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A restructuring of the Medicare drug benefit has wiped out big drug bills for people who need expensive medicines. But the legal battle over drug negotiations means uncertainty over long-term savings.
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Doctors, patients and hospitals have railed for years about processes that insurers use to decide whether they’ll pay for drugs or procedures. The Biden administration announced a crackdown in January, but some state lawmakers are looking to go further.
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Crowdsourcing has paid for honeymoon trips, graduation gifts and church missions to overseas hospitals. Now it has become a go-to for patients trying to escape medical billing nightmares.
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Because Florida has chosen not to extend Medicaid eligibility to more uninsured adults, entrepreneurs and health equity advocates are coming up with solutions for those facing medical bills they cannot afford.
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Several factors contributed to this year’s record-high 4.2 million enrollment in Florida and 21.3 million nationally.
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As enrollment in Medicare Advantage plans grows, so do concerns about how well the insurance works, including from those who say they have become trapped in the private plans as their health declines.
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Delaying cancer treatment can be deadly — which makes the roadblock-riddled process that health insurers use to approve or deny care particularly daunting for oncology patients.
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As enrollment numbers continue to drop, Health and Human Services wrote to Florida and eight other states asking them to work with federal authorities to find solutions and get people insured again.
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When the program was rolled out Nov. 2, Jacksonville officials said about 120,000 residents under age 65 were uninsured. As of Nov. 30, more than 26,000 of those people have enrolled for coverage.
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A health care package calls for spending nearly $900 million to shift patients away from emergency rooms, offset hospitals’ training costs and help doctors pay off debt, among other things.