Physician's Weekly

JUNE 24, 2025

Kim Beckham, an insurance agent in Victoria, Texas, had seen friends suffer so badly from shingles that she wanted to receive the first approved shingles vaccine as soon as it became available, even if she had to pay for it out-of-pocket.

Vaccination 52

Vaccination Illness Hospital Patient-Centered 52

FDA Law Blog

AUGUST 7, 2023

Participation is encouraged from: Companies Academia Clinical facilities Medical device incubators and accelerators Health insurers Health technology assessment groups Others, including previous participants in the ELP or the FDA’s other site visit programs. One noticeable difference from years past is the option for virtual site visits.

Patient-Centered 40

Patient-Centered Insurance Manufacturing Provider 40

ABIM

APRIL 24, 2025

In 2024, 82% of ABIM Board Certified rheumatologists due for an assessment opted for the LKA over the traditional, 10-year MOC exam. Dr. Dave added that many rheumatologists need better access to resources on contract negotiations, insurance updates and healthcare disparities.

Board-Certified 40

Board-Certified Board-Certified Physicians Community Government 40

FDA Law Blog

JUNE 27, 2024

50,372 , 50,377 (June 13, 2024). Alternating Between Cash and Insurance According to the government’s expert, patients paying for prescriptions with insurance and for others with cash is a red flag for those paid with cash. paid cash for oxycodone at Coconut Grove while using insurance for alprazolam at a different pharmacy.

Insurance 52

Insurance Patients Utilities Chronic Condition 52

FDA Law Blog

MAY 31, 2021

CMS views accumulator programs as a way for PBMs and insurers to siphon off the benefit of manufacturer assistance so that it does not reach the patients for whom it is intended. The original effective date of April 1, 2017 has already been delayed twice and is now proposed to be extended an additional two years until April 1, 2024.

Manufacturing 52

Manufacturing Insurance Patients IT 52

Today's Hospitalist

JUNE 7, 2025

Guidance released in October 2024 from multiple societies recommended an individualized approach to the decision of holding GLP-1s and using shared decision-making to assess a patient’s procedural risk. . A lot of plans require a prior approval for each dose, and insurance plans are making access really difficult.”

Hospital 66

Hospital Management Diabetes Patients 66

FDA Law Blog

MARCH 29, 2023

launch would be in early 2024. Prescription naloxone has generally been covered by private health insurance, Medicaid, and Medicare Part D meaning that it has been available to many people for free or at a low price through their insurers. How “accessible” will OTC naloxone really be?

Insurance 105

Insurance Manufacturing Individual Physicals 105

The Physicians Foundation

SEPTEMBER 17, 2024

Urgent Need for Solutions to Improve State of Current and Future Physician Wellbeing BOSTON, September 17, 2024 – The Physicians Foundation issued data today showing that the state of wellbeing remains critically low for physicians, with healthcare consolidation exacerbating the issue. In 2024, the survey was conducted online among U.S.

Healthcare 40

Healthcare Medical Student Mental Health Patient-Centered 40

ABIM

JUNE 4, 2025

In 2024, 77% of eligible ABIM Board Certified endocrinologists who chose an assessment opted for the LKA over the traditional, 10-year MOC exam. Special Consideration IMG Pilot Pathway* In August 2024 , the ABIM Council proposed a pilot model for exceptionally qualified IMGs pursuing accredited subspecialty fellowship in the U.S.

Diabetes 52

Diabetes Board-Certified Telehealth Government 52

Medical Xpress

MARCH 17, 2023

President Joe Biden's 2024 proposed budget includes plans to shore up the finances of Medicare, the federal health insurance program that covers Americans who are 65 and up and some younger people with disabilities.

Finance 92

Finance Insurance IT Medical 92

ABIM

JUNE 24, 2025

In 2024, 78% of hematologists who were due for an assessment and chose to enroll in one chose the LKA over the traditional, 10-year MOC exam, which is on par with the average across specialties.

Board-Certified 40

Board-Certified Board-Certified Physicians Government Community 40

GeriPal

JANUARY 18, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. We could look at cancer registry linked with… Like, I see here Medicare type big data sets, but then you have to rely on insurance claims and that’s going to underestimate SUD when most people aren’t getting treatment and it’s a tough nut to crack.

Illness 137

Illness Patient-Centered Screening Clinic 137

GeriPal

JUNE 5, 2025

JAGS 2024 Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study. And that came down a lot of times to asking the provider whether they felt they met criteria and then also looking to see if they had the financial, like the proper insurance or things like that.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

New South Family Medicine and MedSpa

NOVEMBER 24, 2022

The practice doesn't depend on the insurance company to say whether they will pay for a certain procedure or a particular test, and how much. With the direct primary care model, your insurance is used for what it is intended to cover: catastrophic health events, hospitalizations, specialist care, imaging, and surgery.

DO 40

DO Family Medicine Family Families 40

GeriPal

APRIL 18, 2024

And I wonder, now, was this 2024 version sort of a redo? maybe eight or 10 months ago, “Please write a prior authorization to the insurance company. The thing just wrote this beautiful, absolutely beautiful, well-constructed prior authorization request to the insurance company. And the first one was with Zeke Emanuel.

IT 140

IT Electronics Patients Healthcare 140

Maine Academy of Family Physicians

JUNE 21, 2024

Pat Connolly reported on the 2024 Maine Legislative Session: It was a short but busy session in Augusta this year. The AAFP advocates to reform prior authorization and remains focused on enabling physicians and patients to have access to clear guidelines for prior authorization requirements and timely responses from insurance plans.

Family Physician 40

Family Physician DO Family Medicine Primary Care 40

Medical Xpress

JUNE 7, 2025

Many people still face stigma or lack insurance coverage, which can limit access. Most current PrEP users have commercial insurance, but Medicaid will be key for expanding access to lower-income communities. Black Americans represent 39% of new HIV cases but only 14% of current PrEP users.

Vaccination 64

Vaccination Insurance Medical Diabetes 64

GeriPal

AUGUST 1, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. But if your patient is not able to do those things, I wouldn’t say don’t have insurer. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

IT 118

IT Diabetes Chronic Disease Patient-Centered 118

GeriPal

DECEMBER 21, 2023

You come over to the clinic, you go to the hospital, you provide service, and the insurance and you negotiate how much you’re going to get paid. That never happens in CMS and other health insurance. So if you are established program, the starting point is July 30th, 2024. This is Eric Widera. Alex: This is Alex Smith.

Patient-Centered 126

Patient-Centered IT Family Families 126

GeriPal

AUGUST 22, 2024

Insurance companies. Eric 11:54 And also lots of other things we don’t even think about too revolve around this life insurance and whether or not how much you can sue your doctor or healthcare providers for depends if the patient’s still alive or if they’re dead. Healthcare provide. Healthcare companies.

IT 115

IT Family Families Patient-Centered 115

Physician's Weekly

JUNE 12, 2025

In a 2024 report covering the years 2022, 2023, and 2024, Medicaid’s parent agency — the Centers for Medicare & Medicaid Services — said the rate was about 5.1%. In a 2024 review of payments made in 2022, 2023, and 2024, the agency found that 5.09% of Medicaid payments totaling $31.10 billion were improper.

Government 52

Government Provider Insurance IT 52

FDA Law Blog

SEPTEMBER 14, 2021

PART 1: MAXIMUM FAIR PRICE PAYMENT LIMITATION UNDER MEDICARE PARTS B AND D AND THE COMMERCIAL INSURANCE MARKET. Under all of these programs, patient co-insurance would be calculated based on the MFP so that patients receive the benefit of that price. The four parts of Subtitle E are summarized in turn below. 8126 with a lower MFP.

Manufacturing 52

Manufacturing Insurance Government Patients 52

GeriPal

SEPTEMBER 14, 2023

And in the omnibus bill that was last passed, the waiver was extended through the end of 2024. And CMS is now obligated to report to congress in September of 2024, about a year from now, on their experience with the waiver. What is it about my insurance, that does not cover me staying in this hospital?”

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

Physician's Weekly

JUNE 17, 2025

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. Health insurers issue millions of denials every year. “They’re, like, not accountable to anyone.” Senate report.

Insurance 52

Insurance Patients Behavioral Health Services Diagnose 52

Physician's Weekly

JUNE 12, 2025

States that run their own Obamacare marketplaces and the National Association of Insurance Commissioners have also raised concerns about added costs and reduced access. More than 90% of ACA enrollees receive tax credits to defray monthly premiums for their coverage. There are two key provisions for them to watch. Having a Baby?

Insurance 52

Insurance Family Families Government 52