Physician's Weekly

JUNE 19, 2025

When Alyne Diamond fell off a horse in August 2023 and broke her back, her employer-based health plan through UnitedHealthcare covered her emergency care in Aspen, Colorado. It also covered related pain management and physical therapy after she returned home to New York City. The bills totaled more than $100,000.

Insurance 52

Insurance Patient-Centered Government Provider 52

GeriPal

DECEMBER 21, 2023

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. I didn’t know how to manage it. That never happens in CMS and other health insurance. And I was terrified. Diane: Huge.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

SEPTEMBER 14, 2023

We would find these people in the hospital, and we said, “What would you have thought if someone had come up to you in the emergency room yesterday, and said, ‘Hey, instead of going upstairs, you could go home.’ By the year 2000, everyone will be in a Medicare managed care plan.” And you get the DRG.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

Physician's Weekly

JUNE 17, 2025

By the time Eric Tennant was diagnosed in 2023 with a rare cancer of the bile ducts, the disease had spread to his bones. But that’s when his family began fighting another adversary: their health insurer, which decided the treatment was “not medically necessary,” according to insurance paperwork. Senate report.

Insurance 52

Insurance Patients Behavioral Health Services Diagnose 52