Patient Care Costs in Clinical Trials – A Problem

Clinical trials are the lifeblood of new drug and treatment development. Trials allow us to learn what developing drugs and treatment are both safe and effective. Many drug developers complain about their inability to attract enough volunteers to reach a sample size that will allow them to draw statistically valid conclusions. Everyday there are trials [...]

The True Story Behind “Normal and Customary Rates” for Insurance Reimbursement

Andrew Cuomo, the Attorney General in New York State, just completed an agreement with a major medical insurer, which will create a fairer method to set reimbursement rates for medical treatment that has been obtained out of network. UnitedHealth Group, which is the nation’s second largest health insurer, has agreed to modify their system of [...]

Bush Admnistration’s Rule Contracts Medicaid

The Bush administration has begun the traditional post election changes of regulations and executive orders that often accompany a change in administrations. On Friday, the president narrowed the scope of services for poor people who rely on Medicaid's outpatient benefits. The administration claimed the purpose of the order was to clarified the definition of outpatient [...]

A Blow to the Bush White House Proposal to Allow Medicare to Pay for Only the Least Costly Treatment

A federal court blocked a recent move of the Bush administration to allow Medicare to only pay for the least expensive treatment available without regard to the medical issues. The administration saw instituting this limitation as a way to cut costs to the financially strapped Medicare Program. The court decided that congress sets the Medicare [...]

The Health Insurance Assistance Service (HIAS).

The American Cancer Society has undertaken a unique effort to help cancer patients who have lost or are in danger of losing their health care coverage – the Health Insurance Assistance Service (HIAS). Along with the Georgetown University Health Policy Institute, The Society is sponsoring a free resource that connects cancer patients with health insurance [...]

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