Health and Wellness
Companies that help insurance companies deny pre-authorization claims –

KFF survey found that roughly 6 in 10 insured adults have experienced problems while using their insurance. Issues include denied claims, network adequacy, pre-authorization delays and denials. As the investigation shows, this is just not a surprise. A hidden industry makes money by denying doctors’ payment requests, called prior authorizations.
According to a ProPublica investigation, one in every of the important thing participants on this scheme is Evernorth’s EviCore. A ProPublica investigation found that EviCore is owned by the big insurance company Cigna. The largest U.S. insurance companies employ EviCore and supply protection to 100 million consumers.
EviCore apparently uses a synthetic intelligence-supported algorithm that insurance industry insiders call “the shield.” The algorithm system will be customized, which ultimately results in more pre-authorization claim rejections.
What’s even weirder is that EviCore reportedly has some contracts that allow it to make more cash the more it cuts health care spending by insurance companies.
EviCore is just not alone. Another big player is Carelon Medical Benefits Management, a subsidiary of Elevance Health, formerly Anthem. Although the corporate has been accused in court of unlawfully denying legitimate insurance applications, it denies all allegations.
How companies respond
EviCore claims that the approval process ensures that the procedures are protected, obligatory and price-effective.
“We are improving the quality and safety of healthcare, and – by a happy coincidence – we are significantly reducing unnecessary costs,” said an EviCore doctor in the course of the company’s series of webinars.
But based on the investigation, EviCore’s approach is way more sinister than it suggests. EviCore reportedly guarantees a 3-to-1 return on investment, which implies your insurer can pay $3 less for medical care and other costs.
For some perspective, in 2021 in Arkansas, EviCore denied prior authorization requests almost 20% of the time. Medicare Advantage plans denied prior authorization requests about 7% of the time in 2022, based on a ProPublica evaluation of knowledge.
A Cigna spokesperson said on behalf of EviCore: “Simply put, EviCore uses the latest evidence-based medicine to ensure patients get the care they need and avoid services they don’t need.”
The spokesperson added that the corporate uses algorithms in some clinical programs “only to expedite the approval of appropriate care and reduce administrative burdens on healthcare providers.”
Health and Wellness
From burning to a breakthrough: how this entrepreneur supports well -being through a deliberate life and available self -care – essence

Photo thanks to courtesy: naked zero wellness
In the world of limitless Hustle culture and constant productivity requirements, the Sue Khan entrepreneur questions the narrative, supporting deliberate life and accessible well -being. Founder Naked zero well -being She transformed her personal experience of burn out into a mission to help busy women in regaining their lives through mindfulness, high -quality products and intentional selections.
“I think that Hustle’s culture kills us, especially as a woman,” he explains. “Of course, so many of us are really good in multitasking, and this can lead us straight to burn out when we are not targeted in what we want in our lives.”
Khan’s journey began in 2018 after it hit what he describes as a “burning wall”. She was overwhelmed by the growing duties of marriage, motherhood, home owner and her skilled life.
“Everyone says that you should do,” recalls thought. “How does everyone experience it?”
The turning point took place with a friend who introduced her to the concept of minimalism – not as a rigid practice of getting few possessions, but as a philosophy of deliberate life.

“He was simply calm,” says Khan. “He began to tell me how to build your life on the basis of intentions and keep things, memories, people around you who deliberately build the lives you want.”
This revelation caused a rejecting journey, which became transformational. “The more I got rid of, the more I was. The more I was, the more I wanted to get rid of.”
What began as a personal exploration has evolved into something greater when Khan began to share her online journey. Her posts on the blog concerning the deliberate life and suggestion of products resonated with the audience, which, like her, felt overwhelmed by the necessities of life, but didn’t want to conduct all research on her own.
But life in Bermuda brought a clear layer of the complexity of this lifestyle. With many products requiring international shipping, long waiting times and steep import duties, it has turn into clear that availability was as essential because the intention. This reality forced Khan to create a center where her developing community could easily access the clean, intentional products that she discovered.

“I said: Well, what if I make a center for people to buy these products and for this community to have a home?” And so naked zero well -being was born.
In 2020, when the world modified under the load of Covid-19 pandemic, Khan decided to rotate, not stop. The continuous stream of zoom meetings and digital requirements made her feel exhausted and restless – so long as she discovered Matcha. This finely ground green tea powder has turn into its alternative to coffee, offering a milder, more everlasting reinforcement of energy without caffeine or trembling disaster. Its calming properties quickly turned it into greater than a drink for Khan – became a grounding ritual amongst chaos.
“I was literally obsessed with this,” he says. “It wasn’t just about Matcha. It is a ritual for doing her and around it, something that can be used to catch up with friends. She has so many health benefits.”
Noticing the shortage of match in Bermuda and the spread of sweet, full of the market version available on the market, Khan created a naked zero matcha-chubby, high-quality product adapted to her philosophy of biological renewal.
“I like to say that coffee is like a drunk uncle, and Matcha is like a rich aunt,” khan jokes. “You beat the mat and add the sweetener you want, and remember to fold it, compared to, you know, you get up from bed, hit the coffee machine and get your first cup of coffee.”
The brand’s evolution lasted with the introduction of energetic clothing designed across the concept of wardrobe-quality capsules, multifunctional, which eliminate the necessity for excessive consumption.
“I spent so much time in Athleisure during Covid that I thought about creating a brand that is consistent with all things that are important to me?” The result was versatile clothing designed for trouble -free transition from training to working day, adapting to its quality ethos.
Khan’s identity as a black Bermuda woman deeply shaped her approach to well -being and determination to diversify the national team in space.
“Many times, when we look at well -being, they are not people who look like us,” he notes.
Being the face of his own brand, Khan assures that others can perceive themselves in biological renewal practices, often presented as exclusive luxuries. “Women who look like I can relate to this. And I think it is really important that Wellness has a diverse face.”
Her Bermuda heritage brings one other precious perspective of her brand. “Being a Bermudian and living on the island, we have a naturally slower pace,” he explains, noting how the contrast between the island’s rhythms and the crazy pace of the company world contributed to its burnout.
Khan claims that Naked Zero is just not only a product line, but as a brand that’s to evolve with the needs of the community. “I really look at naked zero as a lifestyle. It’s really a lifestyle brand. “
First of all, Khan is captivated with questioning negative connotations related to rest and transforming it as vital own care. “If we change our connotations around rest and perceive it as a positive thing, as a chance for charging, refueling, infusion back to each other, imagine people we will be when it comes to challenges.”
In a culture that loves occupation, Khan and naked zero well -being want to offer a refreshing alternative: quality over quantity, intention of commitment and well -being, which is each accessible and achievable for each woman.
Health and Wellness
Hypertension, diabetes associated with Alzheimer’s disease in Black Americans
The recent study showed that there is a chain response for black Americans who’ve been diagnosed with diabetes and middle -aged hypertension. Scientists from the University of Georgia Study said that black Americans who’re The diagnosed each conditions have a greater risk of developing degenerative diseases comparable to Alzheimer’s disease and dementia.
Scientists analyzed over 252 black Americans at middle -aged family and social health research living in Georgia or Iów. Participants, from whom diagnosis was diagnosed with diabetes, hypertension or each attracted blood in the years 2008–2019. Almost 10 years later, scientists found that participants from each conditions had a much higher biomarker level associated with dementia over 10 years later.
“This study shows that chronic conditions, such as high blood pressure and diabetes, especially in combination, can begin to destroy the brain earlier than we thought, especially in the case of this group,” Rachael Weaver, Study correspondent and graduate in UGA Franklin College of Arts and Sciences Department of Sociology “, published in an announcement.
Cardiovascular health may even be an indicator of Alzheimer’s disease
According to scientists, diabetes and hypertension are sometimes not the one indicators of degenerative brain diseases in the long run. Cardiovascular health also plays an infinite role. Although itself from these diagnoses doesn’t indicate a dramatic neurological effect, each results in striking results.
“The study sends a clear message: Earlier steps to control high blood pressure and diabetes can help protect African Americans from brain degeneration and reduce the risk of dementia later in life,” added Karlo Lei, a study co -author and extraordinary professor on the Sociology Department of College Franklin College.
Compared to other racial-ethnic groups, black Americans show accelerated brain aging starting in middle-aged. They also show higher indicators and an earlier starting of dementia and are ultimately more liable to Alzheimer’s disease.
Early intervention in these chronic health conditions can significantly protect brain health and reduce the diagnosis of neurodegenerative diseases in African Americans in later life.
(Tagstranslatate) health and well -being
Health and Wellness
Rondell Sheridan asks for help in paying medical accounts after the hospitalization of pancreatitis
Ghettos
Rondell Sheridan undergoes health challenges. Beloved television dad, who played Raven-Symone’s father in the series, fights pancreatitis and has received love from fans since he revealed his health.
In the film on Instagram recorded from the hospital bed, Sheridan told his fight against pancreatitis.
The actor said that on April 10 he fell in poor health and went to the hospital, and the doctors thought there was a stomach. After returning home on April 12, he went to the hospital again, it was said that it was pancreatitis and was hospitalized for nine days.
“I was released and thought that I was on my way to recovery, but … my pancreas is inflammatory and you can not do much for it, but just wait,” said Rondell.
Due to his current disease, the actor is liable to be unemployed and demands financial support from fans. Sheridan shared his own Gofundme account With a goal $ 35,000, which has already crossed.
In the signature of the film on Instagram explaining his health, the actor wrote: “Go to the Gofundme link in my biography and distribute information. Every donation that you can convey is very welcome.”
The actor’s friend, Isabel Beyoso, founded a fundraiser of Gofundme money. In the description of the fundraiser, she explained why Sheridan needs financial support.
“My name is Isabel Beyoso and I create this site on behalf of my very expensive friend Rondell Sheridan, because last month he was admitted to the hospital last month due to an extremely serious case of pancreatitis. He was not able to work from April 12, 2025 and he would not be able to return to work in an incurable future.”
Pancreatitis occurs when the pancreas is inflammatory and could cause severe abdominal pain. Other warning signs include nausea, fever, indigestion, fast heart rate and shallow respiration.
The health condition is liable to be acute or chronic, but after untreated, it’ll probably result in organ failure. The two most important causes of pancreatitis are gallstones and heavy drinking.
Wishing Sheridan a fast recovery and hoping to get support, he needs this challenge.
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