

By Liz MacMenamin
IN 2004, OCTOBER WAS DESIGNATED AS NATIONAL PHARMACIST MONTH in the United States. This month provides a wonderful opportunity to acknowledge and celebrate the contributions of pharmacists, pharmacy technicians, and pharmacy teams to patient care, particularly in the state of Nevada. These healthcare providers play an essential role in ensuring and promoting health and well-being in communities, hospitals, and beyond. They are vital members of the medical care team.
The practice of pharmacy dates back to ancient Mesopotamia, where clay tablets described poultices and salves used by alchemists to cure and alleviate human ailments. These early practitioners relied on plants and natural remedies to create the first medicines, laying the foundation for what would later become pharmacology. By 1240 AD, the professions of pharmacy and medicine were recognized as separate fields, and regulations were introduced to govern both
professions.
Pharmacists, often referred to as chemists in earlier times, were essential providers of medicine during events such as the Bubonic Plague in Europe. By the 1600s, the demand for compounding services grew due to their expertise in the healing arts. The 1800s brought significant advancements in healthcare, including the discovery of aspirin, the development of a rabies vaccine, and the life-saving discovery of penicillin. These breakthroughs were made by pharmacologists and alchemists dedicated to finding treatments for their patients.
In 1852, the American
Association of Pharmacists was formed, and it remains a respected organization that represents both pharmacists and pharmacy technicians. The association helps its 60,000 members stay informed on the latest trends and technology in the pharmaceutical and healthcare industries. These individuals play a pivotal role in providing patient care in Nevada and nationwide. Today, over 90% of Americans live within five miles of a community pharmacy, making these pharmacies accessible healthcare providers for millions of people. In 2021, community pharmacies
By Mary Lau, RAN CEO
claim denials has become a significant concern in the healthcare industry, impacting patients, providers, and the overall healthcare system. This trend is characterized by insurers rejecting more claims, often without a thorough review, leading to serious financial and health consequences for patients.
Recent data shows a disturbing rise in claim denial rates. A recent KFF study of ACA plans revealed that one insurer denied 49% of claims in 2021, while another reached an alarming 80% denial rate in 2020. This growing pattern suggests that insurers, possibly driven by profit, are rejecting
claims quickly—often using automated systems or underqualified personnel. This results in arbitrary or nonsensical rejections, leaving patients to navigate complicated appeals processes.
Claim denials can have severe consequences for patients. They may face unexpected out-of-pocket costs, forcing them to either pay for essential care or forgo treatment. This is particularly concerning for critical services like emergency care or chronic condition management. Most patients find the appeals process overwhelming, with data showing that fewer than 1% of denied claims are ever appealed.
Act (ACA) requires the Department of Health and Human Services (HHS) to monitor claim denials, but enforcement has been inconsistent. Insurers’ lack of transparency further complicates matters, making it difficult for consumers to compare plans based on denial rates. This opacity allows insurers to maintain denial practices with little oversight or accountability.
Continued from page 1 dispensed 8.7 billion prescriptions. Pharmacists play a crucial role in assessing drug treatments by checking for proper dosages, potential drug interactions, and ensuring patient safety and wellbeing.
During the COVID-19 pandemic, pharmacy professionals were on the front lines, administering
over 50% of the vaccinations in the United States. Their efforts helped prevent millions of deaths and reduced healthcare costs by providing essential guidance during an uncertain time. In Nevada, they continue to provide a range of immunizations, protecting patients against diseases like pneumonia, shingles, and HIV.
It’s important to remember that your pharmacist does not control decisions made by your Prescription Benefit Manager (PBM), which may deny access to prescribed medications. These decisions are made by your health insurer and the PBM. If you experience difficulties, make your
While automation has allowed insurers to process large volumes of claims efficiently, saving billions of dollars, this efficiency often sacrifices quality. Automated systems may fail to properly assess the medical necessity of claims, leading to inappropriate denials. These denials can delay or deny necessary care, ultimately raising overall healthcare costs.
The ethical concerns surrounding widespread claim denials are significant. Denying necessary care could be seen as the unlicensed practice of medicine, with insurers making decisions that should be left to healthcare
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concerns known to your employer and health insurance provider.
This October, take a moment to express your gratitude with a simple “thank you” to your pharmacist and the pharmacy team who work tirelessly to ensure you receive safe and effective medications.
By Steven C. Anderson, President and CEO, National Association of Chain Drug Stores
TO THE RETAIL ASSOCIATION OF NEVADA for celebrating American Pharmacist Month.
Dedicating this entire newsletter to pharmacies –the face of neighborhood healthcare – symbolizes the complete effort needed to advocate for pro-Nevadan, pro-pharmacy policies. The National Association of Chain Drug Stores (NACDS) stands strongly with the Retail Association of Nevada in this critically important work.
Nevadans rely on pharmacies and on pharmacy teams. In fact, 86% of adults in Nevada say pharmacists are easy to access – the highest accessibility rating of all healthcare professionals and destinations tested in a poll conducted by Morning Consult and commissioned by NACDS.
Nevadans take access to pharmacies seriously, and access to pharmacies cannot be taken for granted. Individuals rely on convenient access to their trusted pharmacies, and entire communities rely on this access for
health and wellness, and also for economic vitality. Healthcare access fuels workforce productivity, reductions in healthcare costs, the ability to attract and retain employers, solutions for poverty, and resilience during public health emergencies. Looking ahead to 2025, NACDS looks forward to our work together at the state level to secure important reforms to confront
is time for Nevada to act on far-reaching PBM reform. Right now, we also are pushing for the federal government to do its job as well – including enactment of the PBM reforms that now enjoy bipartisan consensus in the U.S. Senate and House of Representatives.
NACDS also looks forward to working with the Retail Association of Nevada to secure policies
pharmacy benefit manager (PBM) middleman tactics that inflate Nevadans’ prescription drug costs and force pharmacies to close their doors. Increasingly, employers also are asking important questions to better understand PBM tactics and their implications for their teams and for their businesses. It
that will enhance Nevadans’ access to pharmacy services. An overwhelming 78% of Nevada adults believe it is important for the state to update its policies to ensure access to pharmacy vaccination, testing, and treatment services that Nevadans have come to expect.
On a related issue, we
also continue to work in the U.S. Congress for a new law that would ensure seniors in Medicare have access to the pharmacist-provided services authorized by states.
Nevadans need action and results on these issues today. Looking into the future, we also look forward to working with the Retail Association of Nevada on an even broader array of health and wellness issues. Increasingly, NACDS is focusing on health and wellness innovation issues that focus on increasing Americans’ “health span” and not just their “life span” – increasing the number of years that they feel good in addition to the number of years that they live. In just one example, we are helping to pioneer a role for pharmacies in Food Is Medicine, which uses nutrition to confront and manage chronic diseases. In all of these issues and more, NACDS values our collaborative relationship with the Retail Association of Nevada and with its allies throughout the state. We look forward to our continued work together.
A study by the University of Pennsylvania found that ranked choice voting (RCV) systems lead to more voter errors and higher ballot rejection rates compared to traditional voting methods. About 1 in 20 voters make mistakes like overvoting, overranking, or skipping choices, causing ballots to be more likely rejected. Nevada voters will decide next year whether to adopt this system, which would allow ranking candidates by preference. Advocates argue that RCV makes more votes count and reduces “wasted votes,” but opponents, including the state’s major parties, worry it could confuse voters and lead to disenfranchisement.
Las Vegas Review-Journal
Clark County District Court in Nevada will have three judges on standby from 7 a.m. on November 5 until midnight on November 6 to handle any election-related legal actions. This measure, ordered by Chief Judge Jerry Wiese, ensures quick resolution of any
Election Day issues. After this period, any electionrelated cases will be randomly assigned to judges. This preparation follows past incidents, such as a denied request in 2022 to extend polling hours for Democratic voters. Nevada’s election results will only be posted after all precincts are closed.
The Trump campaign and other Republican groups have sued Nevada, claiming the state fails to remove noncitizens from voter rolls, marking their fourth legal challenge against Nevada’s election laws this year. The lawsuit argues that improper voter list maintenance allows noncitizens to vote, which they allege dilutes Republican votes. Despite noncitizen voting being illegal and lacking substantial evidence in Nevada, the GOP claims the issue favors Democrats. Democrats counter that these lawsuits aim to create distrust in elections. The case is part of broader efforts by Republicans to challenge election procedures across the U.S. Nevada Independent
Carson City District Court Judge Kristin Luis dismissed a lawsuit by the teacher union-backed group Strong Public Schools Nevada, which sought to overturn public funding for the Las Vegas stadium for the Oakland Athletics. The court ruled the group lacked standing, as their claims of harm were speculative and not concrete. The lawsuit argued that up to $380 million in public funds allocated by SB 1 for the stadium would divert money from public schools, but the judge found no evidence that this violated the state constitution. This decision follows a prior failed attempt to challenge SB 1 through a ballot referendum. The stadium project, still in development, awaits final financing and a lease agreement.
My News 4 Reno
Federal land managers have approved NV Energy’s 472-mile Greenlink West Transmission Project, a
major step in expanding solar energy in Nevada. The transmission line will support utility-scale solar projects, such as the recently approved Libra Solar Project, as part of a broader federal effort to decarbonize the U.S. power grid by 2035. The rapid approval of these projects reflects the Biden Administration’s push to accelerate clean energy development. However, some environmental groups oppose projects like Greenlink North, citing harm to wildlife habitats. With increased federal funding and incentives, Nevada is set to become a key hub for solar energy growth in the West.
Nevada Current
This month, around 350,000 children in Nevada will receive a one-time $120 payment through the Summer Electronic Benefit Transfer (EBT) program to help cover food costs during summer vacation. Eligible families with children in Pre-K through 12th grade, already enrolled in SNAP or TANF, will receive the funds automatically on their existing EBT cards in mid-September. Families
Swipe fees for credit and debit card transactions in the U.S. reached $224 billion in 2023, significantly higher than previously reported, according to data from CMSPI. These fees, which include charges from banks, card networks, and processors, are rising rapidly and significantly impact small businesses and consumers by increasing prices. The Merchants Payments Coalition highlights the urgent need for Congress to introduce competition in the payments market to control these costs.
Swipe fees, which are now a major expense for merchants after labor, have more than doubled in the last decade, adding about $1,700 in costs per year for the average American family.
Convenience Store News
Federal Judge Margo Brodie has extended the deadline for U.S. merchants to file claims for a share of the $5.5 billion VisaMastercard settlement to February 4, 2025. This extension allows more time to send claim forms to additional eligible merchants who processed
Visa or Mastercard payments between 2004 and 2019. The settlement partially resolves a long-running antitrust case over excessive swipe fees charged by the credit card giants.
Lawyers aim to ensure all eligible merchants can claim their share, with potential payouts reaching hundreds of thousands of dollars. The claims process, managed by Epiq Systems, faces challenges like resolving claim conflicts and addressing merchant concerns.
Dive
In Alaska’s U.S. House race, two lesser-known candidates, Matthew Salisbury and John Wayne Howe, advance to the ranked choice general election despite receiving just over 1% of the primary vote. Democratic Rep. Mary Peltola and Republican Nick Begich lead the race, with Nancy Dahlstrom withdrawing. Alaska’s open primary system sends the top four candidates to the general election, and a fall ballot initiative will seek to repeal this system.
Associated Press
Target has introduced a new AI tool to help employees solve problems more quickly in all its stores. Integrated into handheld devices, this tool has been used over 50,000 times since its launch earlier this year. It helps employees answer questions like how to sign up a customer for a Target Circle Card or restart a cash register in less than a minute, making it easier to assist customers, says CFO Michael Fiddelke. “We’ll continue to refine this tool over time based on feedback from our team, but many are already telling us that it’s enhanced their everyday work experience, making it easier and faster for them to help our guests,” Fiddelke said.
Walmart is launching a Style Tour in September and October, stopping in over 40 cities across the U.S., including Chicago, New York, and Los Angeles. The tour aims to connect shoppers more directly with its products by offering style advice from experts, personalized giveaways, and shoppable
QR codes. It will showcase Walmart’s clothing lines like Free Assembly and Scoop, featuring various fall fashion items like denim, skirts, and dresses.
Retail Dive
A Bankrate report shows that 33% of consumers plan to spend less on holiday shopping this year due to concerns about inflation and high interest rates. Only 24% of people surveyed expect to spend more, while 43% plan to spend about the same as last year. Nearly a quarter of shoppers feel holiday expenses will strain their budgets. The survey of 2,300 U.S. adults also found that Gen X is the most worried about holiday spending, followed by millennials, boomers, and Gen Z.
Retail Dive
New research from The Food Industry Association shows that while concern about food affordability has decreased, most shoppers still feel they have some control over their grocery spending. However, over
By Mark Johnson, PharmD
for the ratio of active physicians to the population, with 218 per 100,000 residents, compared with the national average of 272, according to the American Association of Medical Colleges. Nevada needs an additional 1,500 primary care doctors to reach the national average and an additional 2,561 physicians to meet the country’s standards. About 70% of Nevada’s population live in areas with a shortage of primary care providers. As seen in surrounding States, pharmacists can play a key role in reducing the need for primary care physicians. While pharmacists in Nevada may dispense hormonal birth control, HIV prophylaxis medication, and MAT therapy without a traditional prescriber issued prescription, if adhering to certain statutory and regulatory requirements, Nevada trails most state’s expanded pharmacist practice. The practice of adding more prescriptive allowances in statute (as seen in other states), such
as travel medications and smoking cessation agents, is quickly becoming an outdated method to transition patients with simple health care needs from a primary care physician’s workload to a pharmacy.
States like Idaho, Colorado, Montana and Utah have passed statutory allowances that generally allow pharmacists to prescribe for conditions that are minor and selflimiting (i.e.: lice, rashes, UTIs, pink eye, etc.), pursuant to a positive CLIA-waived test (i.e.: strep throat, influenza, etc.) or for emergency medications (Epi-pens, inhalers, etc.). Generally, pharmacists in these states are banned from diagnosing disease, but properly trained and experienced pharmacists may treat a patient’s previously diagnosed
Mark Johnson
authority model, as recently approved by the Board of Pharmacy to be included in their 2025 Sunset Review bill. Collaborative practice is another pathway to alleviate primary care physician workload, whereby a pharmacist or a group of pharmacists enter into a written agreement with a prescriber or group of prescribers, through which said
“...Pharmacies must be allowed to leverage technology. Technology exists to accurately identify dosage units via images, weight, shape, number, imprint,bar code, QR code, etc. Technology exists to bifurcate the various steps in filling a prescription among pharmacies as well as pharmacists and techs working remotely (data entry, date entry verification, DUR, product verification, etc.)”
disease state. California is the next state hoping to transition from a statewide protocol driven patient furnishing platform to a pharmacist prescriptive
prescriber(s) convey their prescriptive authority to the pharmacist(s), with parameters, conditions and oversight determined by these professionals
and consummated in the agreement. While Nevada does statutorily allow for collaborative practice, the law contains many restrictions that drastically reduce the scope of patients who can receive care in this manner. For example, in Nevada, the collaborating prescriber must refer individual patients to the collaborating pharmacist, but collaborative practice benefits a patient most when a patient presents at the pharmacy with a potential condition (i.e.: strep throat, UTI, etc.) that a pharmacist may treat pursuant to the collaborative practice agreement, without the patient having a relationship with the collaborating prescriber. California adopted this method with a simple allowance in statute, trusting these professions to find unique solutions to complicated health care problems (such as a shortage of primary care physicians) by allowing pharmacists to “Initiate, adjust, or discontinue drug
therapy for a patient under a collaborative practice agreement with any health care provider with prescriptive authority” … period.
As documented in this Newsletter, a pharmacist shortage is also imminent. For pharmacists to have the time to perform these expanded duties, pharmacy technicians (techs) must be allowed to also expand their scope. The history of tech expanded duties reads much like the history of pharmacist expanded duties, with most states adding individual duties to a tech’s scope over time. For example, roughly half the States allow techs to transfer prescriptions between pharmacies, receive verbally issued prescriptions from prescribers or their agents, and to clarify non-clinical components of an issued prescription. Nevada does not allow techs to perform these duties. Approximately ten states now allow technicians in retail pharmacies to perform final verification, which ensures that the correct medication is dispensed. Of note, tech verification allowances often include mandated technology, may exclude certain medications, and may require a second verifying technician per prescription, but
these states believe that a pharmacist is most beneficial to public safety when performing expanded practice, not saddled with tasks that a tech can safely perform.
As with the evolution of pharmacist practice, states like Arizona, Idaho, Iowa, and Washington have transitioned from a regulatory structure that dictates duties a tech may perform to a structure that lists duties a tech cannot perform. Generally, these states allow a tech to perform any duty for which the pharmacist on duty believes they are trained, experienced, and supervised by a pharmacist. The exception list to these delegated duties varies among the states, but always includes patient counseling and drug utilization review (DUR) prior to dispensing. Also, pharmacists must be able to supervise the number of techs that they feel comfortable supervising, not limited to an arbitrary number, as each practice setting is unique. Only two states effectively have a lower pharmacist-to-technician ratio than Nevada, while roughly half the states have no such ratio. Lastly, pharmacies must be allowed to leverage technology. Technology exists to accurately identify dosage
Continued from previous page
units via images, weight, shape, number, imprint, bare code, QR code, etc. Technology exists to bifurcate the various steps in filling a prescription among pharmacies as well as pharmacists and techs working remotely (data entry, date entry verification, DUR, product verification, etc.).
The Nevada Board of Pharmacy has recently workshopped language that is technology adverse, effectively prohibiting these practices, attempting to create the most conservative technology restrictions in the nation. To free pharmacists to expand their practice, Nevada must embrace technology. In conclusion, Nevada was considered a leader in pharmacy regulation, however other State laws have enabled unique solutions, while Nevada’s patients are not afforded these advancements. With an impending pharmacist shortage and a current primary care physician shortage, action is needed to protect public safety by expanding pharmacist practice, expanding technician practice, and embracing technology, which are advancements supported by the National Association of Boards of Pharmacy, the American Pharmacists Association, and the American
Society of Health-systems pharmacists.
While our tech immunization initiative started before the pandemic when Idaho first promulgated the allowance, the temporary national allowance during the pandemic stimulated more than half the states to enact permanent technician immunization allowances. Recently, Oregon and West Virginia have finalized such rule promulgation, and Maryland has proposed technician immunization rules. In addition to technician immunization, other states have recently promulgated rules that would expand the scope of tech duties, such as CLIA-Waived testing in North Dakota, tech-, checktech (in all pharmacy settings) in Maryland, and techs taking new verbal drug orders/transferring prescriptions/clarifying prescriptions in Oregon. Of note, Pennsylvania has proposed rules that would finally register and regulate technicians. Lastly, Tennessee promulgated a rule to increase their technician-to-pharmacist ratio; Louisiana has
proposed to increase their ratio; and Nevada has voted to move their draft ratio increase to the proposed phase of promulgation but has not taken any action as of the date of this publication.
Scope: New Jersey and New York have finalized hormonal birth control rules that allow pharmacists to dispense such medications without a prescription, while Nevada finalized
their Medication Assisted Treatment (MAT) protocol rules. Colorado added to their broad pharmacist prescriptive authority with an allowance to order and administer COVID-19 tests. Oregon and Virginia also added items to their list of what is essentially categories of pharmacist prescriptive authority, and Idaho pharmacists can now independently diagnose and order lab tests, such as X-rays and MRIs. Michigan promulgated an allowance for pharmacists
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to dispense an emergency supply of insulin without a valid prescription, and Maryland has proposed smoking cessation protocol rules. Lastly, Oregon has promulgated rules to loosen counseling requirements.
program involves central processing activities between instate pharmacies of technicians performing data entry, pharmacists performing DUR (PV1), and pharmacists performing
final verification via virtual verification (QV2). Proposed rules in Georgia are very close to final promulgation to enable these activities. While some CVS Health business units utilize remote work (from outside of a pharmacy) more than others, our team also promotes the enabling of “work-at-home” pharmacy activities; West Virginia had finalized, while Maryland and Kentucky have proposed such rules.
IF NEVADA OSHA
SHOWED UP AT YOUR BUSINESS UNANNOUNCED, how would it feel to kindly let them know you’re exempt from most kinds of inspections? This scenario is entirely possible. Peace of mind about OSHA inspections is a reality for dozens of Nevada businesses. Do you want to join that elite group? PGM Safety Services takes pride in its ability to prepare and guide employers for completing the process that creates this inspection exemption. Let’s talk about the path to take.
Employers who demonstrate excellence in safety management and injury prevention are candidates for OSHA’s voluntary programs. Depending on your staff size, you apply for the Safety and Health Achievement and Recognition Program (SHARP), or the Voluntary Protection Program (VPP). Both SHARP and VPP are administered by NV Safety Consultation and Training Section (SCATS), which is separate from NV OSHA Enforcement.
SHARP and VPP employers maintain exemplary safety and
health programs. In return, they enjoy an exemption from NV OSHA Programmed inspections for up to 2 years, with subsequent renewal for up to 3 years.
OSHA Fatality inspections may still take place, but voluntary program membership greatly decreases your workplace fatality probability anyway. The benefits of voluntary program membership make the investment worthwhile. Developing innovative safety and health programs helps you stand out as an employer of choice.
The required worker involvement creates more buy-in and improves your culture. Receiving official recognition from NV Division of Industrial Relations and SCATS builds your reputation as an industry leader. Finally, profitability increases due to lower risk management costs, less downtime responding to and recovering from injuries, and fewer
employee days away from work.
Employers who are members of the NV Retail Network SelfInsured Group (SIG) are already headed in the right direction, because two key expectations of SIG membership are to exceed OSHA minimum regulations and remain committed to continuous improvement.
For more information on voluntary program participation, or other safety management improvements, please contact PGM Safety Services, an affiliate company of Pro Group Management. We will be happy to assist when you visit us at www.pgmnv. com or call (800) 8593177.
NRS requires all existing members of a self-insured group to be notified of all new members. NRNSIG new members are listed below.
Dakine Motorsports LLC
HSH Reno LLC dba Battle Boarn Dispensary
JMP
NRNSIG members who wish to register a negative vote on a new group member, please write NRNSIG at 575 S. Saliman Road, Carson City, NV 89701, indicating which member and the reason(s) for the negative vote.
Halloween’s origins can be traced back to the ancient Celtic festival known as Samhain, which was held on November 1 in contemporary calendars. It was believed that on that day, the souls of the dead returned to their homes, so people dressed in costumes and lit bonfires to ward off spirits.
without an EBT card will get a pre-loaded card by mail in mid-October. The program, made permanent by Congress in 2022, provides $40 per child each summer month to buy food. Families can check their eligibility or apply for benefits through Access Nevada.
Nevada Current
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Nevada is set to launch a generative AI system with Google to speed up decisions on unemployment appeals, aiming to reduce the backlog of cases. The AI will analyze hearing
two-thirds of consumers remain very concerned about rising food prices. Despite these worries, shoppers tend to blame government policies, the FDA, or manufacturers for high food costs rather than their grocery stores, according to Steve Markenson, FMI’s vice president of research and insights. Grocery Dive
Postmaster General Louis DeJoy assures
transcripts and suggest outcomes for human referees to review. While this could cut decision times from hours to minutes, experts express concerns about overreliance on AI and potential errors that could impact claimants’ rights. The system will not access personal data
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Americans that the U.S. Postal Service is wellprepared to handle a large volume of mail-in ballots for the upcoming elections, better positioned than it was four years ago. Changes in the Postal Service, like new hubs, are being paused to avoid disruptions, and all efforts are focused on quick delivery of ballots. DeJoy reflects on past criticism during the 2020 election and emphasizes the importance of clear communication about their readiness. With
improvements and ongoing modernization, the Postal Service aims to deliver close to 100% of ballots within three days, building on strong performances in recent elections. US News
Walmart is introducing “Caroline’s Carts” to all its stores in 11 states to help caregivers of people with disabilities shop more easily. These carts, which
and will be monitored for inaccuracies. Nevada hopes this technology will provide faster benefits to those in need, but some fear it may compromise thoroughness and fairness.
can hold between 35 to 250 pounds, will be available in about 8,000 locations, with plans to have them in all stores by early 2025. Cedric Clark, Walmart’s executive VP of store operations, said this initiative supports customers who need extra help while shopping. This move follows Walmart’s introduction of sensory-friendly shopping hours, providing a calmer environment in stores, a change that has been positively received and extended year-round. Chain Storage Age
professionals. This erodes trust in the healthcare system and can result in negative health outcomes for patients.
Solving the issue of claim denials requires a comprehensive approach.
Greater transparency and accountability are essential, including improved data collection and public reporting on denial rates. Regulatory bodies must enforce existing laws and perhaps introduce new regulations to ensure fair practices by insurers. Finally,
empowering patients with clear information about their rights and the appeals process can help mitigate the harm caused by denials.
While claim denials have become a routine practice in the insurance industry, the negative
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effects on patients and the healthcare system demand urgent reform. By enhancing transparency, accountability, and patient empowerment, the industry can work towards a more equitable and effective healthcare system
Mary F. Lau President/CEO
Bryan Wachter Senior Vice President
Elizabeth MacMenamin Vice President of Government Affairs
Piper Brown Vice President, Finance and Administration
Megan Bedera Editor
Sue Arzillo, Alphabet Soup Inc. Newsletter Design & Layout