consumers
publication date
Payer
Mostly False: Trump Exaggerates Speed and Certainty of Prescription Drug Price Reductions
Under a new executive order, prescription drug prices will be reduced 'almost immediately.' ? President Donald Trump, in a May...
CMO
Rural Patients Face Tough Choices When Their Hospitals Stop Delivering Babies
More than a hundred rural hospitals have stopped delivering babies since 2021 owing to shortages of staff and money.
Payer
Trump's DOJ Accuses Medicare Advantage Insurers of Paying 'Kickbacks' for Primo Customers
DOJ alleges insurers labeled payments as 'marketing' or 'sponsorship' fees to get around rules that set caps on broker commissions.
Pharma
Pharmacists Stockpile Most Common Drugs on Chance of Targeted Trump Tariffs
Pharmacists find themselves on the front lines of a tariff storm.
Payer
The Firm Running Georgia's Struggling Medicaid Experiment Was Also Paid Millions to Sell It to the Public
Deloitte Consulting is taking in tens of millions in tax dollars to build, manage and market Georgia's Medicaid work requirement...
Innovation
Can an AI 'Nurse' Improve Maternal Health Outcomes?
A new project in Illinois aims to connect at risk mothers-to-be with a remote patient monitoring platform that includes a...
Payer
Why Do Americans Pay More for Prescription Drugs?
Drug companies in the U.S. face few restraints on what to charge for their products. A bipartisan bill would penalize...
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...