Seventeen private health insurance companies and more than 3,200 oncologists working in almost 200 medical groups will participate in the federal government's new cancer care project, but critics argue the program may not easily lower costs or reduce unnecessary and potentially harmful care.
Congress' proposed fix for Puerto Rico's $72 billion debt crisis does not include any provisions to bolster the island's Medicare and Medicaid funding.
The proposal to change the way doctors are reimbursed for prescribing outpatient drugs has been criticized by lawmakers of both parties and by multiple patient and doctor groups.
Physicians and healthcare organizations have flooded the CMS with concerns about proposed changes in the way Medicare pays providers. They say the changes put patient data at risk and could actually push providers away from payment models meant to lower costs.
Home healthcare agencies would see a 1% drop in Medicare reimbursement under a proposed rule issued Monday. The pay cut was floated the same day the U.S. Supreme Court chose not to review a federal labor rule that home health providers say is harming their businesses.
Medicaid policies that only offer hepatitis C treatment to patients with advanced disease may be more costly and less effective than an unrestricted, full-access approach, according to a recent study.
A provision within the new Medicare physician payment law eliminates the most popular types of Medigap plans and therefore will lead to future Medigap enrollees paying more out of pocket for their medical care.
Several experts called the House GOP manifesto presented by Speaker Paul Ryan a rehash of old conservative ideas that Republicans have never seriously tried to implement.
Medicare's first step in reining in the skyrocketing cost of specialty drugs deserves support—something it has not received from hospitals, doctors, politicians or, of course, the pharmaceutical industry, which benefits the most from the status quo.
The CMS is proposing to increase Medicare payments for dialysis services. Under the proposed rulemaking, dialysis facilities would receive 0.5% or $50 million more in 2017 than they received in reimbursement this year.
The Medicare trust fund will be insolvent by 2028, according to the 2016 Medicare trustees' report released Wednesday. The prediction is a departure from the 2030 date the Obama administration outlined in the previous two reports.
Commercial payers save $38 billion annually when patients get care in ambulatory surgery centers, according to a study done in collaboration with the Ambulatory Surgical Center Association. The AHA is challenging its methodology.