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ACA Drug Coverage Descriptions May Confuse Consumers About Costs
More than one-third of silver plans offered on the federal health insurance Marketplace may be listing inaccurate or incomplete prescription drug cost-sharing information.
Square peg, round hole. More than one-third of silver plans offered on the federal health insurance Marketplace may be listing inaccurate or incomplete prescription drug cost-sharing information because their formularies don’t fit neatly into the federal government’s online template, a recent analysis found.
HealthCare.gov is the online gateway for consumers in 37 states to compare the health plans available to them on the individual market.
Read more: http://bit.ly/188aCoW
Source: Kaiser Health News
Health Care Utilization and Cost of Diagnostic Testing for Respiratory Infections
September 17th 2025Syndromic reverse transcriptase–polymerase chain reaction tests for respiratory infections were associated with lower health care resource utilization and costs, implicating potential for improved value in patient care.
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AI in Health Care: Balancing Governance, Innovation, and Trust
September 2nd 2025In this conversation with Reuben Daniel, associate vice president of artificial intelligence at UPMC Health Plan, we dive into how UPMC Health Plan builds trust with providers and members, discuss challenges of scaling AI effectively, and hear about concrete examples of AI's positive impact.
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Infertility Coverage Boosts ART Use and Pregnancy Success: Richard A. Brook, MS, MBA
August 26th 2025In this episode, Richard A. Brook, MS, MBA, discusses his study showing that infertility treatment coverage increases assisted reproductive technology (ART) use and improves pregnancy outcomes.
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