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Public Health & Policy >

Medicare

An aerial photo of the Texas State Capital grounds at Austin

Here's What Medicaid Expansion Can Do for the Health of Your State

Texas -- and 10 other states -- should accept this additional federal funding

A photo of President Joe Biden and Vice President Kamala Harris during the State of the Union speech.

Victory Over Big Pharma Will Take More Than the IRA

We need policies to address high launch prices and anti-competitive patent practices

A photo of a female physician in her office, typing on a laptop

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

Broad grassroots support can make a big difference

A photo of a male physician taking notes while meeting with his mature female patient

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

A photo of a box of Wegovy injection pens.

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

A photo of seniors in a nursing home.

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

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

A photo of three capsules lying on the Pharmaceuticals & Biotech stock listings in Financial Times newspaper.

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

A screen shot of Robert Morris speaking during this hearing

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

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

A photo of a senior patient using a walker in the hallway of a nursing home.

MedPAC's Report Recommends Pay Changes for Healthcare Services

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

MedPod Today over a blue designed background

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

MedPage Today reporters offer further insights on these recently covered topics

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

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

Health news and commentary from around the Web gathered by MedPage Today staff

A screenshot of Xavier Becerra speaking during this hearing.

Republican Senators Blast Biden's Proposed HHS Budget

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

A close up photo of a man wearing scrubs and holding a tiny graduation cap.

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

A photo of the Hubert H. Humphrey building in Washington, D.C.

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

A photo of a table set up in front of a van advertising Medicare Advantage plans to passersby.

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"

A photo of the interior of an Aledade office.

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

A photo of ambulances outside of a hospital in Montgomery, Alabama.

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

A scanning electron microscope image of a respiratory syncytial virus

Congress Should Simplify Medicare's Vaccine Coverage

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

A photo of Donald Berwick, MD

Obama CMS Chief: Medicare Advantage Plans Game the System

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

MedPod Today over a blue designed background

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

MedPage Today reporters offer further insights on these recently covered topics

A photo of a Canadian flag flying from the porch of an inn in Gulfport, Florida.

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?

A photo of a man’s laptop which is displaying a health insurance website

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 MedPage Today 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

A photo of a spilled prescription bottle laying on several $100 bills.

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

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