Latest news with #Sumrall
Miami Herald
09-07-2025
- Sport
- Miami Herald
Tulane Football Preview 2025: Jon Sumrall Is Keeping the Green Wave Rolling
It turned out to be a disappointment for a program with the talent and chops to have done a little more, but all Jon Sumrall did in his first season as the head coach at Tulane was come up with the fourth strongest season since isn't a program used to winning a ton of games with just 11 seasons with nine wins or more, and Sumrall came up with course, the expectations are high now after Willie Fritz won 23 games before taking off for Houston, but Sumrall proved he could handle the gig. He was a great hire, and now, combining his two seasons at Troy, he has 32 wins in three he's about to get a whole lot more, but this time around, despite a ton of key losses in the portal, it's about winning the American Athletic Conference title, not just getting there. X CFN, Fiu | CFN Facebook | Bluesky Fiu, CFN - Tulane Season Prediction, Top Players, Win TotalThe offense in the first year under Sumrall threw the ball well, was efficient when it had a chance to score, and did a whole slew of nice things throughout the the attack was on, Tulane won. It was 8-0 when scoring more than 27 points, 1-5 when it didn't, and it has to be more consistent. It sputtered against the five good teams on the slate, ripped through the weaker ones, and now it has to do more with a slew of new parts starting with … - Star quarterback Darian Mensah was a massive deal in the transfer portal. Duke supposedly gave him a whole lot of dough to step in and take over after he threw for over 2,700 yards and 22 scores, so the Green Wave did some shopping of its own, bringing in Kadin Semonza from Ball State to keep it all going. - The receiving corps is undergoing a bit of an overhaul, but Shazz Preston is back on the outside after missing most of the year hurt, Bryce Bohanon will do more with a bigger role inside, and the transfers will take care of the Hayes (Florida Atlantic) will be one of the new stars, and sixth-year senior Jimmy Calloway (Louisville) is a huge help for the depth. Justyn Reid (Southern Miss) is a dangerous deep threat prospect at tight end. - The ground game took a back seat, and it'll have more work to do with top back Makhi Hughes leaving for Oregon. Second-leading rusher Arnold Barnes III is a 216-pound tough back who ran for 402 yards and six scores, and Maurice Turner (Louisville) should average close to five yards per carry. - The Green Wave line should be interesting. It has the parts back on the left side with the First Team All-AAC tandem of Derrick Graham back at tackle and Shadre Hurst at guard. The rest comes from the Jack Hollifield (App State) should be the best of the haul. Jordan Hall (Liberty) is a veteran tackle, and John Bock (FIU) is a nice get for the interior. All things considered, the defense did a decent job. It had to undergo a bit of an overhaul, but this coaching staff is good enough to make it better with the transfer portal bringing in more depth to try overcoming all the massive losses through the portal and to Green Wave finished 30th in the nation in total defense and allowed just 20.6 points per game, and it's getting some immediate help to replace … - Patrick Jenkins only made 4.5 sacks last season, but the new Arizona Cardinal will be missed at tackle. Coming in to pick up the slack is Santana Hopper, a 265-pound tough edge rusher who made 70 tackles with 8.5 sacks over the last two years at App State. He's combining with Mo Westmoreland, a dangerous hybrid edge rusher with 15.5 sacks and 21 tackles for loss over the last two years at no problem on the interior with Kameron Hamilton, an all-conference interior pass rusher, and Adonis Friloux, a 325-pound anchor whose job is to hold up and let everyone else work. 310-pound Derrick Shepard (UAB) is a good-sized pickup. - Star linebacker and leading tackler Tyler Grubbs is gone, but Sam Howard is a big-time tackler who's always around the ball, finishing second on the team with 63 tackles and recovering a whopping five fumbles. He'll likely take over for Grubbs, and the quick Dickson Agu should be a statistical star in the middle coming off a 34-tackle season. Chris Rogers is a strong backup who'll get his share of work. - The Green Wave went shopping for corners. KC Eziomume (Albany) is a good-sized corner who can get physical, and Isaiah Wadsworth (Wofford) is a sixth-year veteran who came on last season with 38 tackles and eight broken up safeties will be one of the team's biggest strengths. The combination of Bailey Despanie and Jack Tchienchou made 103 tackles last season and will be all over everything this year. Kevin Adams made 40 tackles and was a threat to get behind the line.- Tulane Season Prediction, Top Players, Win Total © 2025 The Arena Group Holdings, Inc. All rights reserved.
23-06-2025
- Health
Health insurers promise to improve coverage reviews that prompt delays and complaints
The nation's major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. UnitedHealthcare, CVS Health's Aetna and dozens of other insurers said Monday that they plan to reduce the scope of health care claims subject to prior authorization, standardize the process and expand the number of responses done in real time. Prior authorization means insurers require approval before they'll cover medical care, a prescription or a service like an imaging exam. Insurers say they do this to guard against care overuse and to make sure patients get the right treatment. But doctors say the practice has grown in scope and complication, leading to frequent care delays. The fatal shooting of UnitedHealthcare CEO Brian Thompson in December prompted many people to vent their frustrations with coverage issues like prior authorization. Dr. Mehmet Oz called prior the practice 'a pox on the system' that hikes administrative costs during his Senate confirmation hearing in March to lead the Centers for Medicare and Medicaid Services. Insurers said Monday that they will standardize electronic prior authorization by the end of next year to help speed up the process. They will reduce the scope of claims subject to it. They also plan to expand the number of real-time responses and ensure medical reviews are done for denied requests. Researchers say prior authorization has grown more common as care costs have climbed, especially for prescription drugs, lab testing, physical therapy and imaging exams. 'We're sort of trapped between care being unaffordable and then these non-financial barriers and administrative burdens growing worse,' said Michael Anne Kyle, an assistant professor at the University of Pennsylvania who studies how patients access care. Nearly all customers of Medicare Advantage plans, the privately run version of the federal government's Medicare program, need prior authorization for some services, particularly expensive care like hospital stays, the health policy research organization KFF found in a study of 2023 claims. The study also found that insurers denied about 6% of all requests. Dr. Ashley Sumrall of Charlotte, North Carolina, says she has seen an increase in prior authorizations required for routine exams like MRIs. An oncologist who treats brain tumors, Sumrall said these images are critical for doctors to determine whether a treatment is working and to plan next steps. Doctors say delays from requests that are eventually approved or coverage rejections can harm patients by giving a disease time to progress untreated. They also can spike anxiety in patients who want to know whether their tumor has stopped growing and if insurance will cover the scan. 'There's a term that we use called 'scanxiety,' and it's very real,' said Sumrall, a member of the Association for Clinical Oncology's volunteer leadership. Different forms and varied prior authorization policies also complicate the process. Sumrall noted that every insurer 'has their own way of doing business.' 'For years, the companies have been unwilling to compromise, so I think any step in the direction of standardization is encouraging,' she said.
San Francisco Chronicle
23-06-2025
- Health
- San Francisco Chronicle
Health insurers promise to improve coverage reviews that prompt delays and complaints
The nation's major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. UnitedHealthcare, CVS Health's Aetna and dozens of other insurers say they plan to reduce the scope of health care claims subject to prior authorization, standardize parts of the process and expand responses done in real time. Prior authorization means insurers require approval before they'll cover medical care, a prescription or a service like an imaging exam. Insurers say they do this to guard against care overuse and to make sure patients get the right treatment. But doctors say the practice has grown in scope and complication, leading to frequent care delays. The fatal shooting of UnitedHealthcare CEO Brian Thompson in December prompted many people to vent their frustrations with coverage issues like prior authorization. Dr. Mehmet Oz called prior the practice 'a pox on the system' that hikes administrative costs during his Senate confirmation hearing in March to lead the Centers for Medicare and Medicaid Services. Insurers said Monday that they will standardize electronic prior authorization by the end of next year to help speed up the process. They will reduce the scope of claims subject to medical prior authorization, and they will honor the pre-approvals of a previous insurer for a window of time after someone switches plans. They also plan to expand the number of real-time responses and ensure medical reviews are done for denied requests. 'We're sort of trapped between care being unaffordable and then these non-financial barriers and administrative burdens growing worse,' said Michael Anne Kyle, an assistant professor at the University of Pennsylvania who studies how patients access care. Nearly all customers of Medicare Advantage plans, the privately run version of the federal government's Medicare program, need prior authorization for some services, particularly expensive care like hospital stays, the health policy research organization KFF found in a study of 2023 claims. The study also found that insurers denied about 6% of all requests. Dr. Ashley Sumrall of Charlotte, North Carolina, says she has seen an increase in prior authorizations required for routine exams like MRIs. An oncologist who treats brain tumors, Sumrall said these images are critical for doctors to determine whether a treatment is working and to plan next steps. Doctors say delays from requests that are eventually approved or coverage rejections can harm patients by giving a disease time to progress untreated. They also can spike anxiety in patients who want to know whether their tumor has stopped growing and if insurance will cover the scan. 'There's a term that we use called 'scanxiety,' and it's very real,' said Sumrall, a member of the Association for Clinical Oncology's volunteer leadership. Different forms and varied prior authorization policies also complicate the process. Sumrall noted that every insurer 'has their own way of doing business.' 'For years, the companies have been unwilling to compromise, so I think any step in the direction of standardization is encouraging,' she said. The insurers say their promises will apply to coverage through work or the individual market as well as Medicare Advantage plans and the state and federally funded Medicaid program.
The Hill
23-06-2025
- Health
- The Hill
Health insurers promise to improve coverage reviews that prompt delays and complaints
The nation's major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. UnitedHealthcare, CVS Health's Aetna and dozens of other insurers said Monday that they plan to reduce the scope of health care claims subject to prior authorization, standardize the process and expand the number of responses done in real time. Prior authorization means insurers require approval before they'll cover medical care, a prescription or a service like an imaging exam. Insurers say they do this to guard against care overuse and to make sure patients get the right treatment. But doctors say the practice has grown in scope and complication, leading to frequent care delays. The fatal shooting of UnitedHealthcare CEO Brian Thompson in December prompted many people to vent their frustrations with coverage issues like prior authorization. Dr. Mehmet Oz called prior the practice 'a pox on the system' that hikes administrative costs during his Senate confirmation hearing in March to lead the Centers for Medicare and Medicaid Services. Insurers said Monday that they will standardize electronic prior authorization by the end of next year to help speed up the process. They will reduce the scope of claims subject to it. They also plan to expand the number of real-time responses and ensure medical reviews are done for denied requests. Researchers say prior authorization has grown more common as care costs have climbed, especially for prescription drugs, lab testing, physical therapy and imaging exams. 'We're sort of trapped between care being unaffordable and then these non-financial barriers and administrative burdens growing worse,' said Michael Anne Kyle, an assistant professor at the University of Pennsylvania who studies how patients access care. Nearly all customers of Medicare Advantage plans, the privately run version of the federal government's Medicare program, need prior authorization for some services, particularly expensive care like hospital stays, the health policy research organization KFF found in a study of 2023 claims. The study also found that insurers denied about 6% of all requests. Dr. Ashley Sumrall of Charlotte, North Carolina, says she has seen an increase in prior authorizations required for routine exams like MRIs. An oncologist who treats brain tumors, Sumrall said these images are critical for doctors to determine whether a treatment is working and to plan next steps. Doctors say delays from requests that are eventually approved or coverage rejections can harm patients by giving a disease time to progress untreated. They also can spike anxiety in patients who want to know whether their tumor has stopped growing and if insurance will cover the scan. 'There's a term that we use called 'scanxiety,' and it's very real,' said Sumrall, a member of the Association for Clinical Oncology's volunteer leadership. Different forms and varied prior authorization policies also complicate the process. Sumrall noted that every insurer 'has their own way of doing business.' 'For years, the companies have been unwilling to compromise, so I think any step in the direction of standardization is encouraging,' she said. ___ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
Winnipeg Free Press
23-06-2025
- Health
- Winnipeg Free Press
Health insurers promise to improve coverage reviews that prompt delays and complaints
The nation's major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. UnitedHealthcare, CVS Health's Aetna and dozens of other insurers said Monday that they plan to reduce the scope of health care claims subject to prior authorization, standardize the process and expand the number of responses done in real time. Prior authorization means insurers require approval before they'll cover medical care, a prescription or a service like an imaging exam. Insurers say they do this to guard against care overuse and to make sure patients get the right treatment. But doctors say the practice has grown in scope and complication, leading to frequent care delays. The fatal shooting of UnitedHealthcare CEO Brian Thompson in December prompted many people to vent their frustrations with coverage issues like prior authorization. Dr. Mehmet Oz called prior the practice 'a pox on the system' that hikes administrative costs during his Senate confirmation hearing in March to lead the Centers for Medicare and Medicaid Services. Insurers said Monday that they will standardize electronic prior authorization by the end of next year to help speed up the process. They will reduce the scope of claims subject to it. They also plan to expand the number of real-time responses and ensure medical reviews are done for denied requests. Researchers say prior authorization has grown more common as care costs have climbed, especially for prescription drugs, lab testing, physical therapy and imaging exams. 'We're sort of trapped between care being unaffordable and then these non-financial barriers and administrative burdens growing worse,' said Michael Anne Kyle, an assistant professor at the University of Pennsylvania who studies how patients access care. Nearly all customers of Medicare Advantage plans, the privately run version of the federal government's Medicare program, need prior authorization for some services, particularly expensive care like hospital stays, the health policy research organization KFF found in a study of 2023 claims. The study also found that insurers denied about 6% of all requests. Dr. Ashley Sumrall of Charlotte, North Carolina, says she has seen an increase in prior authorizations required for routine exams like MRIs. An oncologist who treats brain tumors, Sumrall said these images are critical for doctors to determine whether a treatment is working and to plan next steps. Doctors say delays from requests that are eventually approved or coverage rejections can harm patients by giving a disease time to progress untreated. They also can spike anxiety in patients who want to know whether their tumor has stopped growing and if insurance will cover the scan. 'There's a term that we use called 'scanxiety,' and it's very real,' said Sumrall, a member of the Association for Clinical Oncology's volunteer leadership. Different forms and varied prior authorization policies also complicate the process. Sumrall noted that every insurer 'has their own way of doing business.' 'For years, the companies have been unwilling to compromise, so I think any step in the direction of standardization is encouraging,' she said. ___ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
