Some hospital systems and insurers have acknowledged that addressing social needs can shape health and have taken the next step to provide transportation, access to housing, or Medically Tailored Food [25, 26]. To better understand and address issues of equity in NICU care, efforts must be made...
Besides risk rating the premiums, insurers may counter adverse selection through eligibility requirements and restrictions in coverage, and by targeting insurance policies to low risk individuals. Another branch of the theoretical literature has predicted the opposite of adverse selection, namely advantageous...
Insurers do not have the luxury to wait for the outcome of this debate. They must act now to analyze the new genetic technologies, and incorporate those that demonstrate value. This will necessitate involving geneticists in technology assessment and utilization decisions, as well as adding these sp...
Buyers. If you’re ready to buy coverage from a plan or sign up for other benefits, we collect additional information, as required by insurers or health insurance marketplaces to confirm your identity, verify eligibility and help you enroll in coverage. How We Use Tracking Technologies to Col...
Each resource is assigned its unique ID and multiple stakeholders — health systems, insurers, patients, or software developers — can retrieve the underlying data element via API. Direct for exchanging personal health information Direct maintained by DirectTrust is a well-known technical standard in ...
Health-care insurers may rebate about $1.3 billionNC Aizenman
Vulnerable Americans live in the shadow of COVID-19 as most move on Wed Jan 15, 2025 10:25 AM EST Baltimore (MD) Sun-Health Health insurers limit coverage of prosthetic limbs, questioning their medical necessity Wed Jan 15, 2025 09:25 AM EST ...
The lesser concern in research settings can be explained by several factors. First, testing under research protocols often is not billed to insurers or patients, so the financial barriers are not always present. Also, research records are less likely to become part of Hall and Rich the medical...
The federal government is projected to pay between $500 and $600 billion in Medicare Advantage payments to private health plans in 2025. However, the rate change represents an estimated 0.2% drop in average payments for Medicare Advantage, which may lead to some insurers to: Cut or modify MA...
Particle says that both insurers and their software vendors have a right to access EHR patient treatment information. This should be an easy question for ASTP to answer. Epic limits the use of its data for treatment purposes, while Carequality’s policy allows it to also be used for healthca...