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Medicare

MedPod Today over a blue designed background

<乌鸦传媒>MedPod Today: So-Called 'Abortion Reversal'; CMS Cuts; Tinnitus After COVID Vax

乌鸦传媒 reporters offer further insights on these recently covered topics

A photo of an Americare Medicare Advantage plan truck parked in Brooklyn, NY.

<乌鸦传媒>10 Ways MedPAC Commissioners Think Regulators Should Fix Medicare Advantage Plans

Improvements needed in network accuracy and transparency regarding denial rates, they say

A screenshot of Senator Ron Wyden speaking during this hearing.

<乌鸦传媒>Senate Committee Advances Bill on Mental Health, PBMs, and 'Ghost Provider' Networks

Measure would also lessen the cut to the Medicare Physician Fee Schedule in 2024

A photo of two happy looking men in a golf cart on a golf course.

<乌鸦传媒>CMS Proposes Rule to Limit Medicare Advantage Plan Sales Commissions

No more golf parties or free trips to brokers who "steer" beneficiaries to higher-paying plans

A photo of a female physician with her hand out.

<乌鸦传媒>Medicare Finalizes 3.4% Payment Cut for Physician Fees in 2024

Specialty groups decry "untenable" payment cuts

A photo of the HHS headquarters building in Washington, D.C.

<乌鸦传媒>HHS Proposes 'Disincentive' Penalties for Information-Blocking Providers

Clinicians could see cuts in Medicare payments if found to have violated the rule

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

<乌鸦传媒>COVID and Flu Vaccine Risk; Medicare Advantage Fraud; $1.4B Missing Health Funds

Health news and commentary from around the Web gathered by 乌鸦传媒 staff

A photo of an AI diagnostic system which autonomously diagnoses patients for diabetic retinopathy

<乌鸦传媒>AI Can Be a Boon to Clinicians -- If Used Correctly, Says AMA President

"We can provide things to make it easier for people to practice medicine," says Jesse Ehrenfeld

A screenshot of Frank Pallone speaking during this hearing.

<乌鸦传媒>House Members Mull Bills to Cut Red Tape and Improve Docs' Medicare Pay

But Democrats say they weren't given enough input in many of the measures

A photo of Steven Furr, MD

<乌鸦传媒>Incoming AAFP President Optimistic About Family Medicine's Future

Yes, there are challenges, but they can be overcome, says Steven Furr, MD

A computer rendering of bacteria in the bloodstream.

<乌鸦传媒>Feds Hope to Cut Sepsis Deaths by Hitching Medicare Payments to Treatment Stats

Treatment delays can undermine a patient's chance of survival

A photo of a magnifying lense over the UnitedHealthcare website

<乌鸦传媒>UNC Health Publicly Threatens to Cancel UnitedHealthcare Contracts

Letters blame improper denials, inadequate pay; patients urged to look for other plans for 2024

A photo of the headquarters of UnitedHealthcare

<乌鸦传媒>Feds Rein in Predictive Software That Limits Care for Medicare Advantage Patients

A computer program isn't always a crystal ball for care

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

<乌鸦传媒>Ob/Gyn Accused of Sex Abuse Found Dead; Massive Medicare Scam; Veggies in the Genes?

Health news and commentary from around the Web gathered by 乌鸦传媒 staff

A photo of a female physician at her desk counting a stack of $100 bills.

<乌鸦传媒>Should 'Site Neutrality' Be Used to Set Payments? MedPAC Members Disagree

"I don't think 'site-neutral' is neutral," one commissioner says

MedPod Today over a blue designed background

<乌鸦传媒>MedPod Today: Big Medical Bill; GLP-1 Agonist Plateau; Grateful Patient Fundraising

乌鸦传媒 reporters offer further insights on these recently covered topics

A photo of a man holding a Blue Shield of California health insurance card.

<乌鸦传媒>Blue Shield of California Has Fix for MA Enrollees Worried About Co-Pays

An "underwriting holiday" doesn't require supplemental plan applicants to answer health questions

A photo of the US Capitol building in Washington DC.

<乌鸦传媒>With Shutdown Likely, Policy Experts Weigh Health Risks

Food safety, innovation, and community health centers all could see trickle-down effects

A screenshot of a Medicare Advantage television advertisement with Joe Namath.

<乌鸦传媒>Medicare Advantage Ads Should Look Different This Year

KFF examines past predatory ads as new CMS regulation goes into effect

A photo of vehicles on a highway.

<乌鸦传媒>Many Medicare Patients Travel 50-Plus Miles for Neurology Visits

Telemedicine can improve access to care, researchers argue

A photo of a senior woman sitting on her couch drawing medication from a vial with a syringe.

<乌鸦传媒>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

A photo of various medications on a judge鈥檚 gavel.

<乌鸦传媒>Drug Companies, Allies Fight Back on Medicare Drug Price Negotiations

They argue that the government is using coercion while claiming sellers have options

A close up photo of the U.S. Congress building in Washington DC

<乌鸦传媒>Dear Congress: Take the Easy Win on Medicare

It's time for an alternative approach to the merit-based incentive payment system

INVESTIGATIVE ROUNDUP over an image of two people looking at computer screens.

<乌鸦传媒>Ivermectin Suit Revived; Curbing Fentanyl Deaths in Kids; Medicare Spending Plateau

This past week in healthcare investigations

A photo of a prescription bottle cap on top of a rolled up $100 bill next to two white pills.

<乌鸦传媒>Drug Prices Are Too Damn High

It's been a long road to Medicare price negotiation ... and there's still work to be done

A photo of a senior man holding a cane and struggling to get off the floor.

<乌鸦传媒>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

A photo of hundred dollar bills protruding from a prescription bottle.

<乌鸦传媒>An Analysis of the Blizzard of Lawsuits to Block Drug-Price Negotiations

Industry is using the same old playbook

A photo of a female healthcare worker holding her senior male patient鈥檚 hand.

<乌鸦传媒>CMS Announces New Dementia Care Model for Medicare Patients

Aims to provide more coordinated, ongoing care

A photo of a man wearing headphones and reading a magazine in an infusion clinic.

<乌鸦传媒>Insulin Infusion Clinics Claim to Treat Just About Anything

But evidence is scant, and "treatment" resembles one done by company that went bust

A photo of a female physician using a calculator to count her handful of cash.

<乌鸦传媒>CMS Proposes Nearly 3.4% Cut in Medicare Physician Fees for 2024

Cut "raises significant concerns for medical groups," one organization says

A photo of the vial and packaging of Leqembi.

<乌鸦传媒>Registry Enrollment for Alzheimer's Drug Coverage Won't Help Much

A minimalist policy for a minimalist treatment

A photo of a senior man taking a cognitive test.

<乌鸦传媒>Without Early Detection, Fighting Dementia Is an Uphill Battle

A brief assessment in primary care can help identify patients most at risk

A photo of the vials and packaging Leqembi for injection.

<乌鸦传媒>Our Health Systems Aren't Ready for the Full Approval of Lecanemab

Screening, administration, and eligibility concerns remain

A screenshot of Joe Albanese speaking during this hearing.

<乌鸦传媒>MACRA Gets Mixed Reviews at House Hearing

Despite good intentions, it hasn't solved Medicare's physician payment issues, experts say

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

<乌鸦传媒>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.

<乌鸦传媒>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.

<乌鸦传媒>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.

<乌鸦传媒>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

<乌鸦传媒>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.

<乌鸦传媒>How a Medical Recoding May Limit Cancer Patients鈥� Options for Breast Reconstruction

Many believe this would restrict women's options for surgery

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