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Medicare

A photo of the US Capitol building.

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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Congress Should Simplify Medicare's Vaccine Coverage

All ACIP-approved vaccines should be covered by Medicare Part B

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Obama CMS Chief: Medicare Advantage Plans Game the System

Don Berwick says MA growth "should be slowed or stopped"

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MedPod Today: Are MA 'Extras' Used? USMLE Cheating Scandal; Keto for Mental Health

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

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FDA Authorized Florida's Drug Importation Plan. Naysayers Are Balking.

It's not an efficient solution

A photo of a billboard which reads: Medicare plans with dental + eyewear.

How Beneficiaries Really Feel About Medicare Advantage vs Traditional Medicare

MA plans offer "extra benefits" but many go unused. Is Medicare Advantage really better?

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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

A photo of Jesse Ehrenfeld, MD, MPH

'Humbling, Exhausting, Exhilarating': The Life of AMA President Jesse Ehrenfeld

Some of the most meaningful experiences happen in unexpected places, he says

AAOS over a photo of Moscone Center in San Francisco, CA

Orthopedic Surgeons on Track to Earn Less Than Taco Bell Workers

If current trends continue, patients are in big trouble

A photo of Rep. Larry Bucshon (R-Ind.) speaking at this event

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

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

CDC Changing COVID Isolation Recs; Former PM Opts for Euthanasia; Plant-Based Diets

Health news and commentary from around the Web gathered by 番茄社区 staff

A photo of a male physician shaking hands with his new male patient.

Oncologists Risk Self-Referral Violations Over Medicare Mail-Order Drug Rule

New interpretation of Stark law excludes distribution of oral oncology drugs by mail

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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

A photo of a female physician talking on a phone in a hospital.

Why Are We Letting Insurers Dictate Patient Care?

Prior authorization is wreaking havoc on patient health

A photo of a senior woman looking up her medications in a health insurance brochure.

Will All Seniors Eventually Have No Choice but Medicare Advantage?

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

The FDA and CMS logos on two computer rendered joined puzzle pieces

The Healthcare Landscape Is Changing. Our Regulatory Practices Should Too.

Closer collaboration between FDA and CMS is the need of the hour

A photo of Rep. Suzan DelBene (D-Wash.)

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

The Washington congresswoman also discusses home dialysis, Medicare cuts

A photo of a male physician talking on the phone and holding a tablet.

CMS Issues Final Rule on Prior Authorizations

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

A photo of a tired looking female physician leaning against a window.

Is Burnout Destroying Emergency Medicine?

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

A photo of Ken Paxton in front of the Supreme Court building.

Politicians Must Stop Playing Doctor

Personal ideology should not guide medical care, even for abortion

A photo of a woman putting three $100 bills into the pocket of a senior male physician.

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

A photo of a pen laying on a clipboard which is holding a Medicare Part C form.

MedPAC Report on Medicare Advantage Growth, High Costs Generates Kerfuffle

Commissioners reveal growing unease with MA practices: Not the "glowing success" everybody says

A photo of a man self-injecting Mounjaro.

How Should Health Plans Respond to Surging Interest in Weight Loss Drugs?

Studies suggest coverage is warranted for certain populations

A photo of a $100 bill sticking out of a prescription medication bottle

Would You Switch a Patient's Medication if You Knew the Cost?

Optimizing price estimate alert design and logic should be a priority

A photo of Rep. Greg Murphy, MD (R-N.C.)

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

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

A photo of former president Donald Trump speaking at the town hall event.

COVID Takes Center Stage at Trump Town Hall

Former president also calls for compromise on abortion "to win elections"

A photo of an IUD laying on blister packs of oral contraceptive pills.

Contraceptive Use in Medicare Varies by Enrollment Type

Study examines use among enrollees ages 20 to 50 with disabilities

Patients Are Lucky Cigna Dropped Its Plans to Buy Humana

But Washington should prepare now for the next major merger announcement

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

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

Fatal Christmas Tree; A Whole Lot of Fraud; Chatbots Relieve Seniors' Loneliness

Health news and commentary from around the Web gathered by 番茄社区 staff

A screenshot of President Joe Biden speaking during this event.

Biden Administration Announces Moves to Cut Drug Prices

Lower drug copays for Medicare enrollees, price concessions for new COVID treatments spotlighted

A photo of a man handing his credit card to a woman working at a pharmacy.

Experts, Lawmakers Explore Downside of Drug-Price Negotiation

Stifled innovation, reduced access suggested as future challenges

A photo of a medical invoice.

Health Spending Rose 4.1% in 2022, Government Report Says

But spending on physician and clinical services grew more slowly, at 2.7%

A photo of a smiling male physician about to accept money from an outstretched female hand.

MedPAC Draft Recommendation Calls for 1.3% Pay Bump for Medicare Clinicians

Concerns raised about doctors' ability to absorb the increased costs of running their practices

Orphan Drug Costs; Digital Devices for Diabetes

Also in TTHealthWatch: smoking cessation benefits

A photo of a woman wearing a hospital gown and looking out the window of her room.

Hospitals Say Some Medicare Advantage Plans Are Skirting CMS Rules

Groups lament stress to enrollees and billions in hospital losses from coverage delays, denials

A photo of a Medicare & You brochure.

'Medicarelessness' Revisited After 50 Years

Privatization of the public program has simply bolstered corporate profits

A photo of a prescription medication cap next to a rolled up $100 bill with capsules spilling from it.

States Making Progress Toward Setting Payment Limits for Some Drugs

Prescription drug affordability boards are now the law in eight states

A photo of a physician鈥檚 blue rubber gloved hand resting on a $100 bill.

The Broken Medicare System Is Forcing Physicians Out

Yet another physician pay cut will prevent timely access to care

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