Bram Sable-Smith

States Get in on the Prior Authorization Crackdown

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Last month, my colleague Lauren Sausser told you about the Biden administration鈥檚 crackdown on insurance plans鈥 prior authorization policies, with new rules for certain health plans participating in federal programs such as Medicare Advantage or the Affordable Care Act marketplace. States are getting in on the action, too. Prior authorization, sometimes called pre-certification, requires patients […]

Ohio Votes on Abortion Rights Today. Eleven States May Follow in 2024.

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Voters in Ohio are deciding whether to add abortion rights protections to the state鈥檚 constitution today.  The vote comes on the heels of last year鈥檚 string of ballot measure wins for abortion rights in six states: California, Kansas, Kentucky, Michigan, Montana and Vermont. But this is just the start. Next year, 11 more states could see abortion-related […]

Funyuns and Flu Shots? Gas Station Company Ventures Into Urgent Care

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A Tulsa-based gas station chain is using its knowledge of how to serve customers and locate shops in easy-to-find spots to enter the urgent care industry, which has doubled in size over the past decade. Experts question how the explosion of convenient clinics will affect care costs and wait times.

A Medical Cost-Sharing Plan Left Pastor With Most Of The Cost

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Jeff and Kareen King joined a medical cost-sharing plan advertised as a “refreshing non-insurance approach” to paying for health care. It had a big proviso: Preexisting conditions like Jeff’s heart condition were not fully covered for the first two years. He needed heart surgery after just 16 months.