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News, opinions and meeting coverage in geriatrics.

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

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.

Nationwide Coffee Recall; Aspirin Misuse Common; Gena Rowlands' Alzheimer's Disease

Health news and commentary gathered by 51成人动漫 staff

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

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

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.

Americans With HIV Are Living Longer. Federal Spending Isn't Keeping Up.

Funding constraints could undermine the decades-long battle

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

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.

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.

Doc Paralyzed After COVID; Legionella at Medicare HQ; Mystery Grand Canyon Illness

Health news and commentary gathered by 51成人动漫 staff

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

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

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.

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.

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.

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.

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.

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.

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 doorway to a unoccupied hospital room.

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

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.

The Plight of the Late-Boomer Physician

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

Medicare Drug Price Negotiation; Diagnostic Errors

Also in TTHealthWatch: neomycin for preventing respiratory viral infections

A photo of a Humana health insurance building.

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.

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.

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.

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.

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.

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.

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

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.

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.

House Members Struggle to Craft Road Map for Future of Telehealth

Lawmakers examine issues around reimbursement, licensure, and patient choice

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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.

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

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.

Victory Over Big Pharma Will Take More Than the IRA

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

A photo of a female physician in her office, typing on a laptop

Washington and New Jersey Are Reforming Prior Authorization. Is Your State Next?

Broad grassroots support can make a big difference

A photo of a male physician taking notes while meeting with his mature female patient

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

A photo of a box of Wegovy injection pens.

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

A photo of seniors in a nursing home.

The Case for Stricter Standards in the Final Nursing Home Staffing Rule

Continued understaffing will have devastating consequences for residents, families, and staff

A photo of three capsules lying on the Pharmaceuticals & Biotech stock listings in Financial Times newspaper.

What's Happening With the Medicare Drug-Price Negotiation Lawsuits?

The government has come out on top so far, but pharma vows to fight on, expert says

A screen shot of Robert Morris speaking during this hearing

Medicare $$ Needed to Help State-Licensed Emergency Centers Survive, Lawmakers Told

"This model doesn't work" without it, says emergency center CEO

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