Hospitals, insurers, doctors, unions and pharmaceutical companies spent a record $19 million trying to sway Beacon Hill lawmakers last year, a reflection of the industry's political and economic muscle and a rapidly changing healthcare landscape.
A different healthcare issue has emerged for Democrats, in sync with the party's pitch to workers and middle-class voters ahead of next year's elections.
Nearly one-quarter of Medicare's top-prescribing physicians received consulting fees or other financial perks from manufacturers of the drugs they prescribed in 2013, renewing nagging questions about conflicts of interest in medical decisionmaking.
Medicare and Medicaid have precipitated the vast expansion—and even the creation—of many profitable industry sectors including hospitals, physician groups, managed-care insurers, home health, drug manufacturers, devicemakers and others.
Modern Healthcare has documented every Medicare and Medicaid milestone and challenge since Crain Communications purchased the magazine in 1976. This section commemorates the programs' 50th anniversary by providing some history and an overview of their challenges.
Douglas Holtz-Eakin, president of the American Action Forum and a former Congressional Budget Office director, writes that Medicare and Medicaid have an obligation to provide high-quality care to America's seniors and low-income beneficiaries, and they must be made financially sustainable.
Georgetown University professor and former HHS official Judy Feder writes that the 50th anniversary of Medicare and Medicaid enactment calls for a celebration. Medicare provides health insurance protection to virtually all older Americans and many workers who become disabled.
Stanford Health Care, Palo Alto, Calif., has completed its merger with ValleyCare Health System, a single-hospital system in Pleasanton, Calif.
Providers and policymakers will explore implementation strategies for bundled-payment models and address physician concerns about the CMS' bundled-payment experiments at the Fifth National Bundled Payment Summit in Washington.
The CMS is about to release a sweeping proposed rule that could fuel a major expansion of Medicaid managed long-term care for elderly and disabled beneficiaries.
Oncologists have proposed a new payment model for cancer care using consolidated billing codes, bundled payments and care-management fees, which they hope will improve quality of care and reduce costs.
Indiana's rural Scott County, currently the epicenter of an HIV outbreak, received approval last week to operate the first needle-exchange program allowed under a new state law.