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The Plight of the Late-Boomer Physician

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

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UnitedHealth CEO Slammed at Senate Hearing on Change Healthcare Cyberattack

"A comprehensive scrub" of company's anti-competitive practices is long overdue, senator says

A screenshot of Daniel Tsai speaking during this hearing.

House Republicans Bash New Nursing Home and Home Care Rules at Hearing

"This approach simply won't work," said chair of the House Energy & Commerce Health Subcommittee

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Lawmakers Take Up Fallout From Change Healthcare Cyberattack

Health sector likely to remain an "attractive target," says congressman

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

Federal Probes Need to Look Beyond Private Equity-Owned Healthcare for Alleged Abuse

Non-profit entities should also be fair game, says Ron Harman King, JD, MS

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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Biden Administration Cracks Down on 'Junk' Health Insurance Plans

Under final rule, insurers will have to spell out what these policies do not include

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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

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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

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California Wants to Pay Doctors More Money to See Medicaid Patients

How much and who will get it will be determined later this year

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MedPAC's Report Recommends Pay Changes for Healthcare Services

Report highlights MA quality, overpayment issues, and urges action on four prior recommendations

How Can the U.S. Prevent Future Cyberattacks Like the One on Change Healthcare?

To start with, more "outside in" testing is needed, expert says

A screenshot of Ateev Mehrotra, MD, MPH, speaking during this hearing.

Lawmakers Quibble Over Whether Telehealth Should Be Cheaper Than In-Person Visits

Lawmakers, witnesses disagree on the answer at a House hearing on home healthcare

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Largest Independent Primary Care Network in the U.S. Accused of Medicare Fraud

Whistleblower lawsuit alleges Aledade encouraged doctors to tack on suspect medical diagnoses

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MedPAC Members Pan Rural Hospitals' 'Cost-Plus' Billing System for Medicare Patients

Allowing the system to stay in place is "unconscionable," says one commissioner

A photo of Christopher Koller speaking during this hearing

Medicare a Big Contributor to the Broken Health Payment System, Senators Told

Use of "hybrid" payment model urged

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Most Doc Groups Unhappy With Proposed Congressional Budget Deal

Measure would restore some, but not all, of the cuts to the Medicare Physician Fee Schedule

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Can Artificial Intelligence Improve Prior Authorization?

Possibly, but "complete transparency" about its use would be needed, expert says

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There's Still Time to Switch Medicare Advantage Plans This Year

Beneficiaries have until March 31 to find a new plan; doctors should check plans, too

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States Target Health Insurers' Red Tape Around Prior Authorization

Pending bills in multiple states include policies backed by the AMA

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Orthopedic Surgeons on Track to Earn Less Than Taco Bell Workers

If current trends continue, patients are in big trouble

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Not Passing a Bill to Fix Medicare Doc Pay Cuts Is 'Appalling,' Lawmaker Says

Rep. Larry Bucshon, MD, also talks about prior authorization, violence against health workers

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MedPod Today: Medicare Advantage Woes, Double Billing, NHPI Health Disparities

番茄社区 reporters offer further insights on these recently covered topics

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Medicare Sends Initial Price Negotiation Bids to Drugmakers

Manufacturers of 10 drugs have 30 days to accept or make a counter-offer

CMS Focusing on Better Aligning Quality Measures, Adding New ACO Models

Clinicians shouldn't have to navigate hundreds of different measures, Medicare director says

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Value-Based Care: Filling Critical Gaps in Care and Clinician Leadership

One Chicago health plan has come up with a unique program for doctors just starting out

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Will All Seniors Eventually Have No Choice but Medicare Advantage?

MedPAC chair discusses need to fix MA's confusing limitations, upcoding, and rising costs

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Infusion Drug Mark-Ups Higher at Safety Net Hospitals

Study shows big difference in reimbursement-to-acquisition cost ratio versus private practice

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Is Adding an AI Readout to Mammography Worth It?

Women would have to pay out-of-pocket, as reimbursement is a long way off

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Q&A: Talking Prior Authorization With Rep. Suzan DelBene

The Washington congresswoman also discusses home dialysis, Medicare cuts

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CMS Issues Final Rule on Prior Authorizations

The rule, which doesn't apply to commercial insurers, sets time limits on responses

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Is Burnout Destroying Emergency Medicine?

It doesn't have to: here are four unique ways to address the issue

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Docs Need Inflation-Adjusted Medicare Pay Increase in 2025, MedPAC Members Say

Draft recommendation also calls for added pay to take care of low-income beneficiaries

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Medicare Doc Payment Fix Bill Moving Along, GOP Doctors Caucus Co-Chair Says

Rep. Greg Murphy, MD, is hoping for action within a week

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Multistate Licensure for Docs, Others Continues to Gain Steam

More state legislatures consider joining licensure compacts

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Contraceptive Use in Medicare Varies by Enrollment Type

Study examines use among enrollees ages 20 to 50 with disabilities

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Cancer Patients Face Frightening Delays in Treatment Approvals

"For them to take weeks -- up to months -- to provide an authorization is ridiculous"

Medicare Cuts Beg the Question: Do Doctors Know How to Make 'Good Trouble'?

The health of American healthcare may depend on physicians taking it to the streets

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Kindness Doesn't Have a Billable Code

But it's a key part of patient care

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