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The dispute over Broward Health's reimbursment demands continues after the previous contract ended Tuesday. Florida Blue said more than 17,000 customers have been notified of the change.
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Their insurance didn’t cover the immunizations for their children, and the cost of the vaccine was more than five times what health officials say it goes for in the private sector.
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The announcement on prior authorization comes months after the killing of UnitedHealthcare executive Brian Thompson, which sparked widespread criticism about insurance denials.
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Patient advocates say they frequently hear from people who thought they didn’t need for Medicare because they had group health. That delay sometimes forces people to cover medical expenses themselves.
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An estimated 4 million Americans will lose insurance over the next decade if Congress doesn’t extend enhanced subsidies for ACA marketplace coverage. Florida and Texas would see the biggest losses.
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The AP-NORC survey of 1,158 adults shows most don’t think the government is overspending on the programs Republicans in Congress have focused on cutting.
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Millions of prior authorization denials are made annually, leaving many patients stuck in a convoluted appeals process. For doctors, these decisions are frustrating. For patients, they can be devastating.
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On "What's Health," making dental care more accessible by closing insurance gaps. Then, how to decipher medical bills.
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Federal law says Medicaid must cover out-of-state emergency care. But a Volusia County man got a five-figure bill after a Rapid City hospital declined to charge his state’s Medicaid program.
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Talks center on how much more the insurer would need to reimburse the health system for patient care. If no deal is reached by July 1, Broward Health would be out of network for 17,000-plus customers.