The lawsuit alleges Cigna’s “procedure-to-diagnosis,” or PxDx software, reviewed and denied customer claims in batches without a medical professional reviewing those decisions.
The Consumer Financial Protection Bureau is developing rules to bar unpaid medical bills from affecting patients’ credit scores, however, industry leaders are questioning why medical providers are being singled out in their billing.
Thousands of patients with autoimmune diseases rely on Humira, at a list price of $6,600 a month, and could benefit from low-cost biosimilars that could save the health care system $9 billion a year, but will PBMs follow suit?
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