Policy and Practice - Medika Life

Johnson & Pratt: Challenges from poverty and mental health to lack of internet and gifted programs are disrupting kids' educations & economic futures.

“Investigational” Is Payer Code for “Coverage Denied”

Gil Bashe, Medika Life Editor - February 18, 2021

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.

Hospital Managers, Medical Decisions, and Patients’ Need to Know

Pat Farrell PhD - July 9, 2024

Medical decisions are being made not only by insurance companies but also by hospital managers and algorithms, and concern for patient care continues to grow.

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Medika Life is a unique, not-for-profit operating unit of FINN Partners and maintains an independent voice. Authors opinions may not necessarily represent those shared by FINN Partners and content cannot be promotional - rather informational centered on health issues, life science innovation, ecohealth and patient experience.

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“Investigational” Is Payer Code for “Coverage Denied”

Hospital Managers, Medical Decisions, and Patients’ Need to Know

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