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Medicare

A photo of a dad at his daughters bedside in a pediatric hospital.

<乌鸦传媒>Access to Pediatric Care Is Rapidly Eroding

The health of future generations is at stake

A photo of the Longworth House Office Building in Washington, DC

<乌鸦传媒>House Panel OKs Bills on Obesity Drug and Breakthrough Device Coverage in Medicare

Meanwhile, CMS proposed rule on the device coverage, issued a year ago, awaits a final version

A photo of a female physician holding her stethoscope to her wallet.

<乌鸦传媒>Why Is Doctor Pay Decreasing and What Can We Do About It?

It's time to take back control of our profession

A screenshot of President Joe Biden and Donald Trump on the debate stage.

<乌鸦传媒>Biden, Trump Spar Over Abortion, COVID in Debate and Face Questions on Their Age

Opioid crisis also briefly discussed

A screenshot of Robert Berenson, MD speaking during this hearing.

<乌鸦传媒>CMS Needs to Do a Better Job With Value-Based Care, Experts Tell House Panel

The program has "gotten off track and needs a thorough reevaluation and reformulation," doc says

Morning Break over illustration of a syringe, Covid virus, and DNA helix over a photo of green vegetation.

<乌鸦传媒>Nationwide Coffee Recall; Aspirin Misuse Common; Gena Rowlands' Alzheimer's Disease

Health news and commentary gathered by 乌鸦传媒 staff

A photo of the East side of the Capitol building in Washington, DC.

<乌鸦传媒>Health Groups Have High Hopes for the Latest Prior Authorization Bill

"We believe the bill is poised for adoption this year," said one expert

A photo of Bobby Mukkamala, MD

<乌鸦传媒>Medicare Pay, Prior Auth, and More: A Q&A With the AMA's President-Elect

Bobby Mukkamala, MD, also says he wants to improve medical record interoperability

A photo of a diverse ring of hands holding HIV awareness ribbons.

<乌鸦传媒>Americans With HIV Are Living Longer. Federal Spending Isn't Keeping Up.

Funding constraints could undermine the decades-long battle

A photo of an ambulance arriving at a hospital.

<乌鸦传媒>CMS Is Making It Easier to Report EMTALA Complaints. Here's What Might Change.

The new webpage has the potential to make EDs safer

A photo composite of a mans finger giving a one-star review

<乌鸦传媒>CMS Star Ratings Unreliable for Surgical Quality?

Higher ratings tied to better surgical outcomes, but variability was high even within star groups

A photo of American Medical Association President Bruce Scott, MD.

<乌鸦传媒>Fix What's Broken in Healthcare Is New AMA President's Priority

That includes raising Medicare reimbursement and lessening prior authorization, says Bruce Scott

Morning Break over illustration of a syringe, Covid virus, and DNA helix over a photo of green vegetation.

<乌鸦传媒>Doc Paralyzed After COVID; Legionella at Medicare HQ; Mystery Grand Canyon Illness

Health news and commentary gathered by 乌鸦传媒 staff

A photo of a male physician holding several $100 bills.

<乌鸦传媒>Increase $$ for Physicians, Institute Site-Neutral Payment, MedPAC Report Suggests

Inadequate payments could force some docs to stop accepting Medicare patients, commission warns

AMA over photo of the interior of Hyatt Regency Chicago in Chicago, IL

<乌鸦传媒>Outgoing AMA President to Physicians: 'This Is Why We Fight'

Equity, inclusion, Medicare payment reform have all seen progress with association's support

A close up photo of a Humira prefilled syringe.

<乌鸦传媒>Humira Clobbers Biosimilars in Battle for Part D Coverage

Pricing, payer policies keep market leader on top

A black and white night shot of the Capitol Building in Washington, DC.

<乌鸦传媒>Medicare Watchdog Seats Have Gone Unfilled for Nearly a Decade

Medicare, Social Security public trustees are supposed to safeguard reports' accuracy

A stethoscope over $50 bills.

<乌鸦传媒>What if Medicaid Enrollees Were Given Cash Instead of Insurance Benefits?

Having them buy insurance or pay for services directly would bring down prices, supporters say

A screenshot of Timothy Richardson, MD, speaking during this hearing.

<乌鸦传媒>More Money, Fewer Prior Auths Needed to Save Private Practices, Lawmakers Told

Medicare rates' failure to keep up with inflation is especially damaging, doctors say

A photo of President Lyndon B. Johnson signing the Medicare bill in Independence, Missouri.

<乌鸦传媒>Can Medicare Money Protect Doctors From Abortion Crimes? It Has Worked Before.

Idaho abortion ruling may depend on federal spending power shielding doctors from state charges

A photo of a female physician holding a fan of $100 bills.

<乌鸦传媒>Senate Paper Mulls Options for Fixing Physician Pay in Fee-for-Service Medicare

Regular inflation updates, getting rid of MIPS among the ideas discussed

A photo of the Dirksen senate office building in Washington D.C.

<乌鸦传媒>When It Comes to Preventive Health, Play the Long Game

Proposed budget scoring legislation can boost disease prevention and drive cost savings

A photo of the doorway to a unoccupied hospital room.

<乌鸦传媒>Medicare Hospital Trust Fund to Stay Solvent Until 2036, Trustees' Report Says

Projection is 5 years longer than last year's prediction

A photo of a male physician on the phone in his office

<乌鸦传媒>Fed Up With Prior Auths? What if Insurers Had to Pay You for Submitting Them?

NYC urologist is seeking approval for a prior authorization CPT code

A photo of a mature male physician looking out the window of a hospital lobby.

<乌鸦传媒>The Plight of the Late-Boomer Physician

Does anyone besides me feel like we got the short end of the financial stick?

<乌鸦传媒>Medicare Drug Price Negotiation; Diagnostic Errors

Also in TTHealthWatch: neomycin for preventing respiratory viral infections

A photo of a Humana health insurance building.

<乌鸦传媒>Discerning the Truth About the Medicare Advantage Controversy

Evidence shows higher-quality care compared with fee-for-service, but also overpayments

A photo of a nurses hand on the shoulder of a senior man sitting in a wheelchair.

<乌鸦传媒>CMS Pushes Back on Criticism of Nursing Home Staffing Rule

Rule is needed because many nursing home patients don't get needed care, CMS administrator says

A screenshot of HHS Secretary Xavier Becerra speaking during this hearing.

<乌鸦传媒>Becerra Gets Sharp Questions From All Sides at Budget Hearing

House members cite lack of action and funding on physician payment reform and other issues

A screenshot of Frank Pallone speaking during this hearing.

<乌鸦传媒>Improper Payments in Medicare and Medicaid: Who's at Fault?

Republicans and Democrats took differing approaches on the subject at a House hearing

A photo of a male hospital pharmacist filling a medication order.

<乌鸦传媒>The 340B Program Isn't Going Anywhere, Lawmaker Tells Hospital Executives

Rep says it's a great program that helps rural areas, and needs to continue

A photo of cash sticking out of several prescription medication bottles.

<乌鸦传媒>MedPAC Wrestles With Wide Variation in Generic Rx Prices, Availability

Commissioners baffled by factors affecting Part D drug prices

A photo of a senior woman holding on to railings during a physical therapy session.

<乌鸦传媒>Congress Can Take Action to Prevent Older Adult Falls and Associated Opioid Use

The bipartisan SAFE Act offers important solutions

A close up photo of a urinary catheter

<乌鸦传媒>CMS Officials Pressed on Catheter Fraud Issue at Accountable Care Meeting

"We just kindly ask that you address the issue with higher urgency," said one ACO member

A screenshot of Amol Navathe, MD, PhD, speaking during this hearing.

<乌鸦传媒>More Medicare $$ Needed to Pay Docs for Treating the Chronically Ill, Senators Told

Payment codes are underused because "the cost of billing them is itself unprofitable"

A screenshot of Lee Schwamm, MD, speaking during this hearing.

<乌鸦传媒>House Members Struggle to Craft Road Map for Future of Telehealth

Lawmakers examine issues around reimbursement, licensure, and patient choice

A photo of street signage at Wall Street in New York City.

<乌鸦传媒>More Health Systems Likely to Drop Out of Medicare Advantage, Analyst Predicts

Claims denials, prior authorizations are just some of the reasons, he says

A close up photo of two Wegovy injection pens.

<乌鸦传媒>Medicare Can Cover Anti-Obesity Drugs for Heart Disease -- But at What Cost?

Intense demand coupled with high costs may place pressures on CMS for years to come

An aerial photo of the Texas State Capital grounds at Austin

<乌鸦传媒>Here's What Medicaid Expansion Can Do for the Health of Your State

Texas -- and 10 other states -- should accept this additional federal funding

A photo of President Joe Biden and Vice President Kamala Harris during the State of the Union speech.

<乌鸦传媒>Victory Over Big Pharma Will Take More Than the IRA

We need policies to address high launch prices and anti-competitive patent practices

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