With one estimate predicting women will account for close to half of the disease costs in the U.S. by 2040 – a $66 billion price tag – it's a high-priority topic for the Biden administration and HHS, which will soon release guidelines.
The former South Carolina governor, who's now vying to be president, has become well known as one of the ACA's loudest critics, and is making her views known on abortion, vaccine mandates and other health care topics.
Prior authorization was conceived to rein in health care costs by eliminating duplicative treatment, however, critics worry it has now become a way for insurance companies to save money, often at the expense of patients' lives.
CMS has proposed speeding up the response times for authorization, but some desperate patients have turned to publicly shaming insurance companies on social media to get tests, drugs, and treatments approved.
Because of burnout in the health care industry, there will be limited access to basic care: The U.S. will be short 48,000 primary care doctors by 2034, says the Association of American Medical Colleges.
Starting in 2026, a proposed CMS rule would require plans to respond to a standard request within seven days, typically, instead of the current 14, and within 72 hours for urgent requests.
Nationally, only about 1 in 10 workers have access to employer programs that cover some or all of the costs for child care services — either on the job site or off. The health sector seems to be doing more: About one-third of U.S. hospitals offer child care benefits.
DebugScreen: mobile
{
"author": {
"name": "Lauren Sausser",
"webUrl": "/author/profile/lauren-sausser/",
"description": "",
"imageLarge": "https://secure.gravatar.com/avatar/f16d6fc2845f417ea0e93a3f2b6cd37d?s=136&d=mm&r=g",
"estimate": 7,
"social": [],
"articles": [
{
"uri": "/2024/04/02/more-women-are-drinking-themselves-sick-the-biden-administration-is-concerned/",
"title": "Alarming trend: Alcohol-related liver disease among women",
"byline": "Lauren Sausser",
"kicker": "News",
"prettyDate": "April 02, 2024",
"timeToRead": "6 minute",
"image": {
"uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2018/10/Alcoholic.jpg",
"width": "616",
"height": "372"
},
"authors": [
{
"webUrl": "/author/profile/lauren-sausser/",
"name": "Lauren Sausser"
}
],
"kickerNode": [
{
"uri": "/news/",
"sectionName": "News"
}
],
"summary": "With one estimate predicting women will account for close to half of the disease costs in the U.S. by 2040 – a $66 billion price tag – it's a high-priority topic for the Biden administration and HHS, which will soon release guidelines.",
"body": null
},
{
"uri": "/2024/01/12/nikki-haley-on-health-care-what-would-her-presidency-look-like/",
"title": "Nikki Haley on health care: What would her presidency look like?",
"byline": "Lauren Sausser",
"kicker": "News",
"prettyDate": "January 12, 2024",
"timeToRead": "10 minute",
"image": {
"uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2024/01/Nikki-Haley-Article-202401121130.jpg",
"width": "620",
"height": "372"
},
"authors": [
{
"webUrl": "/author/profile/lauren-sausser/",
"name": "Lauren Sausser"
}
],
"kickerNode": [
{
"uri": "/news/",
"sectionName": "News"
}
],
"summary": "The former South Carolina governor, who's now vying to be president, has become well known as one of the ACA's loudest critics, and is making her views known on abortion, vaccine mandates and other health care topics.",
"body": null
},
{
"uri": "/2024/01/05/woman-petitions-health-insurer-after-company-approves-then-rejects-her-infusions/",
"title": "Blue Cross Blue Shield put patient through 'prior authorization hell' over infusions",
"byline": "Lauren Sausser",
"kicker": "News",
"prettyDate": "January 05, 2024",
"timeToRead": "5 minute",
"image": {
"uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2023/10/AdobeStock_450329126_Editorial_Use_Only.jpg",
"width": "620",
"height": "372"
},
"authors": [
{
"webUrl": "/author/profile/lauren-sausser/",
"name": "Lauren Sausser"
}
],
"kickerNode": [
{
"uri": "/news/",
"sectionName": "News"
}
],
"summary": "Prior authorization was conceived to rein in health care costs by eliminating duplicative treatment, however, critics worry it has now become a way for insurance companies to save money, often at the expense of patients' lives.",
"body": null
},
{
"uri": "/2023/09/06/doctors-and-patients-try-to-shame-insurers-online-to-reverse-prior-authorization-denials/",
"title": "Prior authorization denials: What happens when patients don't take no for an answer",
"byline": "Lauren Sausser",
"kicker": "Update",
"prettyDate": "September 06, 2023",
"timeToRead": "7 minute",
"image": {
"uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2020/06/health-insurance-cost-Article-202006031618.jpg",
"width": "621",
"height": "372"
},
"authors": [
{
"webUrl": "/author/profile/lauren-sausser/",
"name": "Lauren Sausser"
}
],
"kickerNode": [
{
"uri": "/update/",
"sectionName": "Update"
}
],
"summary": "CMS has proposed speeding up the response times for authorization, but some desperate patients have turned to publicly shaming insurance companies on social media to get tests, drugs, and treatments approved.",
"body": null
},
{
"uri": "/2023/06/14/burnout-threatens-primary-care-workforce-and-doctors-mental-health/",
"title": "Burnout in the health care industry: Primary care doctors at higher risk",
"byline": "Lauren Sausser",
"kicker": "Research",
"prettyDate": "June 14, 2023",
"timeToRead": "8 minute",
"image": {
"uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2018/08/doctor-7-getty-crop-600x338.jpg",
"width": "600",
"height": "338"
},
"authors": [
{
"webUrl": "/author/profile/lauren-sausser/",
"name": "Lauren Sausser"
}
],
"kickerNode": [
{
"uri": "/research/",
"sectionName": "Research"
}
],
"summary": "Because of burnout in the health care industry, there will be limited access to basic care: The U.S. will be short 48,000 primary care doctors by 2034, says the Association of American Medical Colleges.",
"body": null
},
{
"uri": "/2023/03/13/cms-proposes-prior-authorization-rule-changes-for-health-plans/",
"title": "CMS proposes prior authorization rule changes for health plans",
"byline": "Lauren Sausser",
"kicker": "News",
"prettyDate": "March 13, 2023",
"timeToRead": "8 minute",
"image": {
"uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2022/05/Filling-Medical-Form-Article-202205171053.jpg",
"width": "558",
"height": "372"
},
"authors": [
{
"webUrl": "/author/profile/lauren-sausser/",
"name": "Lauren Sausser"
}
],
"kickerNode": [
{
"uri": "/news/",
"sectionName": "News"
}
],
"summary": "Starting in 2026, a proposed CMS rule would require plans to respond to a standard request within seven days, typically, instead of the current 14, and within 72 hours for urgent requests.",
"body": null
},
{
"uri": "/2022/08/02/hospitals-open-child-care-centers-in-order-to-retain-nurses-and-staff/",
"title": "Hospitals open child care centers in order to retain nurses and staff",
"byline": "Lauren Sausser",
"kicker": "",
"prettyDate": "August 02, 2022",
"timeToRead": "8 minute",
"image": {
"uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2022/06/medicare-doctor-child-mother-health-care.jpg",
"width": "620",
"height": "413"
},
"authors": [
{
"webUrl": "/author/profile/lauren-sausser/",
"name": "Lauren Sausser"
}
],
"kickerNode": [],
"summary": "Nationally, only about 1 in 10 workers have access to employer programs that cover some or all of the costs for child care services — either on the job site or off. The health sector seems to be doing more: About one-third of U.S. hospitals offer child care benefits.",
"body": null
}
]
}
}
