A 'SAD' Story: Patient Stuck With $176K Bill After Medicare Policy Switch CMS abruptly decided patients can self-administer Stelara -- even those with Parkinson's Sep 14, 2023
Drug Companies, Allies Fight Back on Medicare Drug Price Negotiations They argue that the government is using coercion while claiming sellers have options Sep 14, 2023
Dear Congress: Take the Easy Win on Medicare It's time for an alternative approach to the merit-based incentive payment system Sep 09, 2023
Ivermectin Suit Revived; Curbing Fentanyl Deaths in Kids; Medicare Spending Plateau This past week in healthcare investigations Sep 06, 2023
Drug Prices Are Too Damn High It's been a long road to Medicare price negotiation ... and there's still work to be done Sep 01, 2023
Deeper Medicare Cuts Won't Reduce the $50B Spending on Older Adult Falls Cutting physical therapy reimbursement is bad for patients and bad for spending Aug 10, 2023
An Analysis of the Blizzard of Lawsuits to Block Drug-Price Negotiations Industry is using the same old playbook Aug 09, 2023
CMS Announces New Dementia Care Model for Medicare Patients Aims to provide more coordinated, ongoing care Jul 31, 2023
Insulin Infusion Clinics Claim to Treat Just About Anything But evidence is scant, and "treatment" resembles one done by company that went bust Jul 21, 2023
CMS Proposes Nearly 3.4% Cut in Medicare Physician Fees for 2024 Cut "raises significant concerns for medical groups," one organization says Jul 14, 2023
Registry Enrollment for Alzheimer's Drug Coverage Won't Help Much A minimalist policy for a minimalist treatment Jul 11, 2023
Without Early Detection, Fighting Dementia Is an Uphill Battle A brief assessment in primary care can help identify patients most at risk Jun 27, 2023
Our Health Systems Aren't Ready for the Full Approval of Lecanemab Screening, administration, and eligibility concerns remain Jun 23, 2023
MACRA Gets Mixed Reviews at House Hearing Despite good intentions, it hasn't solved Medicare's physician payment issues, experts say Jun 22, 2023
MedPAC Recommends Cutting Admin Fees Paid to Docs Under Part B Program The goal is to make providers more sensitive to drug costs, says MedPAC's director Jun 15, 2023
AMA Declares Payment Reform an 'Urgent' Priority Delegates to hold leaders accountable for progress Jun 13, 2023
AMA Delegates Make Short Work of Proposals on Abortion But a bid to add vision, hearing coverage to Medicare lasted longer in the spotlight Jun 13, 2023
AMA Wrestles With Part B Drug Costs, Wheelchair Ramps, and Dementia Care At the House of Delegates meeting, members debated on various topics Jun 12, 2023
Oh, You Have Medicare? We'll Skip That Test. Patients on public insurance have a right to know if they're being treated differently Jun 08, 2023
How a Medical Recoding May Limit Cancer Patients’ Options for Breast Reconstruction Many believe this would restrict women's options for surgery Jun 04, 2023
Dying With Dignity: A Look at the Advantages of the Medicare Hospice Benefit The program is both cost-effective and compassionate Jun 02, 2023
How Black Americans Lost 80 Million Years of Life Over the Past Two Decades Groundbreaking study finds 1.63 million excess deaths in U.S. Black population over 22 years May 24, 2023 video
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
Want to Make Your ACO a High Performer? Here Are the Keys Doc engagement and in-house care coordinators are among the critical factors, research finds May 05, 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
Worried About the Possible Envision Bankruptcy? You Should Be. Regulators need to better protect patients, hospitals, and providers 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
Kidney Transplant Less Likely in Adults With Developmental Disabilities "Urgent need" for anti-discrimination initiatives to promote equitable care, researchers argue Feb 15, 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
