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Health Insurers Take Major Accountability Step On Prior Authorization

Forbes Healthcare

Health insurers including Cigna, Aetna, Humana and Elevance Health are easing prior authorization, the process of insurers reviewing hospital admissions and medications.

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Why Is Mobile Phlebotomy a Booming Business?

Prism Career Institute

Mobile phlebotomists visit a variety of hospitals, rehabilitation centers, assisted living facilities, and even private homes to meet with patients. Healthcare becomes more accessible for patients who cannot cover the costs without insurance. Mobile phlebotomy makes it easier for patients to secure financial assistance.

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How Routine Medical Care Fuels America’s Opioid Crisis

The Healthcare Blog

How Physicians and Hospitals Sustain the Opioid Epidemic For decades, the pharmaceutical industry has shaped medical education, ingraining the belief that opioids are the best first-line treatment for acute pain. Hospitals and health systems have also played a significant role in perpetuating opioid dependence.

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Managed Care History Part III: The Rise of Machine-Driven Managed Care

The Healthcare Blog

If you missed it read Part 1 & Part 2 By JEFF GOLDSMITH Two major changes in health insurance ensued as the US health system entered the 21 st century- a strategic shift of health cost risk from providers to patients and the emergence of machine driven managed care. Some 60% of hospital bad debts are now from patients with insurance.

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How to Fix the Paradox of Primary Care

The Healthcare Blog

Wonks like me believe that if you introduce such a relationship patients will receive preventative care, will get on the right meds and take them, will avoid the emergency room, and have fewer hospital admissions—as well as costing a whole lot less. Because the patients that they do admit to the hospital are insanely profitable.

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“Hospital Mergers Kill”: An Economists’ Exercise in Reality Distortion

The Healthcare Blog

By JEFF GOLDSMITH In late June, 2024, two economists, Zarek Brot-Goldberg and Zack Cooper, from the University of Chicago and Yale respectively, released an economic analysis arguing that hospital mergers damage local economies and result in an increase in deaths by suicide and drug overdoses in the markets where mergers occur.

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Medicare Advantage Insurers Hold Sway Over More Hospital Admissions

Forbes Healthcare

Medicare Advantage is accounting for “a rising share of inpatient hospital days,” according to a new KFF study shows.