One big insurer, Anthem, denied coverage inappropriately to a woman who needed medicine to ward off Lyme disease on the ground that she failed to get prior authorization for her care. Even when the...
Diane Archer
Medicaid corporate insurer networks block access to care
Most states contract with corporate health insurers to deliver health care benefits to their residents on Medicaid. A PNHP report shows that these for-profit insurers cost states more than if they...
Republicans move in the wrong direction on health care
Republicans in Congress are trying to figure out what to do on the health care front, now that they’ve refused to continue additional subsidies for people on the ACA health care exchanges...
2026: What are your Medicare premiums and out-of-pocket costs?
The federal government is raising the Part B Medicare premium to $202.90 in 2026, almost 10 percent more than this year and way higher than the rate of inflation. Under the law, people with Medicare...
Prior authorization: What is to be done?
If there’s one thing about health insurance that just about everyone can agree on, it is that prior authorization is hell. Corporate health insurers use prior authorization to delay and deny care...
State insurance commissioners aim to protect people from...
Jonalyn Cueto reports for InsuranceBusinessMag that state insurance commissioners are speaking out against Medicare Advantage insurers because they are gaming the system and harming people with...
Dramatic spike in premature deaths among adults under 65
A new study out of Brown University and Harvard University finds that between 2012 and 2022, premature deaths among adults under 65 spiked dramatically. Consequently, these people never benefited...
UnitedHealthcare won’t cover remote monitoring of people...
Traditional Medicare covers remote monitoring of people with chronic conditions when necessary to ensure their conditions remain stable. UnitedHealthcare is supposed to cover the same benefits as...
Trump wants to end Obamacare and give people money to fend for...
Seven Democrats have caved, voting with Republicans to end the government shutdown without getting any meaningful concessions from the Republicans on Affordable Care Act (“ACA”) health care...
2026: Five things to think about when choosing between...
The Annual Medicare Open Enrollment period began October 15 and ends December 7. If you have Medicare, you are likely to see endless ads and receive lots of mail from an assortment of insurers...