A yearlong inquiry by Managed Care
It is a heroic part of the American health system. Lives are saved, the dire consequences avoided. But the air ambulance industry is consolidating, prices are soaring, and insurers and providers continually fight over network issues. One consequence: Surprise billing that leaves patients owing tens of thousands of dollars.
Groups fighting the disease are counting on people in health care’s ‘deep state’ to deliver on the commitment to end the occurrence of new cases of HIV/AIDS by 2030.
An Express Scripts analysis backs up industry claims that high-priced HIV medications may save money in the long run because they improve adherence.
Effective treatment has helped curb the epidemic, but practical cures have been elusive, notwithstanding last month’s news about a bone-marrow transplant.
UnitedHealthcare has ditched Silver Sneakers for something it says is better. Other insurers are sticking with it. Either way, wellness is looming large in the MA market.
Cigna–HealthSpring and Anthem expand their Medicare Advantage offerings to include such things as hot meals and transportation to providers.
IN THIS ISSUE
But critics of the Center for Medicare and Medicaid Innovation see too much power and money accruing to the ACA-created skunkworks.
Seeking reduced costs, small businesses and sole proprietors will find AHPs tempting. The premiums are lower, but you get what you pay for, critics say.
Not always in health care, but a study finds that at the disease level, the juice has often been worth the squeeze. At its heart is a little-known metric, the DALY.
Paul Lendner ist ein praktizierender Experte im Bereich Gesundheit, Medizin und Fitness. Er schreibt bereits seit über 5 Jahren für das Managed Care Mag. Mit seinen Artikeln, die einen einzigartigen Expertenstatus nachweisen, liefert er unseren Lesern nicht nur Mehrwert, sondern auch Hilfestellung bei ihren Problemen.