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chronic painKFF Health News
•Health
Health
75% Informative
Sheldon Ekirch , 30 , was diagnosed with small fiber neuropathy, a condition that makes her limbs and muscles feel as if they're on fire.
She takes more than a dozen prescriptions to manage chronic pain and other symptoms, including insomnia.
Her insurance company has repeatedly denied coverage for the treatment, documents show.
Many states have passed legislation to regulate the use of prior authorization.
Reform bills are under consideration by state legislatures in Hawaii , Montana , and elsewhere.
Some doctors and advocates for patients are skeptical that prior authorization can be fixed as long as insurers are accountable to shareholders.
Cigna Group CEO David Cordani said he is focused on “making prior authorizations faster and simpler”.
In 2023 , virtually all Medicare Advantage enrollees were covered by plans that required prior authorization.
People enrolled in traditional Medicare were much less likely to face prior authorization for higher-cost services.
But UnitedHealthcare says prior authorization rules apply to fewer than 2% of the claims the company pays.
VR Score
75
Informative language
79
Neutral language
36
Article tone
semi-formal
Language
English
Language complexity
62
Offensive language
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Hate speech
not hateful
Attention-grabbing headline
detected
Known propaganda techniques
not detected
Time-value
short-lived
External references
13
Source diversity
12
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