Fighting a Health Insurance Denial? Here Are 7 Tips To Help
Many people don鈥檛 know they can fight a health insurance denial, let alone how to do it. Here are practical tips for consumers who want to appeal a prior authorization decision.
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Many people don鈥檛 know they can fight a health insurance denial, let alone how to do it. Here are practical tips for consumers who want to appeal a prior authorization decision.
Conventional wisdom says GLP-1 drugs must be taken indefinitely to maintain weight loss. But a growing number of researchers, payers, and providers are challenging that consensus and exploring whether 鈥� and how 鈥� to taper patients off expensive GLP-1 drugs.
About 90,000 people spent months in limbo as central Missouri鈥檚 major, and often only, provider fought over insurance contracts. Patients getting caught in the crossfire of disputes has become a familiar complication, as about 8% of hospitals have left an insurer network since 2021. Trump administration policies could accelerate the trend.
The cost of health insurance is rising faster than the price of eggs or gasoline.
As states prepare to implement changes to Medicaid required by President Donald Trump鈥檚 recent tax-and-spending law, tribal leaders say they are concerned Native American enrollees could lose their coverage, despite exemptions made by Congress.
This summer marks the 60th anniversary of Medicare and Medicaid, the twin government programs that have shaped the health care system into what it is today. In this special episode, 吃瓜不打烊鈥� Julie Rovner interviews two experts on the history, significance, and future of these programs: Medicare historian and University of North Carolina professor Jonathan Oberlander and George Washington University professor emerita Sara Rosenbaum, who has studied Medicaid since nearly its beginning and has helped shape Medicaid policy over the past four decades.
A joint project of NPR and 吃瓜不打烊, Healthcare Helpline helps you navigate the health system hurdles between you and good care. Send us your tricky questions, and we may tap a policy sleuth to puzzle them out. Here is what to do if your preventive care gets denied.
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Insurers will take drug costs, frequency of use, and other factors into account as they set premium amounts for the 2026 plan year.
The state is using an old source of funding to pay for a new money crunch: assisting out-of-state patients with the costs associated with abortion.
In rural Colorado and across rural America, Medicaid is a lifeline, especially for people who wouldn鈥檛 otherwise have easy access to health care. That includes low-income seniors who need supplemental coverage in addition to Medicare, and people of all ages with disabilities.
A couple in New York thought they bought insurance. Instead, they got fake 鈥渏obs.鈥�
Consumers contemplating an early retirement or starting a business should calculate how Trump administration and congressional policy changes could increase their health insurance costs 鈥� and plan accordingly.
Young adults without jobs that provide insurance find their options are limited and expensive. The problem is about to get worse.
It鈥檚 a difficult rite of passage for young adults without job-based insurance. Here are some tips for getting started.
Get our weekly newsletter, The Week in Brief, featuring a roundup of our original coverage, Fridays at 2 p.m. ET.
GOP lawmakers in 10 states have refused for a decade to expand Medicaid under the Affordable Care Act. But when President Donald Trump got another whack at Obamacare, these holdout states went unrewarded.
More than a dozen states are seeking their own versions of Medicaid work requirements. But the incoming federal standards pose questions around how much leeway states have to design their rules.
Should you get vaccinated? Will your insurer pay for it? And will you still be able to find a vaccine? 吃瓜不打烊 tries to sort out where things stand.
Robert F. Kennedy Jr., the secretary of Health and Human Services, is eyeing an overhaul of two more key entities as part of his ongoing effort to reshape health policy. And President Donald Trump signed an executive order last week that would enable localities to force some homeless people into residential treatment. Anna Edney of Bloomberg News, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Shefali Luthra of The 19th join 吃瓜不打烊鈥� Julie Rovner to discuss these stories and more. Also, Rovner interviews Sara Rosenbaum, one of the nation鈥檚 leading experts on Medicaid, to mark Medicaid鈥檚 60th anniversary this week.
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