Medicare
publication date
Payer
New Report Targets Payer Pain Points for Digital Therapeutics Integration
The Digital Therapeutics Alliance is helping outline integrated digital product workflows that identify gaps for payers, clinicians, and patients.
Payer
Medicare Advantage Is Still Going Strong
A new report shows strong potential for the Medicare Advantage market.
Payer
How Independence Blue Cross Combines CAHPS, Age-Friendly Models and Benefits Navigation For Caregiver Support
The payer?s partnership with Carallel addresses multiple industry pressures.
Finance
Biden Said Medicare Drug Price Negotiations Cut the Deficit by $160B. That's Years Away
The CBO projects a a 10-year cumulative savings of $161.7 billion from two provisions of the IRA.
Revenue Cycle
Whistleblower Accuses Aledade, Largest U.S. Independent Primary Care Network, of Medicare Fraud
Aledade Inc.'s billing apps allegedly improperly boosted revenues by adding overstated medical diagnoses to patients' EHRs.
Payer
Show Us The Money: Payers Cry Foul Over Possible MA Rate Cuts
The recent proposed MA rate cuts could cut into payers? profits, and payers are fighting back.
Payer
Without Medicare Part B's Shield, Patient's Family Owes $81K for a Single Air-Ambulance Flight
Sky-high bills from air-ambulance providers have sparked complaints and federal action in recent years.
Clinical Care
CMO Shares Strategies for Serving Medicare and Medicaid Beneficiaries
SOMOS Community Care serves 1 million Medicare and Medicaid beneficiaries in New York City.
Pharma
AGs Urge Federal Action on PBM 'Abuses'
A bipartisan coalition of 39 AGs wants Congress and the FTC 'to ensure fulsome regulation of PBMs nationwide.'
Pharma
CMS Issues More Draft Guidance on Medicare Prescription Payment Plan
The initiative aims to reduce costly up-front, out-of-pocket prescription drugs costs for seniors.
Pharma
Patients See First Savings From Biden's Drug Price Push, as Pharma Lines Up Its Lawyers
The law represents the most significant overhaul for the U.S. drug marketplace in decades.