Prior Authorization in Health Insurance: A Needed Tool to Contain Costs or an Excessive Barrier to Needed Care?
Posted: March 4, 2024
A highly informative discussion about pre-authorization requirements with Medicare Advantage plans. This discussion group includes doctors and top management from the insurance industry, providing candid and insightful observations from their unique perspectives. Click on link below: https://youtu.be/Ke84X4fXXPk...
How Many Physicians Have Opted Out of the Medicare Program?
Posted: September 14, 2023
Despite concerns that lower fees in Medicare relative to private insurance may discourage physicians from seeing Medicare patients, very few physicians are choosing to opt out of Medicare. According to this analysis, the percentage of physicians opting out of Medicare is low across all states, with opt-out rates below 2% 1. Enjoy the entire article by clicking on the previous sentence....
A Peek at Big Pharma’s Playbook That Leaves Many Americans Unable to Afford Their Drugs
Posted: August 21, 2023
America’s pharmaceutical giants are suing this summer to block the federal government’s first effort at drug price regulation. Read in depth what this could mean for many Americans....
Setting up your My Medicare account
Posted: August 13, 2023
Setting up a My Medicare account is a simple process and will enable you to access your personal Medicare information, monitor your prescription drug usage, track claims, and manage payments to Medicare online. Below is a general step-by-step guide on how to set up a "MyMedicare.gov" account: 1. Navigate to the official Medicare website at https://www.mymedicare.gov 2. Look for the option to "Register" or "Create...
Medicare Part D out of pocket changes for 2024 and 2025
Posted: August 10, 2023
The Inflation Reduction Act of 2022 encompasses various measures aimed at decreasing the expenses of prescription medications for individuals enrolled in Medicare by introducing a ceiling on the amount beneficiaries will pay out of their own pockets for drugs covered by Medicare Part D plans. Additionally, it aims to curtail the amount spent by the federal government on pharmaceuticals. These actions involve modifications to the...