PharmaA Peek at Big Pharma's Playbook that Leaves Many Americans Unable to Afford Their Drugs
America's pharmaceutical giants are suing this summer to block the federal government's first effort at drug price regulation.
PayerHow CMS' Updates to ACO REACH Model Affect Participating Providers
The federal agency has made the changes after receiving feedback from stakeholders and participants.
TelehealthAudit: Telehealth Bolstered End-Stage Renal Care During PHE
However, OIG wants more details on what telecommunications platforms are used.
PayerMedicare Advantage Members More Socioeconomically Disadvantaged Than Traditional Medicare
New study analyzes differences in characteristics between beneficiaries as they're transitioning from commercial to Medicare coverage at 65.
FinanceHospitals 'Extremely Pleased' to Receive $9B in Proposed 340B Remedy
The proposed rule by CMS is the remedy to payment rates the Supreme Court deemed unlawful.
Revenue Cycle5 Revenue Cycle Coding Stories You Missed
There were several coding stories you may have missed in June.
TechnologyCMS Eyes Expedited Pathway to Medicare Coverage of Innovative Tech
The proposed Transitional Coverage for Emerging Technologies (TCET) pathway is designed to facilitate Medicare coverage for new treatments that usually...
PayerMedicare Advantage Overpayments Could Eclipse $75B in 2023
New analysis highlights the need for reform in the private program as it continues to grow in enrollment.
Clinical CareAMA President: 'I Can't Sugarcoat the Very Real Threats'
Jack Resneck Jr., MD, spotlights the challenges and victories of his year-long presidency of the American Medical Association.
PharmaPatient Advocates Mock Merck's 'Bogus' Drug Price Negotiations Suit
The drugmaker this week filed suit against HHS, complaining that the Medicare price negotiation mandate is 'unconstitutional.'
PayerMedicare Overpaid $22.5M for Incorrect Place-of-Service Codes
The Office of Inspector General (OIG) uncovered overpayments in 2019 and 2020 for care provided to Medicare beneficiaries.
StrategyOak Street Health Plans Expansion to 4 More States
The Medicare geriatric primary care network says it will have a footprint in Iowa, Arkansas, Kansas and Virginia by year's...