consumers
publication date
Payer
The Patient Expected a Free Checkup. The Bill Was $1,430.
Not all services that may be provided as part of an annual physical are paid for by insurance as preventive...
Payer
When Hospitals Ditch Medicare Advantage Plans, Thousands of Members Get to Leave, Too
In the past 15 months, CMS has quietly offered roughly three-month special enrollment periods allowing MA members in 13 states...
Revenue Cycle
Podcast: Winning a two-year fight over a bogus bill
In July 2022, "An Arm and a Leg" listener Meagan experienced a bout of vertigo that landed her in the...
Payer
The Ranks of Obamacare 'Fixers' Axed in Trump's Reduction of Health Agency Workforce
The cuts have demoralized caseworkers, whose jobs demand a grasp of complex and arcane health insurance rules.
Pharma
An Indian Drugmaker, Investigated by ProPublica Last Year, Has Recalled Two Dozen Medications Sold to U.S. Patients
FDA inspectors found serious problems at a Glenmark factory in India that manufactured the recalled drugs. Another medication made there...
CMO
In Rural Mass., Patients and Physicians Weigh Trade-Offs of Concierge Medicine
Many physicians who've made the change say it resolved some of the pressures they faced in primary care.
Payer
Blockbuster Deal Will Wipe Out $30B in Medical Debt. Even Backers Say It's Not Enough.
Undue Medical Debt is retiring $30 billion worth of unpaid bills in a single transaction with Pendrick Capital Partners.
Innovation
What's Lost: Trump Whacks Tiny Agency That Works to Make the Nation's Healthcare Safer
Survey data gathered by AHRQ provides much of what is known about hospitalizations for thousands of medical issues.
CEO
Trump Says He'll Stop Health Care Fraudsters. Last Time, He Let Them Walk.
Trump's history of showing leniency to convicted fraudsters contrasts with his present-day crackdown.
Payer
How Much Will that Surgery Cost? Hospital Prices Remain Largely Unhelpful.
Trump's 2025 order shows how little progress the country has made since he issued a similar directive nearly six years...
Pharma
MT's Small Pharmacies Behind Bill to Corral PBMs
The measure includes a half-dozen restrictions on other PBM practices the smaller pharmacies call anticompetitive.