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Can a Health Insurer Approve ACL Surgery Without an MRI?

That question might be a joke to orthopedic surgeons, but it turned into a nightmare for Jim Furlan when his teen-age daughter was injured at a volleyball tournament. After an MRI was performed and surgery was scheduled, Aetna refused to pay the $6,000 bill for the MRI on the grounds that it had not been . . . → Read More: Can a Health Insurer Approve ACL Surgery Without an MRI?

Are the Newest, Most Expensive Drugs Always Better?

For breast cancer patients, the answer is turning out to be “No.” According to recent research, newer more expensive breast cancer drugs didn’t perform any better than older, much cheaper drugs which have been treating breast cancer patients for years:

Celgene’s Abraxane and Bristol- Myers Squibb’s Ixempra breast-cancer drugs worked no better at delaying tumor . . . → Read More: Are the Newest, Most Expensive Drugs Always Better?

Link of the Day: the Community Assistance Program (CAP)

We’ve mentioned the Community Assistance Program (CAP) on this blog from time to time, and now the Department of Health and Human Services is reporting that the program has helped 200,000 people in 22 states gain access to health insurance in its first year. CAP grants went out to the states to set up help . . . → Read More: Link of the Day: the Community Assistance Program (CAP)