Congressional perspectives: PBM reforms

Indiana and Michigan are among the states that have released details about new rules for Medicaid coverage.

The top news stories in medicine this week.

Prescription abandonment climbs sharply as out-of-pocket costs rise, and prior authorization delays push more patients away. Showing cost and coverage at the point of prescribing could change whether patients ever start therapy.

Blue Cross and Blue Shield of Texas is leaving Medicare Advantage, and several Florida systems are splitting with UnitedHealthcare. Here's what changes by state before the Dec. 7 deadline.

In three online experiments, adults who would have to pay for a procedure out of pocket were less likely to schedule it, and the anxiety the cost caused raised the pain they expected.

Medicare's Ambulatory Specialty Model scores specialists one by one on episode costs and quality, with no group average to absorb a weak result.

What physicians around the country need to know about that state's outbreak

An eHealth open enrollment survey also found 58% of insured adults delayed care over costs, and two-thirds of those who used AI for medical advice say it was sometimes wrong.