How does changing capitation share impact service provision in mixed reimbursement environments?
There has been much research showing that fee-for-service (FFS) leads to increased provision of medical services and capitation leads to...
health insurance
(WA-State AppleHealth/Medicaid) Molina vs. UnitedHealthcare
I apparently have until midnight tonight to pick one of these plans or it will be automatically picked for me....
How can Optima & BCBS wrongfully deny prior auths?
I have worked in multiple medical practices; I have noticed Optima and BCBS wrongfully deny medication prior authorizations the most....
Pacific NW trying to find an inpatient drug rehab that takes medicare
So I am a case Manager for high acuity clients. In short this means they have complex and multiple barriers....
HRA Administrators: What to look for (and what to avoid)
HRA administrators help employers offer employees tax-advantaged health reimbursement arrangements. While they've been around for a while, HRAs have recently...
CVS booster record vs insurance
So, I made an appointment at CVS to get a COVID booster. The wait time ended up being 50 minutes...
Help a foreign newcomer!
I'm foreign and I don't understand anything! I am in AZ Ok I've been in the US for 5 years,...
First time shopping for health insurance, need advice (please read the post)
Hi, I just turned 21 some time ago, and recently my mom and I Medi-cal coverage was cut because my...
Chinese Mother-in-law went to the ER in the US – How do I deal with the Incoming Medical Bills?
I posted this in another subreddit with no luck. Need recommendations as we have medical bills due from my mother-in-law's...
How can I get affordable Insurance ~168% FPL
Hello! I am 22 F and recently a graduate from college so I lost my school coverage. Since I was...
