Some doctors find they need more approvals from insurance companies for routine things like medical scans or some prescriptions, which can postpone care for a few days or even weeks.
health insurance
Maine insurers lower rate requests for Affordable Care Act coverage
They initially sought modest increases for individual coverage next year, but now 2 of the 3 are requesting decreased rates.
Maine ACA insurers seek modest rate increases
The three providers of individual insurance in the Affordable Care Act marketplace request average rate hikes from 1 percent to 8 percent.
Maine Voices: Mainers still can’t afford needed medications
Efforts to create a statewide network of prescription assistance programs have stalled because of a lack of buy-in by doctors and hospital executives.
Maine Senate passes bipartisan prescription drug reform bills
One bill would allow Maine to negotiate to purchase drugs from Canada, while others would increase drug pricing transparency.
Commentary: Maine hospitals can’t set prices for two-thirds of patients
The government determines the fees for those who are on Medicaid or Medicare or are uninsured.
Our View: The shifting behind Maine health care costs
Hospitals charge private insurance three times more for the same services paid by Medicare.
Patients ask Legislature to restrict insurers’ control over medications
But an insurance industry representative argues that a bill to regulate ‘step therapy’ would favor ‘costlier, but no more therapeutically effective, brand name drugs.’
Maine Voices: We’ve tried everything else – it’s time for universal health care
Even Maine people with insurance can’t afford to access care, and hospitals are going broke.
Across Maine, prices for the same medical procedures are often staggeringly different
Low patient volumes and scarce competition among providers help make the state one of the most costly for health care in the U.S.