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
Shifting PCI Procedures to Outpatient Centers: Safety First? Do benefits in efficiency, cost reduction outweigh risks? Apr 29, 2021
Four Sentenced in Mental Health Center Scam Heads of a Houston healthcare chain will go to prison for kickbacks, mental healthcare fraud Apr 28, 2021
On the Road to High-Value Healthcare in the U.S.: Are We There Yet? CMS needs to keep the value-based payment models that work, and ditch the others Apr 27, 2021
Doc Groups Object to New Prior Authorization Rules in Medicare Requirements for two spinal procedures set to take effect July 1 Apr 20, 2021
AHRQ: Studies Fail to Show Long-Term Benefit for CPAP Sleep apnea specialists dumbfounded at critique of "gold standard" treatment Apr 09, 2021
Op-Ed: Primary Care and Specialty Ping Pong Let's put an end to bureaucratic medicine and treat the patient in front of us Mar 21, 2021
Multi-City Study Bolsters Case for Mobile Stroke Units But reimbursement woes, balkanized EMS agencies block path to broader use Mar 17, 2021
Vascular Surgeon Admits Doing Unnecessary Procedures Feng Qin, MD, will pay $800,000 and be excluded from Medicare for 4 years Mar 11, 2021
Healthcare Disruptors: Doubling Down on Primary Care Iora Health and its care teams are changing the way primary care is delivered Mar 10, 2021
Abandoned Cardiac Device Leads More MRI-Friendly Than Previously Thought Safety of scans supported by observational study Feb 17, 2021
Detroit Cardiologists Awarded Millions for Retaliation Claim Judge dismisses Tenet's bid to vacate arbitrator's ruling Feb 05, 2021
CMS Expands MitraClip Coverage by Medicare Transcatheter mitral valve repair for secondary mitral regurgitation can now be reimbursed Jan 20, 2021
Medicare's 'Most Favored Nation' Drug-Pricing Rule in Limbo Rule affecting Part B drugs was to take effect Jan. 1 but was stopped by federal court orders Jan 07, 2021
Rising Out-of-Pocket Costs for Neurology Visits, Diagnostic Tests Neurologist distribution varies widely, as does involvement in patient care Dec 28, 2020
2021 Medicare Fee Schedule Includes 10.2% Cut in Conversion Factor Cognitive specialties will see increases while radiologists, pathologists get pay cuts Dec 02, 2020
Colchicine Approval Took a Huge Toll on CMS As centuries-old drug is explored for COVID-19, study details the price of approval Nov 30, 2020
What's Wrong With PCI at Ambulatory Surgery Centers? Study probes practices, outcomes at ASCs before Medicare kicked in Nov 09, 2020
Is the Medicare 'Inpatient Only' List History? "Drastic" changes in CMS proposed rule worry surgeons: outpatient amputation is "kind of crazy" Aug 13, 2020
Who Would Biden Put in Charge of Healthcare? Biden's picks will likely trend young and diverse, sources say Aug 12, 2020
Medicare to Broaden Coverage for LVADs, Artificial Hearts CMS would drop requirement for clinical trial enrollment Aug 12, 2020
Audio-Only Telemedicine: Docs Say Payment Falls Short Clinicians wonder why the technology used, not a virtual visit's content or complexity, dictates reimbursement Jul 13, 2020
Tenet Gets Big Federal $$$ but Still Cuts Employees Stimulus funds, deferred taxes aren't enough to prevent a 10% workforce furlough Jul 09, 2020
Access Uneven for 'Most Expensive Cardiac Medication in History' Insurance doesn't bring costs down enough for many patients, center finds Jun 17, 2020
Doctors Struggle to Get Paid for Telehealth Visits Provider payments vary by states, plans, and shifting policies Apr 16, 2020
White House Extends COVID-19 'Slow the Spread' Guidelines to April 30 Trump admits ending restrictions by Easter was "just an aspiration"; offers June 1 as new target Mar 30, 2020
From Fraud to Ghana Presidency? Another Sports Doc Abuse Scandal Bad Practice: A weekly roundup of clinicians accused, convicted, or under investigation Feb 21, 2020
