Should R&D cost figure in to CMS’s maximum fair price (MFP)?
According to a paper by Garrison and Towse (2023) in Health Affairs Forefront the answer...
health insurance
How Can Blood Work Be No Longer Considered Preventative?
Every year I get a basic check up, and as part of that, I get blood work. Nothing special or...
Bill increased after applying insurance
I had what amounted to a 5 min Zoom call with a doctor at One Medical. The initial bill was...
Help! I may have made a mistake:/
I have no idea what I’m doing - I haven’t had insurance for years. I’m (F 39 Florida) staring down...
What can I do if my insurance doesn’t cover any doctors in my area?
I lost my job last year and now work as a freelancer and have insurance from the Health Insurance Marketplace....
Gap Exception- Plan Allowances/Balance Billing Questions. Not allowed to speak to Insurance
Facts: Background: I received a Network or Gap Exception to see an out-of-network Neurologist. Numbers: Plan Allowance for an Office...
A Windfall in Health Insurance Rebates? It’s Not as Crazy as It Sounds
Julie Appleby, KFF Health News “Americans will get $1.1 B in rebates from health insurance companies this year cuz of...
More nonsense
So I called the State Medicaid and Marketplace. My Medicaid hearing is 1.5 hours away in August. They say my...
CMS and outcomes-based pricing for cell and gene therapy
New cell and gene therapies offer the promise of revolutionizing care for patients with genetic...
Pregnant wife – Aetna PPO 300 or EPO 0 in Central Florida
I'm new to the US and about to enroll my pregnant wife (5 weeks) and I in either Aetna's PPO...
