<ѻý>CMS Needs to Do a Better Job With Value-Based Care, Experts Tell House Panelѻý> The program has "gotten off track and needs a thorough reevaluation and reformulation," doc says Jun 27, 2024
<ѻý>Nationwide Coffee Recall; Aspirin Misuse Common; Gena Rowlands' Alzheimer's Diseaseѻý> Health news and commentary gathered by ѻý staff Jun 26, 2024
<ѻý>Health Groups Have High Hopes for the Latest Prior Authorization Billѻý> "We believe the bill is poised for adoption this year," said one expert Jun 21, 2024
<ѻý>Medicare Pay, Prior Auth, and More: A Q&A With the AMA's President-Electѻý> Bobby Mukkamala, MD, also says he wants to improve medical record interoperability Jun 20, 2024
<ѻý>Americans With HIV Are Living Longer. Federal Spending Isn't Keeping Up.ѻý> Funding constraints could undermine the decades-long battle Jun 19, 2024
<ѻý>CMS Star Ratings Unreliable for Surgical Quality?ѻý> Higher ratings tied to better surgical outcomes, but variability was high even within star groups Jun 18, 2024
<ѻý>Fix What's Broken in Healthcare Is New AMA President's Priorityѻý> That includes raising Medicare reimbursement and lessening prior authorization, says Bruce Scott Jun 17, 2024
<ѻý>Doc Paralyzed After COVID; Legionella at Medicare HQ; Mystery Grand Canyon Illnessѻý> Health news and commentary gathered by ѻý staff Jun 14, 2024
<ѻý>Increase $$ for Physicians, Institute Site-Neutral Payment, MedPAC Report Suggestsѻý> Inadequate payments could force some docs to stop accepting Medicare patients, commission warns Jun 13, 2024
<ѻý>Outgoing AMA President to Physicians: 'This Is Why We Fight'ѻý> Equity, inclusion, Medicare payment reform have all seen progress with association's support Jun 10, 2024
<ѻý>Humira Clobbers Biosimilars in Battle for Part D Coverageѻý> Pricing, payer policies keep market leader on top Jun 06, 2024
<ѻý>Medicare Watchdog Seats Have Gone Unfilled for Nearly a Decadeѻý> Medicare, Social Security public trustees are supposed to safeguard reports' accuracy Jun 05, 2024
<ѻý>What if Medicaid Enrollees Were Given Cash Instead of Insurance Benefits?ѻý> Having them buy insurance or pay for services directly would bring down prices, supporters say May 30, 2024
<ѻý>More Money, Fewer Prior Auths Needed to Save Private Practices, Lawmakers Toldѻý> Medicare rates' failure to keep up with inflation is especially damaging, doctors say May 23, 2024
<ѻý>Can Medicare Money Protect Doctors From Abortion Crimes? It Has Worked Before.ѻý> Idaho abortion ruling may depend on federal spending power shielding doctors from state charges May 23, 2024
<ѻý>Senate Paper Mulls Options for Fixing Physician Pay in Fee-for-Service Medicareѻý> Regular inflation updates, getting rid of MIPS among the ideas discussed May 20, 2024
<ѻý>Medicare Hospital Trust Fund to Stay Solvent Until 2036, Trustees' Report Saysѻý> Projection is 5 years longer than last year's prediction May 07, 2024
<ѻý>Fed Up With Prior Auths? What if Insurers Had to Pay You for Submitting Them?ѻý> NYC urologist is seeking approval for a prior authorization CPT code May 06, 2024
<ѻý>The Plight of the Late-Boomer Physicianѻý> Does anyone besides me feel like we got the short end of the financial stick? May 06, 2024
<ѻý>Medicare Drug Price Negotiation; Diagnostic Errorsѻý> Also in TTHealthWatch: neomycin for preventing respiratory viral infections May 04, 2024 podcast
<ѻý>Discerning the Truth About the Medicare Advantage Controversyѻý> Evidence shows higher-quality care compared with fee-for-service, but also overpayments Apr 29, 2024
<ѻý>CMS Pushes Back on Criticism of Nursing Home Staffing Ruleѻý> Rule is needed because many nursing home patients don't get needed care, CMS administrator says Apr 23, 2024
<ѻý>Becerra Gets Sharp Questions From All Sides at Budget Hearingѻý> House members cite lack of action and funding on physician payment reform and other issues Apr 18, 2024
<ѻý>Improper Payments in Medicare and Medicaid: Who's at Fault?ѻý> Republicans and Democrats took differing approaches on the subject at a House hearing Apr 16, 2024
<ѻý>The 340B Program Isn't Going Anywhere, Lawmaker Tells Hospital Executivesѻý> Rep says it's a great program that helps rural areas, and needs to continue Apr 16, 2024
<ѻý>MedPAC Wrestles With Wide Variation in Generic Rx Prices, Availabilityѻý> Commissioners baffled by factors affecting Part D drug prices Apr 15, 2024
<ѻý>Congress Can Take Action to Prevent Older Adult Falls and Associated Opioid Useѻý> The bipartisan SAFE Act offers important solutions Apr 14, 2024
<ѻý>CMS Officials Pressed on Catheter Fraud Issue at Accountable Care Meetingѻý> "We just kindly ask that you address the issue with higher urgency," said one ACO member Apr 12, 2024
<ѻý>More Medicare $$ Needed to Pay Docs for Treating the Chronically Ill, Senators Toldѻý> Payment codes are underused because "the cost of billing them is itself unprofitable" Apr 12, 2024
<ѻý>House Members Struggle to Craft Road Map for Future of Telehealthѻý> Lawmakers examine issues around reimbursement, licensure, and patient choice Apr 11, 2024
<ѻý>More Health Systems Likely to Drop Out of Medicare Advantage, Analyst Predictsѻý> Claims denials, prior authorizations are just some of the reasons, he says Apr 10, 2024
<ѻý>Medicare Can Cover Anti-Obesity Drugs for Heart Disease -- But at What Cost?ѻý> Intense demand coupled with high costs may place pressures on CMS for years to come Apr 08, 2024
<ѻý>Here's What Medicaid Expansion Can Do for the Health of Your Stateѻý> Texas -- and 10 other states -- should accept this additional federal funding Apr 06, 2024
<ѻý>Victory Over Big Pharma Will Take More Than the IRAѻý> We need policies to address high launch prices and anti-competitive patent practices Apr 04, 2024
<ѻý>Washington and New Jersey Are Reforming Prior Authorization. Is Your State Next?ѻý> Broad grassroots support can make a big difference Mar 27, 2024
<ѻý>Medicare Debuts Another Primary Care-Focused Accountable Care Modelѻý> Primary Care Flex will pay ACOs a monthly fee to be given to primary care practices Mar 26, 2024
<ѻý>Medicare to Cover Weight-Loss Drug Wegovy for Certain Patientsѻý> News comes in the wake of FDA approval to reduce risk of heart attacks, stroke Mar 21, 2024
<ѻý>The Case for Stricter Standards in the Final Nursing Home Staffing Ruleѻý> Continued understaffing will have devastating consequences for residents, families, and staff Mar 21, 2024
<ѻý>What's Happening With the Medicare Drug-Price Negotiation Lawsuits?ѻý> The government has come out on top so far, but pharma vows to fight on, expert says Mar 19, 2024
<ѻý>Medicare $$ Needed to Help State-Licensed Emergency Centers Survive, Lawmakers Toldѻý> "This model doesn't work" without it, says emergency center CEO Mar 19, 2024