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Tag: Insurance: Misc.

For patients with diabetes

Switching to High-Deductible Insurance Delays Diabetes Care

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Delays in seeking care for first major symptom of macrovascular disease, first major diagnostic test
In the first six months of 2018

CDC: 8.8 Percent Uninsured in U.S. in First Half of 2018

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12.5 percent of adults aged 18-64 years and 4.4 percent of children aged 0-17 years uninsured
A plan to allow small businesses to use tax-free accounts to provide health coverage for employees was announced today by the Trump administration.

White House Unveils New Insurance Option for Small Firms

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Plan expands health reimbursement arrangements so workers can buy individual health coverage
There is a need for public and private insurers to broaden their coverage policies for non-drug pain treatments for low back pain

Payer Policies May Discourage Non-Pharma Tx for Low Back Pain

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Physical therapy, psychological counseling, other alternatives not consistently covered
A $69 billion merger between health insurer Aetna and pharmacy manager CVS Health has been approved

Aetna-CVS Merger Approved

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Under the approval, Aetna must sell off its private Medicare drug plans
From 2016 to 2017

More Non-Elderly Americans Uninsured in 2017 Versus 2016

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More than 700,000 Americans uninsured in 2017 versus 2016, despite broad economic improvement
Association health plans will provide small businesses with more choices

Association Health Plans Can Help Small Businesses Offer Coverage

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But AHPs may undermine ACA marketplace, as they are not required to comply with ACA regulations
Workers in small firms are more likely to have higher deductible levels and lack employer contributions to help pay for out-of-pocket expenses compared to workers in larger firms

Advantages for HDHP Enrollees in Large Versus Small Firms

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More than twice as many HDHP enrollees in small versus large firms lack employer-funded accounts
Knowing payer policies and regulatory requirements is critical to appealing denials

Experts Offer Tips for Provider Appeal of Denied Medical Claims

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Recommendations include asking for exceptions to payer policies and citing regulatory information
Underinsured and never insured adults are more likely than adequately insured adults to report poor/fair health and frequent mental distress

Insurance Status Tied to Higher Self-Perceived Poor/Fair Health

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Underinsured and never insured adults more likely to report poor/fair health