Most people with health insurance coverage experienced health coverage problems in the past 12 months; oncologists are pressing lawmakers to implement long-term solutions to chemotherapy shortages; the nonprofit Human Rights Watch is calling out US hospitals for forcing people into debt.
Most Consumers Experience Issues Using Health Coverage, Survey Says
In a survey of 3,605 people with health insurance, 58% reported experiencing at least 1 problem using their coverage in the past year, according to a KFF news release. The survey, which included a nationally representative population of individuals insured through an employer, Medicare, Medicaid, or Affordable Care Act marketplaces, found that an even higher proportion of people with the greatest health care needs reported having issues using their insurance. Among the problems reported were denied claims for care they believed to be covered, delays and denials of care that eeded prior authorization, and trouble finding in-network providers.
Congress Pressed to Act on Chemotherapy Drug Shortages
Oncologists urged lawmakers to act amid shortages of essential chemotherapy drugs during a hearing held by the House Commitee on Energy and Commerce's subcommittee on health Tuesday, reported The Hill. The majority of cancer centers reported shortages of commonly used chemotherapy drugs in a recent survey, and most of those shortages can be attributed to the temporary closure of a drug manufacturing plant in India after the FDA discovered quality control issues. Although measures like the importation of drugs from other countries have been implemented to mitigate the shortages, health care community members say that the current shortage is a result of a years-long trend that will need an industry-wide solution.
International Rights Org Calls Out US Hospitals for Debt Collection Tactics
Human Rights Watch, a nonprofit known for spotlighting victims of war, famine, and political repression worldwide, is calling on the American government to protect patients from aggressive billing and debt collection tactics used by nonprofit hospitals, according to KFF Health News. In a report published June 15, the organization targets US hospitals for forcing millions of American patients into debt and for using strategies such as legal action against patients. The organization considers these tactics to sabotage patiens' human rights, and the report, “In Sheep’s Clothing: United States’ Poorly Regulated Nonprofit Hospitals Undermine Health Care Access,” demands stronger government action to protect Americans from such practices.
Urticaria Diagnosis Challenged by Overlapping Pruritic Skin Conditions
April 23rd 2025Urticaria is complicated to diagnose by its symptomatic overlap with other skin conditions and the frequent misclassification in literature of distinct pathologies like vasculitic urticaria and bullous pemphigus.
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New Research Challenges Assumptions About Hospital-Physician Integration, Medicare Patient Mix
April 22nd 2025On this episode of Managed Care Cast, Brady Post, PhD, lead author of a study published in the April 2025 issue of The American Journal of Managed Care®, challenges the claim that hospital-employed physicians serve a more complex patient mix.
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Personalized Care Key as Tirzepatide Use Expands Rapidly
April 15th 2025Using commercial insurance claims data and the US launch of tirzepatide as their dividing point, John Ostrominski, MD, Harvard Medical School, and his team studied trends in the use of both glucose-lowering and weight-lowering medications, comparing outcomes between adults with and without type 2 diabetes.
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ACOs’ Focus on Rooting Out Fraud Aligns With CMS Vision Under Oz
April 23rd 2025Accountable care organizations (ACOs) are increasingly playing the role of data sleuths as they identify and report trends of anomalous billing in hopes of salvaging their shared savings. This mission dovetails with that of CMS, which under the new administration plans to prioritize rooting out fraud, waste, and abuse.
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