UnitedHealth CEO Slammed at Senate Hearing on Change Healthcare Cyberattack "A comprehensive scrub" of company's anti-competitive practices is long overdue, senator says May 01, 2024
House Republicans Bash New Nursing Home and Home Care Rules at Hearing "This approach simply won't work," said chair of the House Energy & Commerce Health Subcommittee May 01, 2024
Lawmakers Take Up Fallout From Change Healthcare Cyberattack Health sector likely to remain an "attractive target," says congressman Apr 16, 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
Federal Probes Need to Look Beyond Private Equity-Owned Healthcare for Alleged Abuse Non-profit entities should also be fair game, says Ron Harman King, JD, MS Apr 14, 2024 video
House Members Struggle to Craft Road Map for Future of Telehealth Lawmakers examine issues around reimbursement, licensure, and patient choice Apr 11, 2024
Biden Administration Cracks Down on 'Junk' Health Insurance Plans Under final rule, insurers will have to spell out what these policies do not include Mar 28, 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
California Wants to Pay Doctors More Money to See Medicaid Patients How much and who will get it will be determined later this year Mar 21, 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
How Can the U.S. Prevent Future Cyberattacks Like the One on Change Healthcare? To start with, more "outside in" testing is needed, expert says Mar 15, 2024
Lawmakers Quibble Over Whether Telehealth Should Be Cheaper Than In-Person Visits Lawmakers, witnesses disagree on the answer at a House hearing on home healthcare Mar 13, 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
Medicare a Big Contributor to the Broken Health Payment System, Senators Told Use of "hybrid" payment model urged Mar 06, 2024
Most Doc Groups Unhappy With Proposed Congressional Budget Deal Measure would restore some, but not all, of the cuts to the Medicare Physician Fee Schedule Mar 04, 2024
Can Artificial Intelligence Improve Prior Authorization? Possibly, but "complete transparency" about its use would be needed, expert says Feb 23, 2024
There's Still Time to Switch Medicare Advantage Plans This Year Beneficiaries have until March 31 to find a new plan; doctors should check plans, too Feb 21, 2024
States Target Health Insurers' Red Tape Around Prior Authorization Pending bills in multiple states include policies backed by the AMA Feb 19, 2024
Orthopedic Surgeons on Track to Earn Less Than Taco Bell Workers If current trends continue, patients are in big trouble Feb 14, 2024
Not Passing a Bill to Fix Medicare Doc Pay Cuts Is 'Appalling,' Lawmaker Says Rep. Larry Bucshon, MD, also talks about prior authorization, violence against health workers Feb 13, 2024
MedPod Today: Medicare Advantage Woes, Double Billing, NHPI Health Disparities ΔΎΉΟΦ±²₯ reporters offer further insights on these recently covered topics Feb 02, 2024 podcast
Medicare Sends Initial Price Negotiation Bids to Drugmakers Manufacturers of 10 drugs have 30 days to accept or make a counter-offer Feb 01, 2024
CMS Focusing on Better Aligning Quality Measures, Adding New ACO Models Clinicians shouldn't have to navigate hundreds of different measures, Medicare director says Jan 30, 2024
Value-Based Care: Filling Critical Gaps in Care and Clinician Leadership One Chicago health plan has come up with a unique program for doctors just starting out Jan 26, 2024
Will All Seniors Eventually Have No Choice but Medicare Advantage? MedPAC chair discusses need to fix MA's confusing limitations, upcoding, and rising costs Jan 25, 2024
Infusion Drug Mark-Ups Higher at Safety Net Hospitals Study shows big difference in reimbursement-to-acquisition cost ratio versus private practice Jan 24, 2024
Is Adding an AI Readout to Mammography Worth It? Women would have to pay out-of-pocket, as reimbursement is a long way off Jan 24, 2024
Q&A: Talking Prior Authorization With Rep. Suzan DelBene The Washington congresswoman also discusses home dialysis, Medicare cuts Jan 19, 2024
CMS Issues Final Rule on Prior Authorizations The rule, which doesn't apply to commercial insurers, sets time limits on responses Jan 17, 2024
Is Burnout Destroying Emergency Medicine? It doesn't have to: here are four unique ways to address the issue Jan 17, 2024
Docs Need Inflation-Adjusted Medicare Pay Increase in 2025, MedPAC Members Say Draft recommendation also calls for added pay to take care of low-income beneficiaries Jan 16, 2024
Medicare Doc Payment Fix Bill Moving Along, GOP Doctors Caucus Co-Chair Says Rep. Greg Murphy, MD, is hoping for action within a week Jan 12, 2024
Multistate Licensure for Docs, Others Continues to Gain Steam More state legislatures consider joining licensure compacts Jan 09, 2024
Contraceptive Use in Medicare Varies by Enrollment Type Study examines use among enrollees ages 20 to 50 with disabilities Jan 08, 2024
Cancer Patients Face Frightening Delays in Treatment Approvals "For them to take weeks -- up to months -- to provide an authorization is ridiculous" Dec 30, 2023
Medicare Cuts Beg the Question: Do Doctors Know How to Make 'Good Trouble'? The health of American healthcare may depend on physicians taking it to the streets Dec 27, 2023 video
Health Spending Rose 4.1% in 2022, Government Report Says But spending on physician and clinical services grew more slowly, at 2.7% Dec 13, 2023