On the one hand, the efficacy of Aduhelm is unproven; patients face serious risks; and the drug's FDA approval was extremely controversial, so Medicare officials faced a real dilemma. On the other hand, what would have been the implications if clinical trials had clearly demonstrated that the drug could slow cognitive decline and Biogen had kept the price at $56,000 per year?
When Tufts Medical Center shutters its pediatric hospital this summer, the move will make Boston Children's Hospital, already the dominant and most expensive pediatric hospital in the region, even more powerful and could force insurers and families with sick children to pay more for healthcare.
Washington state, in its second year of offering the nation's first public option health insurance plan, has learned an important lesson: If you want hospitals to participate, you're probably going to have to force them.
A San Antonio jury ordered Peripheral Vascular Associates to pay $8.1 million in damages for fraudulent Medicare claims after several whistleblowers brought evidence to court.
WARM SPRINGS - The Montana State Hospital in Warm Springs has been placed on "Immediate Jeopardy" status by CMS for alleged violations of patient rights and infection prevention control.