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“More than two out of five working-age adults report being charged for a health service that they thought was free or covered by insurance and fewer than half challenged those bills by contacting their provider or insurer.
It’s important for patients to know they can fight back and have a good shot at winning.
The Commonwealth Fund, a nonpartisan nonprofit based in New York City, conducted the survey that led to this recent study on health insurance denials.”
“If you’re steamed to discover your favorite doctor is no longer in your Medicare Advantage plan’s network, now is the time to make a change.
Medicare Advantage enrollees can switch plans or transfer to original Medicare during the open enrollment period ending March 31. You cannot, however, jump from a traditional Medicare plan to a Medicare Advantage one. You’ll have to wait for the fall enrollment period for that move.”
“Through prior authorization, insurance companies create barriers to treatment—and even the sickest patients aren’t spared from this ordeal.
“Of all the patients and all the conditions that we care for, cancer patients are probably some of the ones for whom the delays and the denials and the claim of ‘that’s experimental’ has probably the greatest impact,” AMA President Bruce A. Scott, MD, said while moderating a panel discussion on prior authorization at the 2025 AMA State Advocacy Summit held last month in Carlsbad, California.”
“KFF Health News Southern correspondent Sam Whitehead discussed vaccine exemptions on WAMU’s “Health Hub” on Jan. 22. Whitehead also discussed major Georgia health stories of 2025 on WUGA’s “The Georgia Health Report” on Jan. 17.”
“For decades, the United States has held considerable power in determining the direction of global health policies and programs. President Donald Trump issued three executive orders on his first day in office that may signal the end of that era, health policy experts said.”
