Fighting a Health Insurance Denial? Here Are 7 Tips To Help
Many people don’t know they can fight a health insurance denial, let alone how to do it. Here are practical tips for consumers who want to appeal a prior authorization decision.
Health Industry
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As Insurers Struggle With GLP-1 Drug Costs, Some Seek To Wean Patients Off
Conventional wisdom says GLP-1 drugs must be taken indefinitely to maintain weight loss. But a growing number of researchers, payers, and providers are challenging that consensus and exploring whether — and how — to taper patients off expensive GLP-1 drugs.
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Listen: Limiting Benefits and Adding Restrictions, ‘MAHA’ Reshapes Food Aid
The White House and congressional Republicans have made historic changes to the federal anti-hunger program SNAP. They say the changes will boost healthy eating for low-income Americans. Some nutrition experts aren’t so sure.
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Do Pediatricians Recommend Vaccines To Make a Profit? There’s Not Much Money in It
Four pediatricians said evidence-based science and medicine and a desire to keep kids healthy drive doctors’ childhood vaccination recommendations. And while pediatric practices might make money immunizing privately insured children, most practices likely break even or lose money from providing the shots.
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Changes at NIH Give Political Appointees Greater Power To Fund or Block Research
The National Institutes of Health’s long-held standard of peer review for grantmaking has been subverted by President Donald Trump and NIH Director Jay Bhattacharya, who gave unprecedented power to politicos, NIH workers say.
By Arthur Allen -
Social Security Praises Its New Chatbot. Ex-Officials Say It Was Tested but Shelved Under Biden.
Social Security, under the leadership of a tech enthusiast, rolled out an artificial intelligence-powered chatbot to answer calls. But as beneficiaries complain about glitches, lawmakers and former officials ask whether it’s a preview of a less human agency at which rushed-out AI takes the place of pushed-out government workers.
By Darius Tahir -
When Hospitals and Insurers Fight, Patients Get Caught in the Middle
About 90,000 people spent months in limbo as central Missouri’s major, and often only, provider fought over insurance contracts. Patients getting caught in the crossfire of disputes has become a familiar complication, as about 8% of hospitals have left an insurer network since 2021. Trump administration policies could accelerate the trend.
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Blue States That Sued Kept Most CDC Grants, While Red States Feel Brunt of Trump Clawbacks
The Trump administration's cuts of public health funds to state and local health departments had vastly uneven effects depending on the political leanings of where someone lives, a new 51ÊÓƵ Health News analysis shows.
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Optum Rx Invokes Open Meetings Law To Fight Kentucky Counties on Opioid Suits
In a Goliath-versus-David fight, UnitedHealth Group’s pharmacy benefit manager, Optum Rx, has filed lawsuits in five counties to stop them from including the company in national opioid litigation.
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Guns, Race, and Profit: The Pain of America’s Other Epidemic
Firearm violence is killing Americans at the scale of a public health epidemic. The suffering is concentrated in Black neighborhoods damaged by segregation, disinvestment, hate crimes, and other forms of racial discrimination.
By Fred Clasen-Kelly and Renuka Rayasam -
Breaking Down Why Medicare Part D Premiums Are Likely To Go Up
Insurers will take drug costs, frequency of use, and other factors into account as they set premium amounts for the 2026 plan year.
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Medicaid Cuts Could Have Vast Ripple Effects in This Rural Colorado Community
In rural Colorado and across rural America, Medicaid is a lifeline, especially for people who wouldn’t otherwise have easy access to health care. That includes low-income seniors who need supplemental coverage in addition to Medicare, and people of all ages with disabilities.
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Inside the CDC, Shooting Adds to Trauma as Workers Describe Projects, Careers in Limbo
Fired-then-reinstated workers at the Centers for Disease Control and Prevention worry about the future of public health amid proposed agency downsizing.
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A Guide To Finding Insurance at 26‌
It’s a difficult rite of passage for young adults without job-based insurance. Here are some tips for getting started.
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Why Young Americans Dread Turning 26: Health Insurance Chaos
Young adults without jobs that provide insurance find their options are limited and expensive. The problem is about to get worse.
By Elisabeth Rosenthal and Hannah Norman Kennedy Cancels Vaccine Funding
Episode 409The Health and Human Services secretary is winding down nearly $500 million in mRNA research funding, citing false claims that the technology is ineffective against respiratory illnesses — and notching a victory for critics of the covid vaccines. And President Donald Trump is demanding drugmakers drop their prices, quickly, but it’s unclear how he could make them comply. Lauren Weber of The Washington Post, Sandhya Raman of CQ Roll Call, and Sarah Karlin-Smith of the Pink Sheet join 51ÊÓƵ Health News’ Emmarie Huetteman to discuss these stories and more.
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Patient Numbers at NIH Hospital Have Plummeted Under Trump, Jeopardizing Care
The renowned research hospital that cares for people with rare or life-threatening diseases has been pummeled by an employee exodus and the gutting of research, both driven by the Trump administration.
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Watch: Millions of Americans Live Where Telehealth Is Out of Reach
In this video report, InvestigateTV and 51ÊÓƵ Health News take viewers to Alabama, Idaho, and West Virginia to explore how gaps in internet connectivity and telehealth access cause residents to live sicker and die younger on average than their peers in well-connected regions.
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As California’s Behavioral Health Workforce Buckles, Help Is Years Away
California has put a greater focus on behavioral health workers, but a huge spike in demand, an aging workforce, and employee burnout continue to hamper mental health and substance use treatment. The state is tapping Medicaid funds to train, recruit, and retain workers, but it will be a long time before the impacts are evident.
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Sorting Out Covid Vaccine Confusion: New and Conflicting Federal Policies Raise Questions
Should you get vaccinated? Will your insurer pay for it? And will you still be able to find a vaccine? 51ÊÓƵ Health News tries to sort out where things stand.