Out-of-Pocket Payments

Nov 13 | Jeff Lagasse

AHA promotes healthcare navigators in letter to CMS

Part of the reason navigators are so valuable, the group says, is that health insurance coverage falls short for many Americans.

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Clinicians walking down hospital corridor

Nov 04 | Jeff Lagasse

Aetna offering new health plan for the self-insured

SimplePay Health is intended to further reduce costs and improve outcomes, company says.

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Oct 28 | Jeff Lagasse

AMA files lawsuit alleging price-fixing by MultiPlan

According to the AMA, this has undercut fair payment for out-of-network healthcare services and eliminated market competition.

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Oct 23 | Jeff Lagasse

Oscar Health expands ACA presence and chronic condition plans

Oscar is launching a multi-condition plan for members with diabetes and pulmonary and cardiovascular disease.

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Oct 22 | Jeff Lagasse

Evernorth taps Transcarent for digital cancer program

Evernorth says its Oncology Benefit Services will allow employers to provide a "streamlined" cancer care experience.

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Oct 21 | Jeff Lagasse

Most independent pharmacies may not carry negotiated Medicare Part D drugs

Respondents say they are strongly considering not stocking the drugs because of potential low reimbursements from…

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Oct 03 | Susan Morse

HIMSSCast: Out-of-pocket expenses are a challenge to keeping people well

Give patients the financial options that empower them to take charge of their own health, says Beto Casellas of…

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Oct 03 | Jeff Lagasse

Employers look to dodge cost-shifting in midst of rising expenses

More than half of employers plan to implement programs that will reduce total costs, a WTW survey finds.

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Oct 03 | Susan Morse

HHS releases guidance for second round of drug price negotiations

Prices for 25 drugs are expected to decrease for Medicare beneficiaries starting in 2026 and continuing into 2027.

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Sep 30 | Susan Morse

HHS announces 54 drugs subject to rebates and lower coinsurance

The rebates paid by drug companies will be deposited into the Medicare Trust Fund.

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Improving the Patient Financial Experience Throughout the Patient Journey While many healthcare providers believe that improving the patient financial experience is a critical step for their organization, few have done so successfully. Read this brief to learn strategies that increase patient ...

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