One consumer recently detailed her ordeal in navigating complicated prior-authorization approval processes and hospital billing errors shortly after undergoing cochlear implant surgery, a procedure that had already been preapproved...
The Montana Department of Public Health and Human Services (DPHHS) is working to learn more about the level of charity care and community benefits nonprofit hospitals are providing in...
Nonprofit hospitals are increasingly taking advantage of their tax status, according to recent op-ed by Elisabeth Rosenthal in The Washington Post. In addition to failing to provide adequate charity...
The U.S. House Committee on Oversight and Accountability released a report last week detailing how the anti-competitive businesses of the pharmacy benefit manager (PBM) industry hurts health care consumers,...
A new interim report released by the Federal Trade Commission (FTC) shows how pharmacy benefit managers (PBMs) profit by using their market power to increase the cost of vital...
The Federal Trade Commission (FTC) is filing a lawsuit against the three largest pharmacy benefit managers (PBMs) over their price-negotiation tactics for critical prescription drugs, including insulin, according to...
During a recent hearing of the Senate Special Committee on Aging, U.S. Senators on both sides of the aisle called on insurers and hospitals to better serve consumers by...
A new JAMA Health Forum study of 2,000 low-income consumers across four southern states revealed that about half of them were no longer insured after Medicaid redeterminations took place,...
Prior authorization is making it needlessly difficult for consumers to get the medical care they need, according to the HeraldNet. Although prior authorization is meant to be a cost-cutting...
The No Surprises Act has helped many consumers avoid unexpected medical bills that arise from an emergency procedure performed out-of-network. While some contend that continued disputes between insurers and...