INTERNACIONAL
Trump admin secures pledge from 75% of health insurers in bid to improve patient care
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Roughly three-quarters of the nation’s health insurance providers signed a series of commitments this week in an effort to improve patient care by reducing bureaucratic hurdles caused by insurance companies’ prior-authorization requirements.
Director of the Centers for Medicare and Medicaid Services, Dr. Mehmet Oz, alongside Health and Human Services Secretary, Robert F. Kennedy Jr., announced the new voluntary pledge from a cadre of insurance providers, who cover roughly 75% of the population, during a press conference Monday. The new commitments are aimed at speeding up and reducing prior-authorization processes used by insurers, a process that has been long-maligned for unnecessarily delaying patient care and other bureaucratic hurdles negatively impacting patients.
«The pledge is not a mandate. It’s not a bill, a rule. This is not legislated. This is a opportunity for industry to show itself,» Oz said Monday. «But by the fact that three-quarters of the patients in the country are already covered by participants in this pledge, it’s a good start and the response has been overwhelming.»
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Health insurance companies representing roughly 75% of patients in the U.S. signed an industry-led pledge this week aimed at improving patient care through streamlining the long-maligned prior-authorization process used by insurance companies to ensure patients are receiving appropriate care. (Getty Images; AP; iStock)
Prior-authorization is a process that requires providers to obtain approval from a patient’s insurance provider before that provider can offer certain treatments or services. Essentially, the process seeks to ensure patients are getting the right solution for a particular problem.
However, according to Oz, the process has led to doctors being forced to spend enormous amounts of man-power to satisfy prior-authorization requirements from insurers. He noted during Monday’s press conference that, on average, physicians have to spend 12 hours a week dealing with these requirements, which they see about 40 of per week.
«It frustrates doctors. It sometimes results in care that is significantly delayed. It erodes public trust in the healthcare system. It’s something we can’t tolerate,» Oz insisted.
DR. OZ SAYS TAXPAYERS FOOTING $14 BILLION BILL FOR MEDICAID FRAUD WHILE ELIGIBLE PATIENTS STRUGGLE FOR CARE
Dr. Mehmet Oz, the director of the Centers for Medicare and Medicaid Services, said during a press conference Monday announcing the new industry-led pledge, that the new commitments will significantly improve patient access to care. (Anna Moneymaker/Getty Images)
The pledge has been adopted by some of the nation’s largest insurance providers, including United Healthcare, Cigna, Humana, Blue Cross & Blue Shield, Aetna and many more. While the industry-led commitments aim to improve care for patients, it could potentially eat into their profits as well if patients start seeking care more often.
The commitments from insurers cemented this week include taking active steps to implement a common standardized process for electronic prior-authorization through the development of standardized submission requirements to support faster turnaround time. The goal is for the new framework to be operational by Jan. 1, 2027.
Another part of the pledge includes a commitment from individual insurance plans to implement certain reductions in its use of medical prior-authorization by Jan. 1, 2026. On that date, if patients switch insurance providers during the course of treatment, their new plan must honor their existing prior-authorization approvals for 90-days while the patient transitions.
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Prior-authorization is a long-criticized process that critics have argued blocks patients’ access to care. (iStock)
Transparency is also a key part of the new commitments from insurance providers. Health plans enjoined with the commitments will pledge to provide clear and easy-to-understand explanations of prior-authorization determinations, including guidance for appeals. The commitment also states that by 2027, 80% of electronic prior-authorization approvals from companies will be answered in real-time.
Oz, during the Monday press conference, compared the industry-led pledge to the Bible, saying, «The meek shall inherit the earth.»
«I always grew up thinking ‘meek’ meant weak, but that’s not what meek means. ‘Meek’ means you have a sharp sword, a sword that could do real damage to people around you, but you decide, electively, to sheathe that sword and put it away for a while, so you can do goods, so you can do important things where once in a while we have to get together, even if we’re competitors, and agree,» Oz said Monday.
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«That’s what these insurance companies and hospital systems have done,» he continued. «They have agreed to sheathe their swords to be meek for a while, to come up with a better solution to a problem that plagues us all.»
El canciller alemán Friedrich Merz insistió este jueves desde una cumbre de líderes europeos en Copenhague que apoyará “cualquier vía” que permita utilizar activos rusos congelados para conceder un préstamo de reparación a Ucrania. Merz confió en que la Unión Europea tome una decisión en “semanas”, a pesar de que Bélgica rechaza de plano la propuesta por considerarla una “confiscación” con lagunas legales.
“Apoyaré cualquier vía que permita el uso de activos rusos para seguir ayudando a Ucrania y garantizar que la guerra termine lo antes posible”, declaró Merz a la prensa al término de la cumbre de líderes de la Comunidad Política Europea (CPE) celebrada en la capital danesa.
El mandatario alemán se refirió a la próxima cumbre formal de jefes de Estado y de Gobierno de la Unión, prevista para dentro de tres semanas en Bruselas, y confió en que entonces se tome una “decisión concreta”. Tras dos días de reuniones al máximo nivel en Copenhague, Merz afirmó tener la convicción de que existe un “fuerte acuerdo” tanto en el seno de la UE como de la CPE respecto a seguir esa vía.
“Putin no debería subestimar nuestra determinación. Hay una gran unidad y una firme determinación de contrarrestar juntos esta agresión”, insistió.
La cita danesa fue la primera ocasión para que los líderes europeos examinaran la propuesta que la presidenta de la Comisión Europea, Ursula von der Leyen, circuló entre las capitales: usar los activos soberanos rusos congelados en Bélgica —en el depósito de fondos Euroclear— para conceder un préstamo a Kiev.
Al término de la jornada, en una rueda de prensa junto a la primera ministra danesa, Mette Frederiksen, el presidente de Ucrania, Volodimir Zelensky, celebró que “casi todos los líderes estén planteando el pleno uso de los fondos congelados rusos”.
Frederiksen, por su parte, concedió que el debate del miércoles sobre este asunto fue “intenso” y que afloraron “algunas cuestiones técnicas que deben ser resueltas”, pero al mismo tiempo se mostró “bastante segura” de que sabrán resolverlas. “Es justo que Rusia pague por los daños que ha causado”, zanjó.
El crédito sin intereses tendría un valor de unos 140.000 millones de euros y Ucrania solo tendría que devolverlo si llegara la paz y Moscú indemnizara al país por los daños de la guerra.
El Ejecutivo comunitario y los defensores de la iniciativa sostienen que no se trataría de una “confiscación” de los activos, pero Bélgica niega respaldo al plan. Su primer ministro, Bart de Wever, advirtió este jueves en rueda de prensa sobre el riesgo de trasladar el mensaje de que “un grupo de países pueden, simplemente, decidir políticamente cogerlo (el dinero) y dárselo en un préstamo” a otro país.
«Ceci n’est pas une confiscation» (Esto no es una confiscación), ironizó De Wever, usando el título de uno de los cuadros más conocidos del pintor surrealista belga René Magritte, La traición de las imágenes, en el que se ve una pipa de fumar sobre la frase “Esto no es una pipa”.
El político belga reveló que la víspera trasladó al resto de líderes de la UE sus dudas legales respecto a un proyecto “sin precedentes” y “muy arriesgado”, y criticó a Von der Leyen porque su Ejecutivo no respondió con claridad a todas estas preocupaciones en las semanas en que Bélgica pidió aclaraciones.
Con todo, De Wever dejó la puerta abierta a reconsiderar la situación si de aquí al Consejo Europeo de finales de octubre se responde a las dudas legales y si el resto de países se comprometen a mutualizar los riesgos y garantizan que responderán junto a Bélgica “si algo va mal”.
Por su parte, el primer ministro de Hungría, Viktor Orbán, que por distintas razones mantiene un veto regular contra toda iniciativa europea de apoyo a Ucrania frente a Rusia, criticó con dureza que la UE se plantee usar los fondos en efectivo congelados.
“No somos ladrones, ese dinero no es nuestro”, afirmó Orbán a la prensa a su salida de la cumbre, para insistir en que “de ninguna manera” Hungría formará parte de un proyecto que supone “tocar el dinero de otro”.
International,Relations,Diplomacy / Foreign Policy,Europe
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Sen. Josh Hawley, R-Mo., accused the Food and Drug Administration (FDA) of endangering women’s health, saying the agency approved another chemical abortion drug without the thorough safety review it had promised.
Hawley argued the move shows both regulatory failure and the influence of a company that refuses to define «woman» in its materials.
«This is shocking. FDA has just approved ANOTHER chemical abortion drug, when the evidence shows chemical abortion drugs are dangerous and even deadly for the mother. And of course 100% lethal to the child,» he wrote on X on Thursday afternoon.
«FDA had promised to do a top-to-bottom safety review of the chemical abortion drug, but instead they’ve just greenlighted new versions of it for distribution. I have lost confidence in the leadership at FDA.»
PRO-LIFE GROUP URGES SENATE TO PRESS RFK JR. ON ABORTION PILL SAFETY, DEMAND SAFEGUARDS RETURN
Sen. Josh Hawley, R-Mo., accused the Food and Drug Administration of endangering women’s health after it approved another chemical abortion drug without what he said was a promised full safety review. (Bill Clark/CQ-Roll Call, Inc via Getty Images)
Evita Solutions describes its mission as one to «normalize abortion» and make it «accessible to all.» On its website, the company says it «believes that all people should have access to safe, affordable, high-quality, effective, and compassionate abortion care, regardless of their race, sex, gender, age, sexuality, income, or where they live.
«We know that you can make the best choice for your body.»
According to the FDA, Evita received approval in a Sept. 30 letter obtained by Reuters.
In an interview with Fox News Digital, Hawley said the FDA’s decision was even more troubling given its promised safety review has barely begun.
«I just, I can’t figure out what’s happening at the FDA. I’m totally baffled by it,» Hawley said.
Fox News Digital has reached out to the FDA and Evita Solutions for comment on the matter.
FDA CHIEF HAS NO ‘PLANS’ FOR ABORTION PILL POLICY CHANGES BUT CONTINUES SAFETY REVIEW
In another post, Hawley blasted the FDA for partnering with a company that «doesn’t even believe there is such a thing as a ‘woman.’»
Evita Solutions now joins GenBioPro in producing the generic version of mifepristone, the abortion pill originally made by Danco Laboratories. Mifepristone blocks progesterone, a hormone needed to sustain pregnancy, and is followed by misoprostol to complete the process.
The approval comes as abortion drugs face mounting opposition from conservative lawmakers, religious organizations and pro-life groups.
MORE THAN 20 GOP ATTORNEYS GENERAL CALL ON RFK JR, FDA TO REINSTATE SAFEGUARDS FOR ABORTION DRUGS
Misoprostol, left, and mifepristone, the two drugs used in a medication abortion. (Robyn Bech/AFP via Getty Images)
Religious groups like Inspire Investing and Alliance Defending Freedom have campaigned against the drug, while the Restoration of America Foundation (ROAF) has pressed lawmakers for accountability.
Last month, ROAF called on the Senate Finance Committee to hold Health and Human Services Secretary Robert F. Kennedy Jr. accountable at a hearing, demanding answers about the removal of safety protocols for the abortion pill mifepristone.
In a letter obtained by Fox News Digital, ROAF warned that the rollback leaves women more vulnerable and shifts costs to taxpayers. The group said the Biden-era changes endanger women by allowing abortion pills to be prescribed via telehealth and sent through the mail.
Hawley said the FDA should restore the safeguards put in place under the Trump administration.
«What needs to happen is the FDA needs to get in line with the president’s policy and put back into place the safety regulations President Trump had. Ditch the Biden approach and go back to President Trump’s approach,» Hawley said.
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Under the Biden administration, the FDA for the first time allowed telehealth prescribing and mail-order delivery of abortion pills. Previously, the agency required mifepristone to be dispensed in person to screen for complications such as ectopic pregnancy.
Fox News Digital’s Jasmine Baehr and Reuters contributed to this report.
reproductive health,abortion,health,health care healthy living,pregnancy,politics
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