Dear Insurers: It's Time to Cover Weight Loss Drugs Universal coverage can increase medication access and improve population health Jul 27, 2022
Heart Failure Drugs Can Be Unaffordable on Medicare, Study Finds Older adults are subject to cost-sharing and other medication coverage restrictions Jun 21, 2022
Medicare Drug Price Negotiation in the Spotlight at AMA Annual Meeting Amendment on international pricing draws controversy Jun 13, 2022
Renowned Doc Accused of Sexual Assault; AARP's Big Bounty; DOJ Targets Billing Fraud This past week in healthcare investigations Jun 08, 2022
Study: Not Sticking to Schedule Shouldn't Block PAP Machines for Kids With OSA Improvements did not hinge on children meeting a standard insurer's threshold of PAP adherence Jun 05, 2022
Taxpayers Paid Twice for Healthcare Private insurers are profiting more than ever during the pandemic May 25, 2022
One in Four Medicare Patients Harmed in Hospitals, Nearly Half Preventable CMS needs to do more to penalize facilities with avoidable adverse events, report says May 13, 2022
Insurers Need a Reason to Care About Obesity Better incentives can make healthy weight a top priority May 09, 2022
Who Is Really Driving Up Insulin Costs? More attention needs to focus on pharmaceutical middlemen Apr 18, 2022
The Winners and Losers of the Proposed Insulin Cost Cap While it benefits some, the $35 cap is only a stopgap measure Apr 08, 2022
Medicare Claws Back Money for Dubious Birth-Tissue Stem Cell Shots Government seeks to recoup more than 2 years of payments for unproven treatments Mar 16, 2022
No Medicare Payment Hike Needed for Docs in 2023, MedPAC Says Beneficiaries seem to have adequate access to care, and few physicians are dropping out Mar 15, 2022
A Tale of Two Accountable Care Organizations There is still hope for the future of value-based care Mar 10, 2022
CMS Sepsis Measurement Under Fire Measure doesn't work and its re-endorsement process was flawed, critics say Mar 08, 2022
CMS Revamps Direct Contracting Model Participants in current GPDC Direct Contracting must meet new equity and governance requirements Feb 25, 2022
Costs Soaring for Ground Ambulance Transport Surprise billing law doesn't apply to ambulance rides Feb 22, 2022
Mental Health Crisis Demands Better Coverage, Worker Pay, Experts Tell House Advocates argue for workforce incentives, peer involvement, and closing Medicare coverage gaps Feb 03, 2022
Medicare Patients Can't Get Their At-Home COVID Test Kits Covered -- Yet But CMS says it's working to provide that coverage Jan 25, 2022
Medicare Plans to Restrict Coverage of New Alzheimer's Drug Proposal would cover aducanumab (Aduhelm) in patients on qualifying clinical trials Jan 11, 2022
Was This Really Our Best Attempt at Step 1 Exam Reform? Shifting to a pass/fail system has unintended consequences Nov 23, 2021
AMA Delegates Spar Over Medicare Drug Price Negotiation Some worry this could lead to price controls for physician services Nov 14, 2021
Young Physicians Need Support From Organized Medicine, Says AMA President "The fear and weariness ... I'd call it battle fatigue" Nov 13, 2021
Should Medicare Pay the Same Amount Regardless of Where a Service Is Provided? MedPAC members like the idea -- with a few caveats Nov 10, 2021
Final Physician Fee Schedule Rule Includes a Nearly 4% Payment Cut Will leave practices in "financial peril," says AMA president Nov 03, 2021
Biden Announces Deal With Congress on Infrastructure Bill Medicare hearing benefits make the cut, but dental, vision, drug-pricing provisions are left out Oct 28, 2021
Medicaid Will Be a Bigger Target for Alternative Payment Models, CMS Official Says Health equity also will be a focus, says CMMI official Ellen Lukens Oct 13, 2021
Medicare Is Sticking With Mandatory Demonstration Models for Now But "we need to move away from having a model for every episode," says CMMI head Elizabeth Fowler Oct 06, 2021
When Prior Authorization Practices Go Too Far Congress can reverse a troubling trend that creates patient care disruptions Sep 12, 2021
PhRMA Warns of Dire Consequences if Medicare Allowed to Negotiate Drug Prices "We know how the story ends" when the government sets prices, group says Sep 08, 2021
Pharmacist Charged for Vax Card Sales; Moderna Recipe Fight; Drug Waste Report COIs This past week in healthcare investigations Aug 18, 2021
Medicare's Radiation Oncology Payment Model Vexes Oncology Community Participation required for certain radiation oncology practices starting next January Aug 10, 2021
Bring House Calls Into the 21st Century The pandemic highlighted the benefits of home health services for a range of patient populations Aug 02, 2021
Gender Bias in the OR Is a Hazard to Patient Safety Conflict and toxicity can make teams more prone to errors Jul 21, 2021
Ivermectin and Aducanumab: Do They Work? ZDoggMD and Vinay Prasad, MD, MPH, analyze the evidence Jul 13, 2021
As Overdoses Rise, Opioid Treatment Providers Struggle to Get Paid Providers of medication assisted treatment say they're bleeding cash, and unable to keep staff Jun 22, 2021
AMA Delegates Tussle Over Lowering Medicare Eligibility Age to 60 Resolution asks association to urge Congress to take action Jun 13, 2021
Want Healthcare for All? Ditch Fee-for-Service, Says Former CMS Chief "We should move to global budgets as soon as possible," says Donald Berwick Jun 11, 2021
CMS Rules for Insurers Punt on Drug Copay Relief "Really disappointing" that payment notice didn't even mention these cards, coupons Apr 30, 2021
