Many health insurance plans still won’t cover Wegovy despite new approval

Health insurance - RX Meds Denied

Even though the drug has received approval for heart wellness use, not just weight loss, it’s frequently not covered. In the United States, Wegovy was previously only approved for use as a weight loss drug and was commonly not covered by health insurance plans.  Now, the headline-making drug has also been approved in the country for heart health, but this isn’t expected to broaden availability for its coverage. The Novo Nordisk drug is taken by injection on a weekly basis As a prescription weight loss drug – one of only…

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Biden-Harris administration calls for reduced commercial insurance drug costs

Commercial Insurance - Prescription Drug Costs

This would mean changes to the way the Inflation Reduction Act affects prescription medications. The Inflation Reduction Act prescription drug law developed by the Biden administration went into effect August 16, 2022, and now the president is seeking to use it to scale back prices for commercial insurance as well. The law provides relief for people with Medicare The Inflation Reduction Act lowers prescription drug costs for people with Medicare, while solidifying this program for its users moving ahead. The portion of the law reducing the cost of prescription drugs…

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US government encourages insurance companies to advance pay health care providers

Insurance companies - American flag - person offering payment

After a massive cyberattack, the government hopes insurers will make advance payments. The US government has called for insurance companies to choose to voluntarily send advance payments to health care providers who were affected by a massive cyberattack. The attack caused a disruption to the processing systems with insurers. According to the US government, the cyberattack had a “significant impact” and it is hoping that insurance companies will choose to send advance payments to health care providers in light of what happened.  The attack impacted Change Healthcare, a UnitedHealth Group…

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PGA seeks health insurance plan funding for producers

Health insurance Funds - Director clip board and movie stuff

The Producers Guild of America is making the request to the industry. The Producers Guild of America (PGA) reached out to the industry earlier this month to request funding for health insurance coverage for the working producers in Hollywood. The PGA used its annual awards ceremony as its platform to reach the industry The PGA was speaking to streamers, studios, and other content companies at a large scale for their assistance in providing funding for health insurance for “qualified producers” through the line items of production budgets for movies and…

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Could Substantial Incentives Trigger a Nationwide Expansion of Medicaid?

medicaid us affordable care act

In the decade since the Affordable Care Act’s (ACA) inception, a critical coverage gap remains in the health insurance landscape. This gap prevails in the 10 states withholding the ACA Medicaid expansion, affecting 1.5 million uninsured individuals. In this detailed analysis, we investigate who is affected, the potential for expanded coverage, and examine new economic incentives that may prompt a shift towards the adoption of Medicaid expansion in remaining states. Understanding the Health Insurance Coverage Gap The ‘Coverage Gap’ is a situation in some states where adults can’t get Medicaid…

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