May 29, 2019, 14:09 PM
Pa. Bill Aims to Protect Patients by Restricting ‘Non-Medical Switching’ Insurance Practices
The bill seeks to stop insurers from making coverage changes during the policy year that deny or increase the cost of services the patient is already receiving.
May 3, 2019, 10:35 AM
PA Coalition for Patient Access Aims to Find Solutions to Out-of-Network Billing Issues
Protecting patients from out-of-network health care billings must start with fixing narrow health insurance provider networks and a lack of insurance product transparency.
Mar 27, 2019, 13:16 PM
Bills on the Hill: Scope of Practice, Telemedicine among Issues Addressed in New Health Care Legislation
Get updates on bills concerning any willing providers, tiered providers, CRNPs, POLST, CRNAs, assault against a health care practitioner, and optometrists.
Mar 20, 2019, 08:45 AM
Bills on the Hill: New Health Care Legislation on Credentialing, Non-Compete Clauses, and More
With the start of a new legislative session, numerous bills have been filed that may affect physicians across Pennsylvania.
Mar 14, 2019, 08:52 AM
Pa. Lawmakers Explore Ways to Make PBM Pricing More Transparent
The state's auditor general spoke to the House Health Committee about reports he issued on pharmacy benefit managers (PBMs) and their role in Pennsylvania.
Sep 11, 2018, 12:00 PM
Proposed CVS-Aetna Merger Could Jeopardize Patient Safety, Quality of Care in Pennsylvania
PAMED called for a public hearing to explore the possible implications of CVS-Aetna merger.
May 23, 2018, 15:54 PM
PAMED Member in D.C. to Urge More Efficient Approach to Prior Authorization
Prior authorization reform was a point of emphasis for PAMED Past President James Goodyear, MD, FACS, when he spoke before the National Committee on Vital Health Statistics in Washington, D.C. on May 17, 2018.
May 9, 2018, 12:27 PM
Contractors Can Add To Prior Auth Inefficiency, Say Patients
Patient story shows just how inefficient the prior auth process has become now that many insurers pay third-party companies to review and either approve or deny care.
Mar 15, 2018, 16:42 PM
Impact Prior Auth Debate By Filing An 'Official' Complaint
When physicians believe an unfair prior auth denial has occurred, they should file an official complaint with the Pennsylvania Insurance Department.
Jan 17, 2018, 16:57 PM
Prior Auth Delays Prolong Teenagers’ Arthritis Pain
Thanks to a confusing and convoluted prior authorization process, it took months before a Middletown, Pa., teenager could find relief for his juvenile idiopathic arthritis.
Sep 15, 2017, 12:09 PM
Pittsburgh Man On Insurance Delay: ‘What If I Would Have Died With This?’
Pittsburgh resident Jeff Duncan was convinced he had a sleep disorder when his mother noticed he momentarily stopped breathing while taking a nap in late 2016.
Sep 15, 2017, 12:08 PM
Insurance Prior Auth Delays Eastern PA Man From Weaning Off Opioids
Physicians say the use of prior auth has grown out of control. Few stories illustrate it better than that of Joe Stanziano, who experienced prior auth delays the prevented him from weaning off pain