article thumbnail

US healthcare is headed for disaster

Sensible Medicine

Second, Medicare has agreed to pay for GRAIL cancer screening as part of coverage with evidence development and third, many doctors protested Cigna’s denial of coverage for a double lung transplant for stage IV lung cancer, leading the insurer to agree to cover it. We have no evidence that GRAIL testing will lower all cancer mortality.

Insurance 363
article thumbnail

Are you protecting your career? 5 essential questions about your NP liability insurance

KevinMD.com

Initial testing and symptoms suggested a concussion, leading to discharge. 5 essential questions about your NP liability insurance originally appeared in KevinMD.com. A nurse practitioner (NP) in urgent care saw a patient with a severe headache following a fall. The patient succumbed to Read more Are you protecting your career?

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Do I Really Need That? Patients Wary of Conflicts of Interest in Healthcare

Scrubs

Providers are typically paid for each test and procedure they perform, which can lead to a conflict of interest, especially when patients have to foot the bill. New studies reveal just how widespread medically unnecessary care can be, forcing patients to pay for procedures and tests they may not need. The findings were astonishing.

Tests 230
article thumbnail

Optum: Testing Time for an Invisible Empire

The Healthcare Blog

Then someone discovered that the largest living thing in the world was actually the 106 acre, 47 thousand tree Pando aspen grove in central Utah, which genetic testing revealed to be a single organism. billion (or 60% of its total revenues) represent clinical and business services provided to United’s Health Insurance business.

Tests 132
article thumbnail

Use of Preventive Health Services Declined Among Commercially Insured People – With Big Differences in Telehealth for Non-White People, Castlight Finds

Health Populi

Declines in preventive care services like cancer screenings and blood glucose testing concern employers, whose continued to cover health insurance for employees during the pandemic. fewer commercially insured employees were tested for HbA1C (hemoglobin blood glucose test), and wellness exams dropped by nearly 11%.

Insurance 125
article thumbnail

This Entrepreneur Is Helping Cancer Patients Find Accurate Treatment By Analyzing Images With AI

Forbes Healthcare

Patients can now access the test with their physicians at 20 hospitals around the nation and get reimbursed by their insurance companies. Joshi says Valar could be "the next billion-dollar company in cancer," and he's working on developing similar tests for more cancer types, including pancreatic, ovarian and lymphoma.

Tests 205
article thumbnail

Unproven healthcare will bankrupt America

Sensible Medicine

I am not aware of any drug being tested in the frontline of myeloma that is not already on the US market for relapsed disease. In fact, the FDA’s accelerated approval won’t grant access to new drugs, but rather, I fear, is a grand strategy to force insurers and Medicare to pay for these uncertain drugs.