- Hypertrophic Cardiomyopathy (HCM)
- Eyecare
- Urothelial Carcinoma
- Hemophilia
- Heart Failure
- Vaccines
- Neonatal Care
- NSCLC
- Type II Inflammation
- Substance Use Disorder
- Gene Therapy
- Lung Cancer
- Spinal Muscular Atrophy
- HIV
- Post-Acute Care
- Liver Disease
- Asthma
- Atrial Fibrillation
- COVID-19
- Cardiovascular Diseases
- Prescription Digital Therapeutics
- Reproductive Health
- The Improving Patient Access Podcast
- Blood Cancer
- Ulcerative Colitis
- Respiratory Conditions
- Multiple Sclerosis
- Digital Health
- Population Health
- Sleep Disorders
- Biosimilars
- Plaque Psoriasis
- Leukemia and Lymphoma
- Oncology
- Pediatrics
- Urology
- Obstetrics-Gynecology & Women's Health
- Opioids
- Solid Tumors
- Autoimmune Diseases
- Dermatology
- Diabetes
- Mental Health
Rocky Mountain Health Plans to cover heavy babies
Discovery of flaw in system leads Rocky Mountain Health Plans to change policy regarding coverage of heavy babies.
Rocky Mountain Health Plans, Grand Junction, Colo., has made a companywide policy change and will now provide health plan coverage for healthy infants, regardless of their weight.
Alex Lange was denied coverage when he was two months old because his height and weight were in the 99th percentile according to Centers for Disease Control and Prevention guidelines. In light of the national healthcare reform debate, news outlets, bloggers and talk show hosts across the country covered the story, showing a healthy-looking Alex and interviewing his frustrated parents.
The situation brought attention to a “flaw in our underwriting program for approving infants,” says Steve ErkenBrack, president and CEO, Rocky Mountain Health Plans. “We have changed our policy, corrected our underwriting guidelines, and are working to notify the parents of the infant who we earlier denied.”
The flaw was attributed to a relatively new trend involving families seeking individual coverage for their children. Underwriting for this age group is a relatively new process, according to Rocky Mountain Health Plans.
“We are constantly working on new, innovative ways to deliver quality, affordable health plans that are designed for the people of Colorado,” says ErkenBrack.
Rocky Mountain Health Plans provides medical benefit plans and services to more than 170,000 enrollees in Colorado.
FDA Site Inspections Decreased During Pandemic. Questions Continue about Drug Quality.
December 4th 2023A recent study has found that FDA inspections of drug manufacturing facilities have increased since the COVID-19 health emergency but have not yet returned to pre-pandemic numbers.
Read More
Bridging the Diversity Gap in Rare Disease Clinical Trials with Harsha Rajasimha of IndoUSrare
November 8th 2023Briana Contreras, an editor with Managed Healthcare Executive, spoke with Harsha Rajasimha, MD, founder and executive chairman of IndoUSrare, in this month's episode of Tuning in to the C-Suite podcast. The conversation was about how the disparity in diversity and ethnicity in rare disease clinical trials in the U.S. has led to gaps in understanding diseases and conditions, jeopardizing universal health, and increasing the economic burden of healthcare.
Listen
RSV Vaccines for Adults: Gaps in Understanding
December 4th 2023Angela Branche, M.D., an infectious disease specialist at the University of Rochester School of Medicine, says the gaps are in a precise understanding of who is at risk for serious illness from respiratory syncytial virus and therefore who should get vaccinated.
Read More
Managing Editor of Managed Healthcare Executive, Peter Wehrwein, had a discussion with William Shrank, M.D., a venture partner with Andreessen Horowitz, a venture capital firm in Menlo Park, California, about how artificial intelligence's role is improving healthcare, where we are today with value-based care and the ongoing efforts of reducing waste in the healthcare space for this episode of the "What's on Your Mind" podcast series.
Listen
