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Insurance companies putting profits ahead of patients

World of DTC Marketing

Five of America’s largest health insurers reported more than $11bn in profits in the second quarter – a decline from the same period last year when the Covid-19 pandemic helped drive sky-high profits yet they are having more of a say on patients’ treatments even when HCPs disagree. Then there is prior authorization.

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PBMs and insurers want your prescription money

World of DTC Marketing

anti-kickback law that the drugmaker said prevented it from helping heart failure patients, many with low incomes, afford the medicine that costs $225,000 annually. Health insurers have started effectively stealing co-pay coupons, leaving patients on the hook for far higher expenses. Let’s take a step back for a minute.

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Insurer “Delay and Deny” Practices Continue to Threaten Patients’ Timely Access to Gastrointestinal Care – It’s Time for Reform

MedCity News

Insurers should immediately end their overreach into medical decision-making and work with medical providers and their patients to ensure timely care for all.

Insurance 112
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Eisai backs Leqembi’s Japan rollout with insurance policy

pharmaphorum

A partnership between Eisai and Lifenet that aims to improve insurance cover for people with early dementia has generated its first policy, part of an effort by the pharma group to develop an ‘ecosystem’ to support patients.

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Modernizing Insurance Processing: The Role of AI Technology

Referral MD

What is role of technology in healthcare insurance today? However, the insurance industry, the backbone of our society, needs to adapt to rapid technological advancements. Denied health insurance claims amount to over $262 billion annually. The average error rate in the health insurance industry is nearly 20%.

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How to Help Physicians Generate More Revenue and Make Their Patients Healthier

MedCity News

Interest in using GLP-1 drugs to reduce obesity combined with a desire by physicians to become less dependent on insurance-based reimbursement after the recent Change Healthcare cyberattack is building. The post How to Help Physicians Generate More Revenue and Make Their Patients Healthier appeared first on MedCity News.

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A Step Too Far: Congress Must Act on Insurance Company Tactics that Delay Critical Care for Patients

MedCity News

This bipartisan legislation will help create a more transparent process that allows patients and physicians to seek exceptions to step therapy protocol. Although it only applies to employer-sponsored health plans, the bill represents an important step towards reining in this troubling practice.

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