Category: Medicare & Insurance

Medicare & Insurance

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How to Manage in Managed Care

While provider participation in managed care remains optional, managed care is now an integral part of US healthcare. Hearing care as a supplemental benefit will continue to grow in private and public health plans. Author Carrie Meyer, AuD, says it is critical that audiologists and hearing aid specialists understand the dynamics of managed care and become well informed to make the best decisions for their practices and their patients in this rapidly changing healthcare environment. Part 1 of this 3-part series is a primer on health insurance and managed care.

Individuals with Hearing Loss Allege Health Plan Discriminated Against Them in Denial of Coverage

A federal appeals court who heard the case determined that “insurance companies cannot discriminate against disabled people by broadly denying coverage for the types of treatment they need,” according to the article, but said the plaintiffs may not be entitled to coverage because “not everyone with a hearing loss is disabled.”

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Warren and Rice Advocate to Attach Key Audiology Bill to COVID-19 Relief Packages

A bipartisan group is urging fellow Members of Congress to include provisions of the Medicare Audiologist Access and Services Act (H.R. 4056/S. 2446) in upcoming COVID-19 packages. The bill would include eliminating physician order requirements, updating the Medicare statute to classify audiologists as (LLP) practitioners, and authorizing Medicare to reimburse audiologists for the Medicare-covered medically necessary treatment services.

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