5 Takeaways From Health Insurers’ New Pledge To Improve Prior Authorization
Dozens of health insurance companies pledged on Monday to improve prior authorization, a process often used to deny care. The announcement comes months after the killing of UnitedHealthcare executive Brian Thompson, whose death in December sparked widespread criticism about insurance denials.
‘Not Accountable to Anyone’: As Insurers Issue Denials, Some Patients Run Out of Options
Health insurers issue millions of prior authorization denials every year, leaving many patients stuck in a convoluted appeals process, with little hope of meaningful policy change ahead. For doctors, these denials are frustrating and time-consuming. For patients, they can be devastating.
Trump Won’t Force Medicaid To Cover GLP-1s for Obesity. A Few States Are Doing It Anyway.
Late last year, South Carolina Medicaid approved a class of medications known as GLP-1s to treat obesity, placing it among the few state programs covering these effective but expensive drugs. But access remains limited, even for patients covered by Medicaid, because of stringent prerequisites that must be satisfied before starting the drug.
The Patient Expected a Free Checkup. The Bill Was $1,430.
Carmen Aiken of Chicago thought their medical appointment would be covered because the Affordable Care Act requires insurers to pay for a long list of preventive services. But after the appointment, Aiken received a bill for more than $1,400.
‘They Won’t Help Me’: Sickest Patients Face Insurance Denials Despite Policy Fixes
The fatal shooting of UnitedHealthcare CEO Brian Thompson prompted both grief and public outrage about the ways insurers deny treatment. Republicans and Democrats agree prior authorization needs fixing, but patients are growing impatient.
Helicopters Rescued Patients in ‘Apocalyptic’ Flood. Other Hospitals Are at Risk, Too.
The helicopter evacuation of 70 people from a Tennessee hospital during Hurricane Helene is considered a success story. The building was destroyed by floodwaters, but no one died. In hindsight, why was it built next to a river?
In Chronic Pain, This Teenager ‘Could Barely Do Anything.’ Insurer Wouldn’t Cover Surgery.
An Alabama teen was told he needed surgery for debilitating hip pain. But his family’s insurer denied coverage for the procedure, which lacked a medical billing code. Expected to pay more than $7,000, his father charged it to credit cards.
She Was Accused of Murder After Losing Her Pregnancy. SC Woman Now Tells Her Story.
Amari Marsh, now 23, was a student at South Carolina State University when she lost her pregnancy in 2023. She was charged with murder and faced at least 20 years in prison. A grand jury cleared her in August. Now she’s sharing her story.
Most Black Hospitals Across the South Closed Long Ago. Their Impact Endures.
Taborian Hospital in Mound Bayou, Mississippi, was established to exclusively admit Black patients during a time when Jim Crow laws barred them from accessing the same health care facilities as white patients. Its closure underscores how hundreds of Black hospitals in the U.S. fell casualty to social progress.
Mississippi Lacks Black Doctors, Even as Lawmakers Increasingly Target Diversity Programs
Administrators at the University of Mississippi School of Medicine are trying to recruit more Black students — and more Hispanic and Choctaw Nation students, for that matter. But they face several obstacles, including a recent swell of Republican opposition to diversity, equity, and inclusion efforts.