News
from the fight to #SaveIndiePharmacy
New York Times’ The Middlemen series
New AI tool counters health insurance denials decided by automated algorithms
Insurance coverage denials have risen in recent years in the US, driven in part by automated algorithms powered by AI – and some recently launched artificial intelligence tools may fight back by generating automatic appeals.
1 in 2 Americans affected by UnitedHealth cyberattack, new disclosure shows
Updated tally at Change Healthcare, owned by the Eden Prairie-based health care giant, nearly doubles the number of people affected by the massive data breach.
NCPA Joins Class Action Suit Against GoodRx; CVS Caremark Corp.; Express Scripts, Inc.; MedImpact Healthcare Systems, Inc.; and Navitus Health Solutions, LLC
Says the discount card company is colluding with the named PBMs to fix reimbursements
Key Facts on Health Coverage of Immigrants
As of 2023, half (50%) of likely undocumented immigrant adults and one in five (18%) lawfully present immigrant adults reported being uninsured compared to less than one in ten naturalized citizen (6%) and U.S.-born citizen (8%) adults.
Assistant Attorney General Jonathan Kanter Delivers Remarks on the Platformization of Health care
“In 2010, the big insurers promoted the narrative that single payer was a threat to Americans. Nearly 15 years later, we may well be accelerating the march to single payer, just not the kind anyone imagined in 2010, or wants today.
The moment for this discussion is now and the timing is urgent.” —AAG Jonathan Kanter
‘Not medically necessary’: Inside the company helping America’s biggest health insurers deny coverage for care
Every day, patients across America crack open envelopes with bad news. Yet another health insurer has decided not to pay for a treatment that their doctor has recommended. Sometimes it’s a no for an MRI for a high school wrestler with a strained back. Sometimes for a cancer procedure that will help a grandmother with a throat tumor. Sometimes for a heart scan for a truck driver feeling short of breath.
Drugmakers including Purdue Pharma paid pharmacy benefit managers not to restrict painkiller prescriptions, a New York Times investigation found.