Medicare Advantage Plans Fielded 35 Million Prior Auth Requests in 2021 Two million requests denied; reasons for denial remain elusive, according to a new report Feb 03, 2023
CMS Rule Means Medicare Advantage Plans Will Pay Back Billions in Overpayments Audits finding unsubstantiated claims will extrapolate overpayments to insurers' other claims Jan 31, 2023
Medicare Part D Plan Prices May Change Unexpectedly How many seniors end up paying more than they thought they would? Jan 26, 2023
Over 1 Million Medicare Beneficiaries Will Pocket Savings From Insulin Cap Report uses 2020 claims data to estimate potential effects of IRA's $35 monthly insulin cap Jan 24, 2023
Death by 10,000 Clicks: The Electronic Health Record Here are a few steps to relieve the burden Jan 21, 2023
The Urgent Care Center Fail-Safe Is Failing Americans Stricter regulation and licensing can improve care and access to care Jan 18, 2023
Is Healthcare Innovation Possible Within the Current System? Reflections on the Center for Medicare & Medicaid Innovation (CMMI) Jan 17, 2023
The Eye Surgery Turf War Isn't Serving Veterans The VA should hold strong to its updated care guidelines Dec 28, 2022
'The Whale': Brendan Fraser Gets Obesity Right On and off screen, the actor is working to improve access to treatment Dec 20, 2022
Physical and Occupational Therapy Are on the Medicare Chopping Block Cuts could be devastating to patient care if Congress doesn't take action Dec 12, 2022
Medicare Must Pay Docs More, Say MedPAC Commissioners Two proposals discussed at the commission's December meeting would increase physician pay Dec 09, 2022
Should Doctors Warn Patients About the Downsides of Medicare Advantage Plans? Beneficiaries may not be aware of the plans' limited networks or prior authorization rules Dec 08, 2022
TAVR at 20: How Much Longer Will Medicare Mandate a Registry? Change is a-comin' but interventionalists debate just how soon that should be and what comes next Dec 08, 2022
Medicare Advantage Plans Losing Their Edge for Patient Outcomes Case in point: heart attack survival nationwide Dec 06, 2022
Shouldn't Doctors Be Paid for Responding to Health Portal Messages? Cleveland Clinic's billing plan has sparked much-needed conversation about physician compensation Dec 05, 2022
Epilepsy Drug Costs Continue to Climb Third-generation, brand-name drugs fuel rising expenses Dec 05, 2022
Looming Physician Pay Cut 'Unprecedented' and 'Unconscionable,' AMA President Says Number of doctors who take Medicare patients could dwindle without Congressional action Dec 02, 2022
Treating Obesity Should Be Our Healthcare Moonshot Behavioral health changes alone will only do so much Nov 21, 2022
Expanding Vaccination Pay, 'Public Option' Fuel Debate Among AMA Delegates Resolutions also advocate for greater accuracy in Medicare Advantage plan offerings and more Nov 14, 2022
A Remedy for the Federally Funded Physician Shortage Raising or eliminating the cap on residency spots can make all the difference Nov 13, 2022
Senate Report Decries Medicare Advantage Plan Marketing Deception Frustrated, confused, embarrassed enrollees often delay care after being "scammed," report notes Nov 04, 2022
Makena Is Just the Latest in Accelerated Approval Mayhem Congress must take action to reform the process Oct 24, 2022
CMS Puts the Kibosh on Misleading Medicare Advantage Sales Pitches "Secret shoppers" found that 80% of agent calls with clients were inaccurate or insufficient Oct 21, 2022
Mayo Warns It Won't Take Most Medicare Advantage Plans Letters to Florida, Arizona patients suggest they enroll in original Medicare with a supplement Oct 20, 2022
Brokers Earn More to Steer New Beneficiaries to Medicare Advantage Agent says he would double earnings if he sold MA over Medigap plans to new clients Oct 14, 2022
The Medicare Advantage Trade-Off: Saving Money, Losing Access Beneficiaries may spend less on premiums, but care delays are common. Do worse outcomes follow? Oct 13, 2022
The Kidney Transplant Ecosystem Is Ripe for Reform Here are the policies and payment systems that need to change Oct 11, 2022
CMS' Financial Incentives Didn't Move the Dial on Home Dialysis Incentives may just not be strong enough, say some Oct 07, 2022
Docs Hit With Price-Fixing Charges; $4M for Missed Strep Dx; Prison for X-Ray Fraud A weekly roundup of healthcare's encounters with the courts Oct 06, 2022
What Drug Laws Are in the Inflation Reduction Act? The Answer Might Surprise You It's not just about negotiating drug prices in Medicare Oct 04, 2022
Aborted Fetus Brings Wrongful Death Suit; Simone Gold's 'Boyfriend' Found Guilty A weekly roundup of healthcare's encounters with the courts Sep 29, 2022
The Future Looks Bleak for Surgical Residents Like Me Looming Medicare cuts will force surgeons to do more with less, undermining trainee success Sep 28, 2022
Biden Hits Republicans, Drug Companies in Healthcare Speech "This year, the American people won and Big Pharma lost" Sep 27, 2022
It's High Time for Broader Access to Non-Opioid Pain Medication Limited Medicare coverage poses barriers, but bipartisan legislation offers a solution Sep 22, 2022
Wrangling Medicare: A New Vision A look at the future of the largest U.S. health insurance provider with Meena Seshamani, MD, PhD Sep 20, 2022 podcast
House Bill Would Fix Glitch in Medicare Non-Emergency Ambulance Transport Program Measure would require states to help some "dual eligibles" who have trouble accessing the benefit Sep 15, 2022
How Have Glucagon Costs Changed in Recent Years? Wholesale costs spiked from 2010 to 2020, but out-of-pocket prices remained mostly stable Aug 30, 2022
Docs Likely to See Pay Raise From Private Insurers in 2023, Expert Says Payment negotiations "really are favoring the providers right now" Aug 25, 2022
Sleeve Gastrectomy Gets Big Boost After Medicare Coverage Took Effect Geographic variations were observed, with the highest increase seen in New Jersey Aug 18, 2022
