Patient advocates and pharmaceutical companies are backing legislation that would give physicians an easier time prescribing medication and bypassing “step-therapy” protocols, which health insurers use to limit the dispensation and purchase of high-cost drugs.
Inside the Industry
Psychologists find themselves at odds with insurance companies over reimbursement, and, for the first time, the Oregon Psychological Association is taking a pro-active stance.
“It’s getting more and more difficult to get reimbursed when people have serious mental health issues,” Shana Koslofsky, PhD, president of the Oregon Psychological Association, told The Lund Report.
Laboratory Corporation of America has announced plans to purchase Pathology Associates Medical Laboratories, a story that was first reported in The Lund Report. PAML broke the news to its employees this afternoon.
Pharmacists appear poised to add significant teeth to the state law regulating pharmacy benefit managers, persuading the Legislature to make the first changes to the law since it was enacted in 2013.
A leading health insurance executive is stepping down. Andrew McCulloch, president of Kaiser Foundation Hospitals and Health Plan of the Northwest, plans to retire in July, informing his employees last Friday and, at the same time, posting an announcement on Linked In.
Quest Diagnostics announced today that it will purchase PeaceHealth’s outreach laboratory, a story that was first reported in The Lund Report last week.
Independent medical clinics face a more difficult time keeping oncologists on board because of declining drug revenue and the higher salaries earned by oncologists.
The confirmation of Tom Price, the orthopedic surgeon-turned-Georgia congressman, as secretary of Health and Human Services represents the latest victory in the ascendancy of a little-known but powerful group of conservative physicians in Congress he belongs to — the GOP Doctors Caucus.
Insurers, physicians, and consumer advocates all agree: surprise bills are a big problem.
Consumers are making numerous complaints about attempting to utilize their health plans’ networks, only to find some providers and services at Oregon hospitals are not actually in their network.
Premiums for Obamacare plans sold by New Mexico Health Connections could rise as little as 7 percent next year, says Martin Hickey, the insurance company’s CEO. Or they might soar as much as 40 percent, he said.