Outgoing AMA President to Physicians: 'This Is Why We Fight' Equity, inclusion, Medicare payment reform have all seen progress with association's support Jun 10, 2024
Humira Clobbers Biosimilars in Battle for Part D Coverage Pricing, payer policies keep market leader on top Jun 06, 2024
Medicare Watchdog Seats Have Gone Unfilled for Nearly a Decade Medicare, Social Security public trustees are supposed to safeguard reports' accuracy Jun 05, 2024
What if Medicaid Enrollees Were Given Cash Instead of Insurance Benefits? Having them buy insurance or pay for services directly would bring down prices, supporters say May 30, 2024
More Money, Fewer Prior Auths Needed to Save Private Practices, Lawmakers Told Medicare rates' failure to keep up with inflation is especially damaging, doctors say May 23, 2024
Can Medicare Money Protect Doctors From Abortion Crimes? It Has Worked Before. Idaho abortion ruling may depend on federal spending power shielding doctors from state charges May 23, 2024
Senate Paper Mulls Options for Fixing Physician Pay in Fee-for-Service Medicare Regular inflation updates, getting rid of MIPS among the ideas discussed May 20, 2024
Medicare Hospital Trust Fund to Stay Solvent Until 2036, Trustees' Report Says Projection is 5 years longer than last year's prediction May 07, 2024
Fed Up With Prior Auths? What if Insurers Had to Pay You for Submitting Them? NYC urologist is seeking approval for a prior authorization CPT code May 06, 2024
The Plight of the Late-Boomer Physician Does anyone besides me feel like we got the short end of the financial stick? May 06, 2024
Medicare Drug Price Negotiation; Diagnostic Errors Also in TTHealthWatch: neomycin for preventing respiratory viral infections May 04, 2024 podcast
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 Ƶ 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 Ƶ 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