MGB exiting certain Medicare Advantage primary care networks, impacting 19,000 patients.
MGB’s Response to Primary Care Shortage MGB has initiated several strategies to tackle the ongoing shortage of primary care. One notable proposal involves teaming up with CVS to deliver primary care services through retail clinics located within pharmacies. Blue Cross Blue Shield’s clientele includes patients from two of MGB’s physician groups: Harbor Medical Associates and […]
What impact will TrumpRx have on patients? Who benefits and by what amount?
Could “Trumprx” Be a Solution for Lower Drug Prices? President Trump has recently announced a significant agreement with Pfizer, aimed at reducing drug prices through a new federal consumer website named Trumprx, which is set to launch next year. On average, prescription drug prices in the U.S. are around 2.78 times higher than those in […]
Ascension Wisconsin is now out of network for UnitedHealthcare patients after unsuccessful negotiations.
Ascension Wisconsin and United Healthcare couldn’t come to an agreement after several months of contract talks. Consequently, Wisconsin providers will no longer be included in the UnitedHealthCare insurance network. Ascension Wisconsin is no longer part of UnitedHealthcare’s patient network, as both sides failed to finalize a new contract. For months, they found themselves at an […]
Colorado will bring back prior approval for therapy services for Medicaid patients.
Colorado’s Medicaid Changes Impact Mental Health Care In Colorado, therapists providing services to Medicaid enrollees now need state approval if they want to conduct more than 24 sessions with individual patients in a year. This move aims to address concerns about budget overspending in the Medicaid program. Governor Jared Polis directed the Colorado Department of […]
OHSU Creates Policy to Redirect Patients With Out-of-Network Insurance
OHSU’s New Policy on Out-of-Network Insurance Oregon Health & Science University (OHSU) is taking steps to handle patient flow when it comes to out-of-network insurance, aiming to support its budgetary needs. This shift could influence where many individuals in Oregon receive their healthcare services. The recently introduced policy specifies the procedures OHSU administrators must follow […]
North Carolina Medicaid patients risk losing access to care due to ongoing funding deadlock.
Concerns Grow Over Medicaid Access in North Carolina RAILY, N.C. (AP) — Medicaid recipients in North Carolina are facing potential cuts to their access to essential services. This latest move comes as part of expense reduction strategies that have added to the ongoing standoff over Medicaid funding in the state. The administration of Josh Stein, […]
Drones, dogs, and police search for escaped young patients from a psychiatric facility in North Carolina
Children Escape from Psychiatric Hospital in North Carolina On Sunday night, seven child patients managed to escape from a psychiatric hospital in North Carolina, leading to a nearly three-hour search involving police dogs and drones. The incident took place at Holly Hill Hospital’s South Campus around 8:05 PM, as indicated by Raleigh Police. The facility, […]
Pharmaceutical companies want to eliminate PBMs since they save patients a lot of money.
Senate Bill Targets Prescription Drug Pricing Recently, a bipartisan group of senators proposed new drug pricing laws aimed at addressing the role of pharmacy benefit managers (PBMs). Over the years, pharmaceutical companies have portrayed PBMs as villains in the prescription supply chain, arguing that these intermediary agents inflate prices and stifle innovation. This narrative is […]
Therapists are being discovered using AI with their patients
Therapists and AI: A New Twist in Mental Health Care Traditionally, therapists have met with patients face-to-face in very personal settings. But since the Covid pandemic led to widespread closures, many have begun to adapt to online consultations, making them more common. This shift toward a more virtual world has significantly impacted the mental health […]
Increased potassium levels lower heart issues in patients, research shows
Potassium-Rich Foods Linked to Heart Health Reaching for bananas might do more than just enhance your morning smoothie. Recent international research indicates that a diet high in potassium could lower the risk of serious heart issues. A study shared at a significant cardiac conference in Madrid, and published in the New England Journal of Medicine, […]