Medicare
publication date
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CMS Issues More Draft Guidance on Medicare Prescription Payment Plan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.
Innovation
Congress Eyes Expansion of Hospital at Home Care Model
A new bill before Congress would create a pilot program to examine whether the Hospital at Home care model could...
Payer
Three Things Shaking Up Medicare Advantage
Medicare Advantage has seen a lot of turbulence recently.
Pharma
HHS Opens Drug Price Dickering
With newfound authority granted by the IRA, HHS bids on 10 drugs selected for the first round of negotiations.
Payer
Cigna Sells Medicare Business to HCSC for $3.7B: What It Means
What the $3.7 billion dollar deal means for each company.