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Return of Rule Nixing Delivery of Rx Drugs to Medicare Patients Drawing Docs' Ire

"It is endangering the lives of the oldest and sickest Americans," oncology group says

May 18, 2023
A computer rendering of various medications sticking out of a cardboard box.
Congress Hearing Explores Medicare Advantage Routines That Deny, Delay Needed Care

Blumenthal: "It's fine, so long as you don't need it for the big stuff"

May 18, 2023
A screenshot of Richard Blumenthal speaking during this hearing.
What Will Change Now That the Public Health Emergency Is Ending? Experts Weigh In

Medicaid and telehealth are among the big areas to watch

May 10, 2023
 A computer rendering of COVID viruses over the US flag.
'Ghost' Provider Networks a Big Problem for Patients, Especially in Mental Health

Only 18% of docs called by Senate's "secret shoppers" were really in-network and taking patients

May 03, 2023
A photo of Keris Jän Myrick speaking during this hearing.
Opinion
You Choose: Food or Medications?

The suffering caused by exorbitant drug prices is all too clear for doctors to see

Apr 23, 2023
 A photo of various kinds of pills spilling out of a rolled up $100 bill.
Doctors, Nurses Charged in Wide-Ranging COVID Fraud Schemes, DOJ Says

Largest coordinated action targeting COVID healthcare fraud also includes clinic owners

Apr 21, 2023
A photo of a stamp on a COVID vaccination record card which reads: COVID scams
SCOTUS Case Hinges on 'Weapon of Choice' for Targeting Healthcare Fraud

High court reviews lower court ruling focused on "subjective intent"

Apr 21, 2023
A photo of the Supreme Court building in Washington D.C.
MedPAC Approves Recommendations on Part B Drug Payment and Site-Neutral Payment

But commissioners express concern about effect of site-neutral payment on rural access

Apr 13, 2023
A photo of a blue rubber gloved hand passing a paper container of pills to the hand of man wearing a hospital bracelet.
Docs Support Bill to Reform Medicare Payments

New legislation links physician pay update to inflationary measure

Apr 06, 2023
 A photo of a smiling young female physician holding a fan of $100 bills.
Opinion
A Policy Guide to Fixing the Doctor Shortage

More than one factor led to this crisis

Apr 06, 2023
 A photo of a tired male doctor sitting on the floor in a hospital hallway.
CMS Cracks Down on Medicare Advantage Marketing, Prior Auth Practices

Agency wants to stop schemes that mislead beneficiaries and prohibit unfair denials of care

Apr 06, 2023
 A screenshot of a Medicare Advantage television commercial featuring Joe Namath.
Medicare Expected to Become Insolvent by 2031, Trustees Say

Date is 3 years later than before, but AMA, other groups still concerned about program's future

Apr 03, 2023
A close up photo of a Medicare brochure.
Want to Fix Medicare Pay for Primary Care Docs? How About Two Fee Schedules?

Separate schedules for procedures, E&M services could reduce pushback, says former CMS official

Mar 31, 2023
A photo of a female physician sliding a $100 bill into the pocket of her white coat.
Opinion
Is It Business as Usual for the Drug Industry?

Drugmakers continue to raise prices despite new legislation

Mar 28, 2023
A computer rendering of drug capsules decorated with $100 bills.
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