A COVID Test Medicare Scam May Be a Trial Run for Further Fraud The temporary pandemic benefit could have lingering consequences for seniors May 21, 2023
Return of Rule Nixing Delivery of Rx Drugs to Medicare Patients Drawing Docs' Ire "It is endangering the lives of the oldest and sickest Americans," oncology group says May 18, 2023
'Ghost' Provider Networks a Big Problem for Patients, Especially in Mental Health Only 18% of docs called by Senate's "secret shoppers" were really in-network and taking patients May 03, 2023
You Choose: Food or Medications? The suffering caused by exorbitant drug prices is all too clear for doctors to see Apr 23, 2023
Doctors, Nurses Charged in Wide-Ranging COVID Fraud Schemes, DOJ Says Largest coordinated action targeting COVID healthcare fraud also includes clinic owners Apr 21, 2023
CMS Cracks Down on Medicare Advantage Marketing, Prior Auth Practices Agency wants to stop schemes that mislead beneficiaries and prohibit unfair denials of care Apr 06, 2023
A Conservative Blueprint for Universal Healthcare Achieving universal coverage is possible using the ACA as a framework Mar 23, 2023
Docs' Liking for Knee Injection Tied to Industry Payments Threefold rate for giving hyaluronic acid shots among those paid more than $100 Mar 20, 2023
Ankle Docs See Falling Medicare Payments Inflation-adjusted reimbursements for fusion, joint replacement slip Mar 09, 2023
Medicare Advantage Ads in Your Patient Portal? CMS Says They Shouldn't Be There Patient outraged when portal mixed MA sales pitch with doctors' notes Feb 14, 2023
Biden Pledges to Extend Medicare's Solvency for 'At Least Two Decades' Healthcare featured prominently in president's State of the Union address Feb 08, 2023
Medicare Advantage Plans Fielded 35 Million Prior Auth Requests in 2021 Two million requests denied; reasons for denial remain elusive, according to a new report Feb 03, 2023
CMS Rule Means Medicare Advantage Plans Will Pay Back Billions in Overpayments Audits finding unsubstantiated claims will extrapolate overpayments to insurers' other claims Jan 31, 2023
Medicare Part D Plan Prices May Change Unexpectedly How many seniors end up paying more than they thought they would? Jan 26, 2023
Over 1 Million Medicare Beneficiaries Will Pocket Savings From Insulin Cap Report uses 2020 claims data to estimate potential effects of IRA's $35 monthly insulin cap Jan 24, 2023
Death by 10,000 Clicks: The Electronic Health Record Here are a few steps to relieve the burden Jan 21, 2023
The Urgent Care Center Fail-Safe Is Failing Americans Stricter regulation and licensing can improve care and access to care Jan 18, 2023
Is Healthcare Innovation Possible Within the Current System? Reflections on the Center for Medicare & Medicaid Innovation (CMMI) Jan 17, 2023
The Eye Surgery Turf War Isn't Serving Veterans The VA should hold strong to its updated care guidelines Dec 28, 2022
'The Whale': Brendan Fraser Gets Obesity Right On and off screen, the actor is working to improve access to treatment Dec 20, 2022
Physical and Occupational Therapy Are on the Medicare Chopping Block Cuts could be devastating to patient care if Congress doesn't take action Dec 12, 2022
Medicare Must Pay Docs More, Say MedPAC Commissioners Two proposals discussed at the commission's December meeting would increase physician pay Dec 09, 2022
Should Doctors Warn Patients About the Downsides of Medicare Advantage Plans? Beneficiaries may not be aware of the plans' limited networks or prior authorization rules Dec 08, 2022
TAVR at 20: How Much Longer Will Medicare Mandate a Registry? Change is a-comin' but interventionalists debate just how soon that should be and what comes next Dec 08, 2022
Medicare Advantage Plans Losing Their Edge for Patient Outcomes Case in point: heart attack survival nationwide Dec 06, 2022
Shouldn't Doctors Be Paid for Responding to Health Portal Messages? Cleveland Clinic's billing plan has sparked much-needed conversation about physician compensation Dec 05, 2022
Epilepsy Drug Costs Continue to Climb Third-generation, brand-name drugs fuel rising expenses Dec 05, 2022
Looming Physician Pay Cut 'Unprecedented' and 'Unconscionable,' AMA President Says Number of doctors who take Medicare patients could dwindle without Congressional action Dec 02, 2022
Treating Obesity Should Be Our Healthcare Moonshot Behavioral health changes alone will only do so much Nov 21, 2022
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
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
