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Washington and New Jersey Are Reforming Prior Authorization. Is Your State Next?

Broad grassroots support can make a big difference

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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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The Case for Stricter Standards in the Final Nursing Home Staffing Rule

Continued understaffing will have devastating consequences for residents, families, and staff

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What's Happening With the Medicare Drug-Price Negotiation Lawsuits?

The government has come out on top so far, but pharma vows to fight on, expert says

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Medicare $$ Needed to Help State-Licensed Emergency Centers Survive, Lawmakers Told

"This model doesn't work" without it, says emergency center CEO

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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

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MedPod Today: AAMC Leaked Emails; 'Wild West' of Ketamine; MA Games the System

名媛直播 reporters offer further insights on these recently covered topics

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Trump Reverses on Medicare Cuts; Pill for Ebola? Chef Jailed for Serving Norovirus

Health news and commentary from around the Web gathered by 名媛直播 staff

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Republican Senators Blast Biden's Proposed HHS Budget

At issue were the exclusion of PBM reform, and nursing home, Title X funding requirements

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It's Match Week, but That Won't Fix the Physician Shortage

Short-term legislative solutions can help today in the face of stagnant systemic change

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HHS Aims to Lower Drug Costs, Fund Public Health Preparedness in Budget Proposal

Another goal of FY 2025 budget is to protect reproductive healthcare, behavioral health workforce

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MedPAC Wrestles With How to Fix Deep Flaws in Medicare Advantage Quality Metrics

Comparing MA plans with fee-for-service quality called "a hornet's nest"

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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

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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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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

名媛直播 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

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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

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

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

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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

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 名媛直播 staff

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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

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Why Are We Letting Insurers Dictate Patient Care?

Prior authorization is wreaking havoc on patient health

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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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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

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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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Politicians Must Stop Playing Doctor

Personal ideology should not guide medical care, even for abortion

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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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MedPAC Report on Medicare Advantage Growth, High Costs Generates Kerfuffle

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

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

Studies suggest coverage is warranted for certain populations

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