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Ethics in Practice

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“Investigational” Is Payer Code for “Coverage Denied”

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.

‘I Can’t Tell You’: Attorneys, Relatives Struggle To Find Hospitalized ICE Detainees

Lydia Romero strained to hear her husband’s feeble voice through the phone. A week earlier, immigration agents had grabbed Julio César Peña from his front...

Ohio Sneaks LGBTQ Discrimination Law Into Budget Bill

Ohio Governor Mike DeWine signed an LGTBQ discrimination bill into law allowing medical providers and insurance companies to refuse to treat patients based on moral objections.

Houston Methodist Hospital Suspends Staff Who Refuse to Get a Covid-19 Vaccine

The Houston Methodist Hospital System announced the suspension of 178 staff members for failing to start the Covid-19 vaccine series. Over 99% of the hospital staff...