Discerning the Truth About the Medicare Advantage Controversy Evidence shows higher-quality care compared with fee-for-service, but also overpayments Apr 29, 2024
CMS Pushes Back on Criticism of Nursing Home Staffing Rule Rule is needed because many nursing home patients don't get needed care, CMS administrator says Apr 23, 2024
Becerra Gets Sharp Questions From All Sides at Budget Hearing House members cite lack of action and funding on physician payment reform and other issues Apr 18, 2024
Improper Payments in Medicare and Medicaid: Who's at Fault? Republicans and Democrats took differing approaches on the subject at a House hearing Apr 16, 2024
The 340B Program Isn't Going Anywhere, Lawmaker Tells Hospital Executives Rep says it's a great program that helps rural areas, and needs to continue Apr 16, 2024
MedPAC Wrestles With Wide Variation in Generic Rx Prices, Availability Commissioners baffled by factors affecting Part D drug prices Apr 15, 2024
Congress Can Take Action to Prevent Older Adult Falls and Associated Opioid Use The bipartisan SAFE Act offers important solutions Apr 14, 2024
CMS Officials Pressed on Catheter Fraud Issue at Accountable Care Meeting "We just kindly ask that you address the issue with higher urgency," said one ACO member Apr 12, 2024
More Medicare $$ Needed to Pay Docs for Treating the Chronically Ill, Senators Told Payment codes are underused because "the cost of billing them is itself unprofitable" Apr 12, 2024
House Members Struggle to Craft Road Map for Future of Telehealth Lawmakers examine issues around reimbursement, licensure, and patient choice Apr 11, 2024
More Health Systems Likely to Drop Out of Medicare Advantage, Analyst Predicts Claims denials, prior authorizations are just some of the reasons, he says Apr 10, 2024
Medicare Can Cover Anti-Obesity Drugs for Heart Disease -- But at What Cost? Intense demand coupled with high costs may place pressures on CMS for years to come Apr 08, 2024
Here's What Medicaid Expansion Can Do for the Health of Your State Texas -- and 10 other states -- should accept this additional federal funding Apr 06, 2024
Victory Over Big Pharma Will Take More Than the IRA We need policies to address high launch prices and anti-competitive patent practices Apr 04, 2024
Washington and New Jersey Are Reforming Prior Authorization. Is Your State Next? Broad grassroots support can make a big difference Mar 27, 2024
Medicare Debuts Another Primary Care-Focused Accountable Care Model Primary Care Flex will pay ACOs a monthly fee to be given to primary care practices Mar 26, 2024
Medicare to Cover Weight-Loss Drug Wegovy for Certain Patients News comes in the wake of FDA approval to reduce risk of heart attacks, stroke Mar 21, 2024
The Case for Stricter Standards in the Final Nursing Home Staffing Rule Continued understaffing will have devastating consequences for residents, families, and staff Mar 21, 2024
What's Happening With the Medicare Drug-Price Negotiation Lawsuits? The government has come out on top so far, but pharma vows to fight on, expert says Mar 19, 2024
Medicare $$ Needed to Help State-Licensed Emergency Centers Survive, Lawmakers Told "This model doesn't work" without it, says emergency center CEO Mar 19, 2024
MedPAC's Report Recommends Pay Changes for Healthcare Services Report highlights MA quality, overpayment issues, and urges action on four prior recommendations Mar 15, 2024
MedPod Today: AAMC Leaked Emails; 'Wild West' of Ketamine; MA Games the System ΒιΆΉ΄«Γ½ reporters offer further insights on these recently covered topics Mar 15, 2024 podcast
Trump Reverses on Medicare Cuts; Pill for Ebola? Chef Jailed for Serving Norovirus Health news and commentary from around the Web gathered by ΒιΆΉ΄«Γ½ staff Mar 15, 2024
Republican Senators Blast Biden's Proposed HHS Budget At issue were the exclusion of PBM reform, and nursing home, Title X funding requirements Mar 14, 2024
It's Match Week, but That Won't Fix the Physician Shortage Short-term legislative solutions can help today in the face of stagnant systemic change Mar 12, 2024
HHS Aims to Lower Drug Costs, Fund Public Health Preparedness in Budget Proposal Another goal of FY 2025 budget is to protect reproductive healthcare, behavioral health workforce Mar 12, 2024
MedPAC Wrestles With How to Fix Deep Flaws in Medicare Advantage Quality Metrics Comparing MA plans with fee-for-service quality called "a hornet's nest" Mar 11, 2024
Largest Independent Primary Care Network in the U.S. Accused of Medicare Fraud Whistleblower lawsuit alleges Aledade encouraged doctors to tack on suspect medical diagnoses Mar 10, 2024
MedPAC Members Pan Rural Hospitals' 'Cost-Plus' Billing System for Medicare Patients Allowing the system to stay in place is "unconscionable," says one commissioner Mar 07, 2024
Medicare a Big Contributor to the Broken Health Payment System, Senators Told Use of "hybrid" payment model urged Mar 06, 2024
Most Doc Groups Unhappy With Proposed Congressional Budget Deal Measure would restore some, but not all, of the cuts to the Medicare Physician Fee Schedule Mar 04, 2024
Congress Should Simplify Medicare's Vaccine Coverage All ACIP-approved vaccines should be covered by Medicare Part B Mar 04, 2024
Obama CMS Chief: Medicare Advantage Plans Game the System Don Berwick says MA growth "should be slowed or stopped" Mar 01, 2024
FDA Authorized Florida's Drug Importation Plan. Naysayers Are Balking. It's not an efficient solution Feb 24, 2024
How Beneficiaries Really Feel About Medicare Advantage vs Traditional Medicare MA plans offer "extra benefits" but many go unused. Is Medicare Advantage really better? Feb 22, 2024
There's Still Time to Switch Medicare Advantage Plans This Year Beneficiaries have until March 31 to find a new plan; doctors should check plans, too Feb 21, 2024
'Humbling, Exhausting, Exhilarating': The Life of AMA President Jesse Ehrenfeld Some of the most meaningful experiences happen in unexpected places, he says Feb 14, 2024
Orthopedic Surgeons on Track to Earn Less Than Taco Bell Workers If current trends continue, patients are in big trouble Feb 14, 2024
Not Passing a Bill to Fix Medicare Doc Pay Cuts Is 'Appalling,' Lawmaker Says Rep. Larry Bucshon, MD, also talks about prior authorization, violence against health workers Feb 13, 2024
Oncologists Risk Self-Referral Violations Over Medicare Mail-Order Drug Rule New interpretation of Stark law excludes distribution of oral oncology drugs by mail Feb 12, 2024