, illustrating the opportunity that a consumer’s favorite grocery store can leverage in a trusted relationship with a person keen on health.