Expanding Vaccination Pay, 'Public Option' Fuel Debate Among AMA Delegates Resolutions also advocate for greater accuracy in Medicare Advantage plan offerings and more Nov 14, 2022
A Remedy for the Federally Funded Physician Shortage Raising or eliminating the cap on residency spots can make all the difference Nov 13, 2022
Senate Report Decries Medicare Advantage Plan Marketing Deception Frustrated, confused, embarrassed enrollees often delay care after being "scammed," report notes Nov 04, 2022
Makena Is Just the Latest in Accelerated Approval Mayhem Congress must take action to reform the process Oct 24, 2022
CMS Puts the Kibosh on Misleading Medicare Advantage Sales Pitches "Secret shoppers" found that 80% of agent calls with clients were inaccurate or insufficient Oct 21, 2022
Mayo Warns It Won't Take Most Medicare Advantage Plans Letters to Florida, Arizona patients suggest they enroll in original Medicare with a supplement Oct 20, 2022
Brokers Earn More to Steer New Beneficiaries to Medicare Advantage Agent says he would double earnings if he sold MA over Medigap plans to new clients Oct 14, 2022
The Medicare Advantage Trade-Off: Saving Money, Losing Access Beneficiaries may spend less on premiums, but care delays are common. Do worse outcomes follow? Oct 13, 2022
The Kidney Transplant Ecosystem Is Ripe for Reform Here are the policies and payment systems that need to change Oct 11, 2022
CMS' Financial Incentives Didn't Move the Dial on Home Dialysis Incentives may just not be strong enough, say some Oct 07, 2022
Docs Hit With Price-Fixing Charges; $4M for Missed Strep Dx; Prison for X-Ray Fraud A weekly roundup of healthcare's encounters with the courts Oct 06, 2022
What Drug Laws Are in the Inflation Reduction Act? The Answer Might Surprise You It's not just about negotiating drug prices in Medicare Oct 04, 2022
Aborted Fetus Brings Wrongful Death Suit; Simone Gold's 'Boyfriend' Found Guilty A weekly roundup of healthcare's encounters with the courts Sep 29, 2022
The Future Looks Bleak for Surgical Residents Like Me Looming Medicare cuts will force surgeons to do more with less, undermining trainee success Sep 28, 2022
Biden Hits Republicans, Drug Companies in Healthcare Speech "This year, the American people won and Big Pharma lost" Sep 27, 2022
It's High Time for Broader Access to Non-Opioid Pain Medication Limited Medicare coverage poses barriers, but bipartisan legislation offers a solution Sep 22, 2022
Wrangling Medicare: A New Vision A look at the future of the largest U.S. health insurance provider with Meena Seshamani, MD, PhD Sep 20, 2022 podcast
House Bill Would Fix Glitch in Medicare Non-Emergency Ambulance Transport Program Measure would require states to help some "dual eligibles" who have trouble accessing the benefit Sep 15, 2022
How Have Glucagon Costs Changed in Recent Years? Wholesale costs spiked from 2010 to 2020, but out-of-pocket prices remained mostly stable Aug 30, 2022
Docs Likely to See Pay Raise From Private Insurers in 2023, Expert Says Payment negotiations "really are favoring the providers right now" Aug 25, 2022
Sleeve Gastrectomy Gets Big Boost After Medicare Coverage Took Effect Geographic variations were observed, with the highest increase seen in New Jersey Aug 18, 2022
Hospitals Will Still Have to Share Safety Data Publicly CMS will publish scorecard of avoidable patient harm after all Aug 04, 2022
Dear Insurers: It's Time to Cover Weight Loss Drugs Universal coverage can increase medication access and improve population health Jul 27, 2022
The Fatal Flaw in Hospital Price Transparency Rules There is too much room for interpretation in the definition of compliance Jul 02, 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
Health System on the Hook for $22M Over Unnecessary Spine Surgeries Record-breaking healthcare fraud settlement in eastern Washington Apr 15, 2022
Healthcare Consolidation Expected to Continue, Expert Says Small-scale players will merge with others, especially in the second half of 2022, she predicts Apr 14, 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
House Members Remain Divided on Universal Healthcare Republicans, Democrats differ on potential costs and effects of Medicare for All Mar 29, 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