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EDITORS CHOICE

“Investigational” Is Payer Code for “Coverage Denied”

Gil Bashe, Medika Life Editor -
Outside the pandemic, “investigational” remains payer code for denying reimbursement. In the case of treatment for chronic conditions, even FDA-approved digital-health and connected devices languish on waitlists for formulary inclusion.

Patients: Up Where We Belong

Stacy Hurt, MHA, MBA -
After all of the groundbreaking work done by Dave deBronkart dating back to 2009, including his e-book, I don’t know why this is still...

So Your Insurance Dropped Your Doctor. Now What?

Medika Life -
Last winter, Amber Wingler started getting a series of increasingly urgent messages from the local hospital in Columbia, Missouri, letting her know her family’s...

Oriahnn; A Drug to Stop Heavy Periods for Women With Fibroids

Dr Jeff Livingston -
Oriahnn™ comes packaged as a daily oral medication giving women the options to avoid surgery, procedure, or a birth control method.

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