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Medicare

A photo of a blue rubber gloved hand holding a wad of cash and a prescription bottle.

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

AMA over a photo of the lobby of Hyatt Regency Chicago.

AMA Declares Payment Reform an 'Urgent' Priority

Delegates to hold leaders accountable for progress

AMA over a photo of the lobby of Hyatt Regency Chicago.

AMA Delegates Make Short Work of Proposals on Abortion

But a bid to add vision, hearing coverage to Medicare lasted longer in the spotlight

AMA over a photo of the lobby of Hyatt Regency Chicago.

AMA Wrestles With Part B Drug Costs, Wheelchair Ramps, and Dementia Care

At the House of Delegates meeting, members debated on various topics

A close up photo of a senior woman鈥檚 hand holding a Medicare card

Oh, You Have Medicare? We'll Skip That Test.

Patients on public insurance have a right to know if they're being treated differently

A computer rendering of a female torso with the DIEP flap location highlighted.

How a Medical Recoding May Limit Cancer Patients鈥� Options for Breast Reconstruction

Many believe this would restrict women's options for surgery

A photo of a female caregiver holding the hand of her female hospice patient.

Dying With Dignity: A Look at the Advantages of the Medicare Hospice Benefit

The program is both cost-effective and compassionate

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

A photo of a man removing an at-home COVID test kit from a padded envelope from the U.S. Mail.

A COVID Test Medicare Scam May Be a Trial Run for Further Fraud

The temporary pandemic benefit could have lingering consequences for seniors

A computer rendering of various medications sticking out of a cardboard box.

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

A photo of a team of hospital staff meeting in a conference room.

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

A photo of Keris J盲n Myrick speaking during this hearing.

'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

Worried About the Possible Envision Bankruptcy? You Should Be.

Regulators need to better protect patients, hospitals, and providers

A photo of various kinds of pills spilling out of a rolled up $100 bill.

You Choose: Food or Medications?

The suffering caused by exorbitant drug prices is all too clear for doctors to see

A photo of a stamp on a COVID vaccination record card which reads: COVID scams

Doctors, Nurses Charged in Wide-Ranging COVID Fraud Schemes, DOJ Says

Largest coordinated action targeting COVID healthcare fraud also includes clinic owners

A screenshot of a Medicare Advantage television commercial featuring Joe Namath.

CMS Cracks Down on Medicare Advantage Marketing, Prior Auth Practices

Agency wants to stop schemes that mislead beneficiaries and prohibit unfair denials of care

A computer rendering of two generic health and dental insurance cards.

A Conservative Blueprint for Universal Healthcare

Achieving universal coverage is possible using the ACA as a framework

A photo of a person about to receive a hyaluronic acid injection in their knee.

Docs' Liking for Knee Injection Tied to Industry Payments

Threefold rate for giving hyaluronic acid shots among those paid more than $100

A photo of a young female physician visiting her senior female patient in hospice.

Hospice Care Is Not Giving Up, It Is Leaning In

Hospice benefits should be expanded

AAOS over a photo of the Venetian Sands Expo Center in Las Vegas, Nevada.

Ankle Docs See Falling Medicare Payments

Inflation-adjusted reimbursements for fusion, joint replacement slip

A photo of a senior man helping his adult autistic son into the family minivan.

Kidney Transplant Less Likely in Adults With Developmental Disabilities

"Urgent need" for anti-discrimination initiatives to promote equitable care, researchers argue

A photo of a senior man looking at a Medicare advantage advertisement on his laptop.

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

A screenshot of President Joe Biden giving the State of the Union address

Biden Pledges to Extend Medicare's Solvency for 'At Least Two Decades'

Healthcare featured prominently in president's State of the Union address

A photo composite of a measuring tape and a Wegovy injection pen.

Do Weight-Loss Startups Have a Future?

Here are my predictions for the industry

A photo of a female physician at her desk typing on her laptop.

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

CMS Rule Means Medicare Advantage Plans Will Pay Back Billions in Overpayments

Audits finding unsubstantiated claims will extrapolate overpayments to insurers' other claims

A screenshot of the Medicare Plan Finder website.

Medicare Part D Plan Prices May Change Unexpectedly

How many seniors end up paying more than they thought they would?

A photo of a syringe in front of a vial of Humalog insulin.

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

A photo of a male physician sitting in front of a computer, rubbing his eyes.

Death by 10,000 Clicks: The Electronic Health Record

Here are a few steps to relieve the burden

A photo of an urgent care center in a strip mall.

The Urgent Care Center Fail-Safe Is Failing Americans

Stricter regulation and licensing can improve care and access to care

Is Healthcare Innovation Possible Within the Current System?

Reflections on the Center for Medicare & Medicaid Innovation (CMMI)

A computer rendering of a businessman with a face made of dollar bills.

Perverse Economies: Who Is Worth Saving?

It's often cheaper to let people die

A photo of a male ophthalmologist standing in his office.

The Eye Surgery Turf War Isn't Serving Veterans

The VA should hold strong to its updated care guidelines

A still from the movie The Whale with Brendan Fraser

'The Whale': Brendan Fraser Gets Obesity Right

On and off screen, the actor is working to improve access to treatment

A photo of a senior woman using a practice staircase in a physical therapy clinic.

Physical and Occupational Therapy Are on the Medicare Chopping Block

Cuts could be devastating to patient care if Congress doesn't take action

Medicare Must Pay Docs More, Say MedPAC Commissioners

Two proposals discussed at the commission's December meeting would increase physician pay

A photo of a female physician discussing a Medicare brochure with a mature couple.

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

A photo of a teal rubber gloved hand holding a prosthetic aortic valve.

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

A close up photo of a paramedic pressing defibrillator paddles to a mature man鈥檚 chest in an ambulance

Medicare Advantage Plans Losing Their Edge for Patient Outcomes

Case in point: heart attack survival nationwide

A photo of a female physician looking at a computer monitor.

Shouldn't Doctors Be Paid for Responding to Health Portal Messages?

Cleveland Clinic's billing plan has sparked much-needed conversation about physician compensation

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