Medicare Claws Back Money for Dubious Birth-Tissue Stem Cell Shots Government seeks to recoup more than 2 years of payments for unproven treatments Mar 16, 2022
No Medicare Payment Hike Needed for Docs in 2023, MedPAC Says Beneficiaries seem to have adequate access to care, and few physicians are dropping out Mar 15, 2022
A Tale of Two Accountable Care Organizations There is still hope for the future of value-based care Mar 10, 2022
CMS Sepsis Measurement Under Fire Measure doesn't work and its re-endorsement process was flawed, critics say Mar 08, 2022
CMS Revamps Direct Contracting Model Participants in current GPDC Direct Contracting must meet new equity and governance requirements Feb 25, 2022
Costs Soaring for Ground Ambulance Transport Surprise billing law doesn't apply to ambulance rides Feb 22, 2022
Mental Health Crisis Demands Better Coverage, Worker Pay, Experts Tell House Advocates argue for workforce incentives, peer involvement, and closing Medicare coverage gaps Feb 03, 2022
Medicare Patients Can't Get Their At-Home COVID Test Kits Covered -- Yet But CMS says it's working to provide that coverage Jan 25, 2022
Why Are Physicians Silent About Outrageous Drug Prices? Milton Packer wonders why physicians are struggling to get their priorities straight Jan 12, 2022
Medicare Plans to Restrict Coverage of New Alzheimer's Drug Proposal would cover aducanumab (Aduhelm) in patients on qualifying clinical trials Jan 11, 2022
Was This Really Our Best Attempt at Step 1 Exam Reform? Shifting to a pass/fail system has unintended consequences Nov 23, 2021
AMA Delegates Spar Over Medicare Drug Price Negotiation Some worry this could lead to price controls for physician services Nov 14, 2021
Young Physicians Need Support From Organized Medicine, Says AMA President "The fear and weariness ... I'd call it battle fatigue" Nov 13, 2021
Should Medicare Pay the Same Amount Regardless of Where a Service Is Provided? MedPAC members like the idea -- with a few caveats Nov 10, 2021
Final Physician Fee Schedule Rule Includes a Nearly 4% Payment Cut Will leave practices in "financial peril," says AMA president Nov 03, 2021
Biden Announces Deal With Congress on Infrastructure Bill Medicare hearing benefits make the cut, but dental, vision, drug-pricing provisions are left out Oct 28, 2021
National Nurses Union Wants to Fight Back Resolutions call for consistent PPE and staffing levels, better organization and Medicare for All Oct 20, 2021
Medicaid Will Be a Bigger Target for Alternative Payment Models, CMS Official Says Health equity also will be a focus, says CMMI official Ellen Lukens Oct 13, 2021
Medicare Is Sticking With Mandatory Demonstration Models for Now But "we need to move away from having a model for every episode," says CMMI head Elizabeth Fowler Oct 06, 2021
When Prior Authorization Practices Go Too Far Congress can reverse a troubling trend that creates patient care disruptions Sep 12, 2021
PhRMA Warns of Dire Consequences if Medicare Allowed to Negotiate Drug Prices "We know how the story ends" when the government sets prices, group says Sep 08, 2021
Pharmacist Charged for Vax Card Sales; Moderna Recipe Fight; Drug Waste Report COIs This past week in healthcare investigations Aug 18, 2021
Notice Any Rule Changes in Washington? You Can Thank COVID "It's opened a Pandora's box, which is not going back" Aug 11, 2021
Medicare's Radiation Oncology Payment Model Vexes Oncology Community Participation required for certain radiation oncology practices starting next January Aug 10, 2021
Bring House Calls Into the 21st Century The pandemic highlighted the benefits of home health services for a range of patient populations Aug 02, 2021
Ivermectin and Aducanumab: Do They Work? ZDoggMD and Vinay Prasad, MD, MPH, analyze the evidence Jul 13, 2021
As Overdoses Rise, Opioid Treatment Providers Struggle to Get Paid Providers of medication assisted treatment say they're bleeding cash, and unable to keep staff Jun 22, 2021
AMA Delegates Tussle Over Lowering Medicare Eligibility Age to 60 Resolution asks association to urge Congress to take action Jun 13, 2021
Want Healthcare for All? Ditch Fee-for-Service, Says Former CMS Chief "We should move to global budgets as soon as possible," says Donald Berwick Jun 11, 2021
Federal COVID Fraud Charges Include Doc's Testing Scheme Physician used COVID-19 testing event for more profitable purposes, says DOJ May 27, 2021
Op-Ed: A Door Opens to Transform Cancer Care Incoming CMS Administrator Chiquita Brooks-LaSure brings hope to the cancer community May 25, 2021
CMS Rules for Insurers Punt on Drug Copay Relief "Really disappointing" that payment notice didn't even mention these cards, coupons Apr 30, 2021
Shifting PCI Procedures to Outpatient Centers: Safety First? Do benefits in efficiency, cost reduction outweigh risks? Apr 29, 2021
Four Sentenced in Mental Health Center Scam Heads of a Houston healthcare chain will go to prison for kickbacks, mental healthcare fraud Apr 28, 2021
On the Road to High-Value Healthcare in the U.S.: Are We There Yet? CMS needs to keep the value-based payment models that work, and ditch the others Apr 27, 2021
Doc Groups Object to New Prior Authorization Rules in Medicare Requirements for two spinal procedures set to take effect July 1 Apr 20, 2021
AHRQ: Studies Fail to Show Long-Term Benefit for CPAP Sleep apnea specialists dumbfounded at critique of "gold standard" treatment Apr 09, 2021
