Foot Locker, Teamsters Show Their Drug-Benefit Managers the Door

Foot Locker, Teamsters Show Their Drug-Benefit Managers the Door https://www.wsj.com/health/healthcare/foot-locker-teamsters-drop-pharmacy-benefit-managers-7251c81a Employers and unions say the PBMs are favoring costlier drugs over less expensive options and aren’t open about their rebates Employers and unions are getting fed up with the firms they have used for years to help control their spending on prescription drugs—because their costs […]

UnitedHealth sued over alleged use of AI to deny elderly patients care

UnitedHealth sued over alleged use of AI to deny elderly patients care https://www.msn.com/en-us/money/companies/unitedhealth-sued-over-alleged-use-of-ai-to-deny-elderly-patients-care/ar-AA1kfHQ0 The families of two now-deceased former beneficiaries of UnitedHealth have filed a lawsuit against the health care giant, alleging it knowingly used a faulty artificial intelligence algorithm to deny elderly patients coverage for extended care deemed necessary by their doctors.  The lawsuit, […]

Will complex/high acuity pts be the first KICKED TO THE CURB?

Will complex/high acuity pts be the first KICKED TO THE CURB? Apparently, according to Medicare reimbursement to physicians, all pts – regardless of the complexity of their health issues – deserve the same amount of physician’s time. Unless the physician is an employee of a large hospital system and the system gets paid more for […]