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Denying Access to Big Cancer Centers May Undermine Narrow Networks
Patient access to some of the nation's best-known cancer-care centers could become a flashpoint in the simmering controversy surrounding the narrow networks being constructed by some insurers and healthcare providers.
Patient access to some of the nation's best-known cancer-care centers could become a flashpoint in the simmering controversy surrounding the narrow networks being constructed by some insurers and healthcare providers.
In their efforts to hold down premiums on the new insurance exchanges, many plans have excluded some or all of the nation's most prestigious cancer centers from their provider networks. An Associated Press survey last month of 19 of the 25 institutions affiliated with the National Comprehensive Cancer Network, which writes clinical practice guidelines and whose members conduct cutting-edge research, identified at least 13 centers facing exclusion from a “significant” number of plans.
Only four reported that every insurer included them as a network provider. Even that group reported they were sometimes excluded from low-cost plans.
Read the full story here: http://bit.ly/1lFGwL7
Source: Modern Healthcare
Blister Packs May Help Solve Medication Adherence Challenges and Lower Health Care Costs
June 10th 2025Julia Lucaci, PharmD, MS, of Becton, Dickinson and Company, discusses the benefits of blister packaging for chronic medications, advocating for payer incentives to boost medication adherence and improve health outcomes.
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From Red Tape to Relief: Rewriting the Rules of Prior Authorization
June 23rd 2025Up to 257 million Americans could benefit from these prior authorization reforms that could have cross-market implications on health care plans administered through commercial insurers, Medicare Advantage, and Medicaid.
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Culture Key to Data Collection of Sexual Orientation and Gender Identity in Cancer Care
June 23rd 2025This research highlights the key factors, like leadership buy-in, mandatory protocols, and electronic health record workflows, that influence the effective collection of data on sexual orientation and gender identity in outpatient oncology clinics to improve patient-centered care.
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